Client satisfaction with prenatal care and pregnancy outcomes.
Client satisfaction and pregnancy outcomes of two groups of low socioeconomic women were compared. One group received prenatal care from a public health clinic, the other from a prototype tertiary multidisciplinary clinic. Sixty-two women from each clinic completed the Risser Patient Satisfaction instrument, after no less than three clinic visits. Clients from the multidisciplinary clinic were significantly more satisfied on three variables related to nursing care (technical skills, teaching, and interpersonal relationships), and one variable related to setting. Postdelivery log reviews revealed that infant birth weights, Apgar scores, and gestational ages were not significantly different between the two groups. Nurse case managed care and removal of barriers contributed to more satisfied consumers. Continuity of prenatal care was associated with healthy infants regardless of client perceptions of satisfaction.
Lowry
L W
LW
University of South Florida, Tampa, USA.
Saeger
J
J
Barnett
S
S
D000328:Adult; D019090:Case Management / Q000592:standards; D005260:Female; D006801:Humans; D010348:Patient Care Team / Q000592:standards*; D017060:Patient Satisfaction; D011203:Poverty; D011247:Pregnancy; D011256:Pregnancy Outcome; D011295:Prenatal Care / Q000592:standards*; D011634:Public Health / Q000592:standards*; D012959:Socioeconomic Factors