As good as anyone: antenatal shared care at an inner Sydney hospital.
An exploratory survey design was used to assess satisfaction with antenatal care over a two-month period of women giving birth in an inner Sydney teaching hospital. Patients received obstetric services from private obstetricians, midwives, the hospital outpatient clinic, or 'shared care' between general practitioners and the outpatient clinic or birth centre. Insurance status and demographic information were collected across all groups. Shared care patients gave reasons why they chose that model of antenatal service. Ten per cent of women in the sample received shared care. Shared care patients were equally as satisfied as those in other modes of care in all but one factor--promptness of service (in which private obstetricians received higher ratings). They also judged shared care to have the advantages of being convenient, personal, and culturally appropriate. Significantly more patients in the shared care group were born overseas and they were less likely to hold private insurance. This paper discusses the results of the current study in the context of the Australian literature, explores some issues surrounding satisfaction research, and suggests further research arising from this work.
Webster
P
P
Central Sydney Area Health Service Division of General Practice.
Ulmer
B
B
Mann
J
J
Danforth
M
M
Angelis
M
M
Mann
L
L
Irons
P
P
Child
A
A
Rendalls
S
S
Mira
M
M
D001315:Australia; D016550:Birthing Centers / Q000592:standards / Q000706:statistics & numerical data; D002391:Catchment Area, Health; D005194:Family Practice / Q000458:organization & administration / Q000592:standards*; D005260:Female; D006773:Hospitals, Municipal / Q000592:standards; D006801:Humans; D007348:Insurance, Health / Q000706:statistics & numerical data; D008880:Midwifery / Q000592:standards; D009775:Obstetrics and Gynecology Department, Hospital / Q000458:organization & administration / Q000592:standards*; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011247:Pregnancy; D011295:Prenatal Care / Q000458:organization & administration / Q000592:standards*; D011795:Surveys and Questionnaires