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Maternal Satisfaction with Healthcare after Perinatal Loss in Monochorionic Twin Pregnancy

Introduction: The analysis of patients’ satisfaction with healthcare is recognised as being useful in the evaluation of health outcomes and perceived quality of care. Little is known, however, about how the psychological status of women who experience perinatal complications may affect their perceiv...

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Autores principales: Druguet, Mònica, Nuño, Laura, Rodó, Carlota, Arévalo, Silvia, Carreras, Elena, Gómez-Benito, Juana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6723400/
https://www.ncbi.nlm.nih.gov/pubmed/31416177
http://dx.doi.org/10.3390/jcm8081213
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author Druguet, Mònica
Nuño, Laura
Rodó, Carlota
Arévalo, Silvia
Carreras, Elena
Gómez-Benito, Juana
author_facet Druguet, Mònica
Nuño, Laura
Rodó, Carlota
Arévalo, Silvia
Carreras, Elena
Gómez-Benito, Juana
author_sort Druguet, Mònica
collection PubMed
description Introduction: The analysis of patients’ satisfaction with healthcare is recognised as being useful in the evaluation of health outcomes and perceived quality of care. Little is known, however, about how the psychological status of women who experience perinatal complications may affect their perceived satisfaction with care. Methods: We assessed healthcare satisfaction in 52 women who had undergone intrauterine surgery during a complicated monochorionic twin pregnancy and examined the influence that fetal loss and sociodemographic, clinical, and psychological factors had on the degree of satisfaction. Data were gathered in an individual interview and through the administration of the Medical Patient Satisfaction Questionnaire, Beck Depression Inventory, and State–Trait Anxiety Inventory. Relationships between variables were analysed using a chi-square test, Spearman’s rho, Student’s t test, and the Mann–Whitney U test, in accordance with the metric nature of the variables and the assumptions fulfilled. Results: Age and level of education were not associated with the degree of healthcare satisfaction. Negative but non-significant correlations were observed between the level of satisfaction and symptoms of anxiety and depression. Satisfaction with healthcare was high in the sample as a whole, although it was significantly higher among women who had not experienced fetal loss. There were no differences in satisfaction with services involving direct contact with medical staff, whereas satisfaction with indirect services was lower among women who had experienced perinatal loss. Conclusions: Due to the unique characteristics of this population, specialised care teams of both professional healthcare and indirect services are needed. Although administrative aspects of healthcare are regarded as being of secondary importance, this may not be the case with more vulnerable populations.
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spelling pubmed-67234002019-09-10 Maternal Satisfaction with Healthcare after Perinatal Loss in Monochorionic Twin Pregnancy Druguet, Mònica Nuño, Laura Rodó, Carlota Arévalo, Silvia Carreras, Elena Gómez-Benito, Juana J Clin Med Article Introduction: The analysis of patients’ satisfaction with healthcare is recognised as being useful in the evaluation of health outcomes and perceived quality of care. Little is known, however, about how the psychological status of women who experience perinatal complications may affect their perceived satisfaction with care. Methods: We assessed healthcare satisfaction in 52 women who had undergone intrauterine surgery during a complicated monochorionic twin pregnancy and examined the influence that fetal loss and sociodemographic, clinical, and psychological factors had on the degree of satisfaction. Data were gathered in an individual interview and through the administration of the Medical Patient Satisfaction Questionnaire, Beck Depression Inventory, and State–Trait Anxiety Inventory. Relationships between variables were analysed using a chi-square test, Spearman’s rho, Student’s t test, and the Mann–Whitney U test, in accordance with the metric nature of the variables and the assumptions fulfilled. Results: Age and level of education were not associated with the degree of healthcare satisfaction. Negative but non-significant correlations were observed between the level of satisfaction and symptoms of anxiety and depression. Satisfaction with healthcare was high in the sample as a whole, although it was significantly higher among women who had not experienced fetal loss. There were no differences in satisfaction with services involving direct contact with medical staff, whereas satisfaction with indirect services was lower among women who had experienced perinatal loss. Conclusions: Due to the unique characteristics of this population, specialised care teams of both professional healthcare and indirect services are needed. Although administrative aspects of healthcare are regarded as being of secondary importance, this may not be the case with more vulnerable populations. MDPI 2019-08-14 /pmc/articles/PMC6723400/ /pubmed/31416177 http://dx.doi.org/10.3390/jcm8081213 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Druguet, Mònica
Nuño, Laura
Rodó, Carlota
Arévalo, Silvia
Carreras, Elena
Gómez-Benito, Juana
Maternal Satisfaction with Healthcare after Perinatal Loss in Monochorionic Twin Pregnancy
title Maternal Satisfaction with Healthcare after Perinatal Loss in Monochorionic Twin Pregnancy
title_full Maternal Satisfaction with Healthcare after Perinatal Loss in Monochorionic Twin Pregnancy
title_fullStr Maternal Satisfaction with Healthcare after Perinatal Loss in Monochorionic Twin Pregnancy
title_full_unstemmed Maternal Satisfaction with Healthcare after Perinatal Loss in Monochorionic Twin Pregnancy
title_short Maternal Satisfaction with Healthcare after Perinatal Loss in Monochorionic Twin Pregnancy
title_sort maternal satisfaction with healthcare after perinatal loss in monochorionic twin pregnancy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6723400/
https://www.ncbi.nlm.nih.gov/pubmed/31416177
http://dx.doi.org/10.3390/jcm8081213
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