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Research ArticleResearch

Family practice versus specialist care for low-risk obstetrics

Examining patient satisfaction in Newfoundland and Labrador

Monica Kidd, Susan Avery, Norah Duggan and Jennifer McPhail
Canadian Family Physician October 2013; 59 (10) e456-e461;
Monica Kidd
Assistant Professor in the Department of Family Medicine at the University of Calgary in Alberta.
MD MSc CCFP
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  • For correspondence: mgkidd@ucalgary.ca
Susan Avery
MD CCFP
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Norah Duggan
MD CCFP
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Jennifer McPhail
MD CCFP
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    Table 1

    Demographic characteristics of patient respondents from the solo care by GPs, group care by GPs, and the specialist care by obstetrician models of obstetric care

    MODEL OF OBSTETRIC CARECOMPLETE QUESTIONNAIRES RETURNED, NTHOSE WHO IDENTIFIEDMEAN (SD) AGE, YTHOSE WITH POST-SECONDARY EDUCATION, %MEAN (SD) PARITYTHOSE WHO HAD A SPONTANEOUS VAGINAL DELIVERY, %THOSE WHO HAD ASSISTED VAGINAL DELIVERY, %THOSE WHO HAD AN EMERGENCY CESAREAN SECTION, %
    Solo care by GPs21032.1 (5.9)85.71.67 (0.80)95.24.80.0
    Group care by GPs35032.1 (4.2)97.11.71 (0.83)80.011.48.6
    Specialist care by obstetricians26230.1 (6.1)80.81.58 (0.70)65.411.523.1
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    Table 2

    Mean (SD) satisfaction measures, by model of care: Scores are presented as the average rating on a 5-point Likert scale (1 = strongly agree, 5 = strongly disagree); respondents’ “not applicable” answers were excluded from mean scores.

    SATISFACTION STATEMENT I AM SATISFIED WITH ...MODEL OF CARE
    SOLO-GP CAREGROUP-GP CAREOBSTETRICIAN CARE
    • The explanation my provider gave to me about what was going to happen during my prenatal visits1.00 (0.00)1.14 (0.69)1.58 (0.90)
    • The explanation my provider gave to me about medical tests and procedures1.00 (0.00)1.11 (0.53)1.5 (0.91)
    • The information my provider gave to me about how things were going with my pregnancy1.00 (0.00)1.06 (0.24)1.42 (0.76)
    • The kinds of things my provider discussed during my prenatal visits1.05 (0.22)1.09 (0.28)1.64 (0.95)
    • The explanation my provider gave to me about what to expect when parenting a newborn1.57 (0.93)1.75 (1.08)2.43(1.2)
    • The way my provider prepared me for labour and delivery1.24 (0.70)1.53 (0.90)2.24 (1.33)
    • The way my provider treated me1.00 (0.00)1.00 (0.00)1.31 (0.74)
    • The respect I was shown by my provider1.00 (0.00)1.03 (0.17)1.31 (0.79)
    • Being able to ask questions without embarrassment1.00 (0.00)1.00 (0.00)1.28 (0.68)
    • The time my provider took with me1.05 (0.22)1.03 (0.17)1.81 (1.17)
    • The interest and concern my provider showed me1.00 (0.00)1.03 (0.17)1.64 (0.99)
    • The way my provider dealt with all my medical problems1.25 (0.79)1.19 (0.54)1.28 (0.61)
    • The amount of time I waited to be seen by my provider1.71 (0.90)1.66 (0.87)1.68 (1.07)
    • My ability to schedule prenatal visits at a time convenient for me1.48 (0.75)1.63 (1.03)1.35 (0.75)
    • The total amount of time I spent at the office or clinic1.52 (0.87)1.66 (0.97)1.77 (1.24)
    • The overall quality of prenatal care I received from my provider1.00 (0.00)1.06 (0.24)1.54 (0.81)
    • The care my provider showed me during my labour1.05 (0.23)1.22 (0.61)1.58 (1.06)
    • The care my provider showed me during my delivery1.05 (0.23)1.25 (0.76)1.48 (0.96)
    • The outcome of my delivery (eg, my baby’s health and safety, my health and safety)1.05 (0.22)1.20 (0.47)1.20 (0.82)
    • The skills my provider demonstrated during my delivery1.05 (0.23)1.29 (0.74)1.29 (0.86)
    • The postpartum care I received from my provider in hospital1.25 (0.55)1.23 (0.49)1.57 (0.84)
    • The postpartum care I received from my provider after discharge from hospital1.3 (0.80)1.23 (0.65)1.6 (0.91)
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Canadian Family Physician: 59 (10)
Canadian Family Physician
Vol. 59, Issue 10
1 Oct 2013
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Family practice versus specialist care for low-risk obstetrics
Monica Kidd, Susan Avery, Norah Duggan, Jennifer McPhail
Canadian Family Physician Oct 2013, 59 (10) e456-e461;

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Monica Kidd, Susan Avery, Norah Duggan, Jennifer McPhail
Canadian Family Physician Oct 2013, 59 (10) e456-e461;
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