 | The 131st Annual Meeting (November 15-19, 2003) of APHA |
|
| The 131st Annual Meeting (November 15-19, 2003) of APHA |
Susan Vonderheid, PhD, RN, School of Nursing, The University of Michigan, 218 South Calumet Avenue, Aurora, IL 60506, 630-906-0569, vonde@umich.edu, Arden S. Handler, DrPH, Community Health Sciences, University of Illinois School of Public Health, 2035 West Taylor, Chicago, IL 60612, and Kathleen F. Norr, MA, PhD, College of Nursing, University of Illinois at Chicago, 845 Damen Ave (m/c 802), Chicago, IL 60612.
Background: Satisfaction with care is an important outcome of care, a measure of the quality of care, and has been associated with utilization of care and adherence to provider recommendations in the general medical literature. To improve the quality of prenatal care and increase satisfaction requires understanding the characteristics of care associated with satisfaction. Studies have shown that women want more information about pregnancy, prenatal care and parenting. These findings suggest that comprehensive health promotion content recommended by the Public Health Service Expert Panel on Prenatal Care could be a key strategy for improving satisfaction with care. Objective: The objective of this study was to determine the relationship between health promotion content and satisfaction controlling for other prenatal care characteristics and maternal characteristics. Methods: This study analyzes data from a cross-sectional investigation that examined the relationship between prenatal health promotion content, satisfaction with care and maternal health behaviors. Data were collected using face-to-face interviews from 159 Mexican-American and African-American pregnant women attending prenatal care in a large Midwestern tertiary care center clinic who met the low-income criteria for Medicaid or state-subsidized health care coverage. Analyses included bivariate statistics and multiple regression to assess potential predictors of satisfaction with care. Results: Health promotion content, number of prenatal providers, waiting time at the site of care, insurance type, maternal birth country, and commitment to pregnancy had statistically significant independent relationships with satisfaction. While ethnic disparities in health promotion content were found, ethnicity was not a significant predictor of satisfaction with care.
Learning Objectives:
Keywords: Minority Research, Health Promotion
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Not applicable
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.