Online Program

Assessment of Patient Satisfaction for women in CenteringPregnancy Prenatal Care compared to individual Prenatal care in Military Treatment Facilities

Wednesday, November 4, 2015 : 9:10 a.m. - 9:30 a.m.

Kimberley Marshall-Aiyelawo, PhD, Decision Support Division, Defense Health Agency, Falls Church, VA
Tara Trudnak Fowler, PhD, Altarum Institute, Washington, DC
Michelle Kloc, Ph.D., MSN, RN, Evaluation and Measurement, Altarum Institute, Alexandria, VA
Nooshin Adler, MA, Altarum Institute, Washington, DC
Within the past few years, Military Treatment Facilities (MTFs) have been implementing an enhanced prenatal care model called CenteringPregnancy© to help improve birth outcomes and the maternity care experience. This model was designed to empower pregnant women by providing care within a group setting, and encourage interaction and learning among women of similar gestational age.

The purpose of this analysis was to examine satisfaction of women who completed CenteringPregnancy compared to women who completed individual prenatal care within the same MTF.

Satisfaction ratings from October 2011 through September 2013 from maternity care patients were compiled from the TRICARE Outpatient Satisfaction Survey (TROSS), which assesses ambulatory care experiences of military health system beneficiaries. These data were merged with administrative data to define CenteringPregnancy patients using a group prenatal care CPT code.

Findings suggested that satisfaction ratings on Access to Care and a Provider Communication composite were not statistically significantly different between the groups. However, one individual question in the Provider Communication Composite, Provider Spent Enough Time showed higher satisfaction ratings for the CenteringPregnancy group (p=0.04). Satisfaction ratings for the Office Staff composite produced statistically higher results for women who completed CenteringPregnancy (P=0.03). This was driven by the individual question, Office Staff Treated Patient with Courtesy and Respect, (P=0.01).

Enhanced prenatal care models such as CenteringPregnancy may have some implications for improving the experience of care for women in military treatment facilities. Program evaluation will be important as the military health system continues to implement such programs.

Learning Areas:

Other professions or practice related to public health

Learning Objectives:
Discuss satisfaction assessments used within the military healthcare system. Discuss alternative prenatal care models delivered within the military health system. Compare differences in military patient satisfaction ratings for maternity patients in an enhanced prenatal care model of care to maternity patients in individual prenatal care.

Keyword(s): Prenatal Care, Maternal and Child Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a PhD researcher at the Defense Health Agency.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.