Choosing a hospital for obstetric, gynecologic, or reproductive healthcare: what matters most to patients?
Am J Obstet Gynecol MFM
; 2(1): 100067, 2020 02.
Article
em En
| MEDLINE
| ID: mdl-33345982
ABSTRACT
BACKGROUND:
Despite millions of U.S. women receiving obstetric/gynecologic or reproductive care in a hospital each year, little is known about which factors matter most to women in choosing a hospital for this care. OBJECTIVE(S) To describe women's reasons for choosing their hospital for obstetric/gynecologic or reproductive care, and to examine characteristics associated with reporting specific factors as important in hospital choice. MATERIALS ANDMETHODS:
We conducted a nationally representative, cross-sectional survey of women aged 18-45 years. The 2016 survey recruited women from AmeriSpeak, a probability-based research panel. A total of 1430 women completed the survey. All data analysis used weighting and accounted for the complex survey design. We conducted bivariate and multinomial logistic regression modeling to assess associations.RESULTS:
Three-fourths of women cited a hospital's overall reputation/quality as a reason, and one-third named this as the most important reason for choosing a hospital. A total of 14% reported hospital religious affiliation as a reason. Compared to those with no prior deliveries, women who had delivered an infant were more likely to report that their top reason was specialty services/provider (relative risk ratio, 2.97; 95% confidence interval, 1.96-4.52) and were also more likely to report overall hospital quality/reputation as their top reason (relative risk ratio, 1.52; 95% confidence interval, 1.06-2.17), compared to logistical reasons. Metropolitan versus non-metropolitan residence was also a significant factor in hospital choice.CONCLUSION:
Women endorse many factors when choosing a hospital for reproductive care, but perceived quality and reputation outweigh logistical concerns such as location and insurance.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Instalações de Saúde
/
Hospitais
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article