Predictors of Satisfaction with Obstetric Care in High-risk Pregnancy: The Importance of Patient–Provider Relationship
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The study set out to examine the predictive effects of patients’ emotional distress and their relationships with their health care providers on satisfaction with obstetric services in high-risk pregnancies. Participants were 104 pregnant women with a history of recurrent losses, fetal demise, previous or current fetal genetic abnormality, advanced maternal age, or obstetric or medical complications of the present pregnancy. Self-report measures of emotional distress and the quality of their relationships with their medical provider were administered. Hierarchical multiple regression analyses were conducted to assess the predictive effect of these variables on satisfaction with services. Provision of information, constructive communication, and good relationships predicted elevated satisfaction with health services. Provision of information also buffered against the adverse effect of emotional distress on satisfaction with health services. These findings elucidate the central role of provider–patient interaction, particularly as it is related to provision of information, in high-risk pregnancy.
- Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage.
- Appleby, L., Fox, H., Shaw, M., & Kumar, R. (1989). The psychiatrist in the obstetric unit Establishing a liaison service. British Journal of Psychiatry, 154, 510–515. CrossRef
- Attkisson, C. C., & Greenfield, T. K. (1996). The Client Satisfaction Questionnaire (CSQ) Scales and the Service Satisfaction Scale-30 (SS-30). In L. I. Sederer & B. Dockey (Eds.), Outcomes assessment in clinical practice (pp. 120–127). Baltimore, MD: Williams & Witkins.
- Attkisson, C. C., & Greenfield, T. K. (1999). The UCSF Client Satisfaction Scales: I. The Client Satisfaction Questionnaire-8. In M. E. Maruish (Eds.), The use of psychological testing for treatment planning and outcomes assessment (pp. 1222–1346). Mahwah, NJ: Lawrence Erlbaum Associates.
- Clarke, D. M., & Smith, G. C. (1995). Consultation-liaison psychiatry in general medical units. Australian and New Zealand Journal of Psychiatry, 29, 424–432. CrossRef
- Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385–396. CrossRef
- Cohen, S., Kessler, R., & Gordon, L. (1995). Measuring stress. Oxford: Oxford University Press, Inc.
- Di Blasi, Z., Harkness, E., Ernst, E., Georgiou, A., & Kleijnen, J. (2001). Influence of context effects on health outcomes: A systematic review. Lancet, 357, 757–762. CrossRef
- Dunsis, A., & Smith, G. C. (1996). Consultation-liaison psychiatry in an obstetric service. Australian and New Zealand Journal of Psychiatry, 30, 63–73. CrossRef
- Galassi, J. P., Schanberg, R., & Ware, W. B. (1992). The Patient Reactions Assessment: A brief measure of the quality of the patient–provider medical relationship. Psychological Assessment, 4, 346–351. CrossRef
- Harrison, M. J., Kushner, K. E., Benzies, K., Rempel, G., & Kimak, C. (2003). Women’s satisfaction with their involvement in health care decisions during a high-risk pregnancy. Birth, 30, 109–115. CrossRef
- Hrasky, M., & Morice, R. (1986). The identification of psychiatric disturbance in an obstetric and gynaecological population. Australian and New Zealand Journal of Psychiatry, 20, 63–69. CrossRef
- Kurki, T., Hiilesmaa, V., Raitasalo, R., Mattila, H., & Ylikorkala, O. (2000). Depression and anxiety in early pregnancy and risk for preeclampsia. Obstetrics and Gynecology, 95, 487–490. CrossRef
- Maruish, M. E. (2002). Psychological testing in the age of managed behavioral health care. Mahwah, NJ: Lawrence Earlbaum Associates.
- Orr, S. T., & Miller, C. A. (1995). Maternal depressive symptoms and the risk of poor pregnancy outcome. Review of the literature and preliminary findings. Epidemiologic Reviews, 17, 165–171.
- Phillips, N., & Dennerstein, L. (1993). The psychiatrist in an obstetric/gynaecology hospital: Establishing a consultation-liaison service. Australian and New Zealand Journal of Psychiatry, 27, 464–471. CrossRef
- Phillips, N., Dennerstein, L., & Farish, S. (1996). Psychological morbidity in obstetric-gynecology patients: Testing the need for expanded psychiatry services in obstetric-gynecology facilities. Australian and New Zealand Journal of Psychiatry, 30, 74–81. CrossRef
- Roter, D. L., Geller, G., Bernhardt, B. A., Larson, S. M., & Doksum, T. (1999). Effects of obstetrician gender on communication and patient satisfaction. Obstetrics and Gynecology, 93(5 Pt 1), 635–641. CrossRef
- StatSoft, Inc. (2004). STATISTICA (data analysis software system). Tulsa: http://www.startsoft.com
- Stewart, D. E., & Lippert, G. P. (1988). Psychiatric consultation-liaison services to an obstetric and gynecology department. Canadian Journal of Psychiatry, 33, 285–289.
- Predictors of Satisfaction with Obstetric Care in High-risk Pregnancy: The Importance of Patient–Provider Relationship
Journal of Clinical Psychology in Medical Settings
Volume 14, Issue 4 , pp 330-334
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- High-risk pregnancy
- Patient–doctor relationships
- Emotional distress
- Medical information
- Women’s health
- Author Affiliations
- 1. Department of Psychology, Ben-Gurion University of the Negev, Beer-Sheva, 84105, Israel
- 2. Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA
- 3. Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT, USA
- 4. Yale Child Study Center, New Haven, CT, USA