African American and Latino patient versus provider perceptions of determinants of prenatal care initiation.
African American and Latino patient versus provider perceptions of determinants of prenatal care initiation.
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DOI：
10.1007/s10995-011-0864-z
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发表时间：
2011-12-01
影响因子：
2.3
通讯作者：
Laryea, Haziel A
中科院分区：
文献类型：
--
作者：
Johnson, Allan A;Wesley, Barbara D;Laryea, Haziel A
很少有研究比较提供者和病人的看法的障碍，动机和促进产前护理（PNC）的启动。目前的研究比较了华盛顿的供应商和患者的这些看法，华盛顿是一个以婴儿死亡率和低出生体重率为特征的城市，是全国最高的城市之一，PNC的利用率很低，特别是在少数民族群体中。这里报告的结果是一个更大的研究的一部分，障碍，激励因素和促进因素影响PNC利用在华盛顿，DC。一个方便的样本331非洲裔美国人和拉丁美洲患者和61供应商进行了采访，以确定63个动机，促进者和障碍显着影响PNC启动。这两个样本组都是在14个PNC设施中招募的，这些设施被选为代表华盛顿特区已知为高风险，低收入少数民族妇女服务的所有地点，包括医院诊所，社区诊所和私人诊所。使用Fisher精确检验和Kendall一致性检验分析数据。结果表明，有很好的协议之间的病人和供应商的相对重要性的各种障碍（特别是心理），动机，和促进。然而，患者和供应商之间的响应频率存在差异。提供者更有可能报告障碍，而患者更有可能报告某些动机（特别是学习更好的健康习惯和如何保护健康）。这些结果表明，尽管在大多数问题上，特别是心理社会障碍的广泛协议，病人的健康教育高于供应商。
Few studies have compared provider and patient perceptions of barriers, motivators and facilitators of prenatal care (PNC) initiation. The current study compared these perceptions in providers and patients in Washington, DC, a city characterized by infant mortality and low birth weight rates that are among the highest in the nation, and poor utilization of PNC, particularly among minority groups. The results reported here were part of a larger study of barriers, motivators and facilitators influencing PNC utilization in Washington, DC. A convenience sample of 331 African American and Latino patients and 61 providers were interviewed to identify which of 63 motivators, facilitators, and barriers significantly influenced PNC initiation. Both sample groups were recruited at 14 PNC facilities, selected to represent all sites in DC known to serve high-risk, low-income minority women, including hospital-based clinics, community-based clinics, and private practices. Data were analyzed using Fisher exact tests and Kendall's concordance tests. Results indicated that there was good agreement between patients and providers about the relative importance of the various barriers (especially psychosocial), motivators, and facilitators. However, differences were found between patients and providers in the response frequencies. Providers were more likely to report barriers while patients were more likely to report certain motivators (especially learning better health habits and how to protect health). These results indicate that despite widespread agreement on most issues, especially psychosocial barriers, patients rated health education higher than providers.