Maternity satisfaction studies and their limitations: "What is, must still be best"
Maternity satisfaction studies and their limitations: "What is, must still be best"
复制标题
DOI：
10.1046/j.1523-536x.2003.00224.x
复制
发表时间：
2003-06-01
影响因子：
2.5
通讯作者：
Fitzmaurice, A
中科院分区：
文献类型：
--
作者：
Teijlingen, ER;Hundley, V;Fitzmaurice, A
背景：发达国家的卫生政策制定者正在密切关注可能影响妇女满意度的孕产妇护理因素。本文根据之前对卫生服务满意度研究的观察结果，探讨了其中一些因素。方法：苏格兰出生研究是一项横断面问卷调查，旨在征求 1998 年 10 天内所有苏格兰分娩妇女的意见。共有 1,137 名妇女填写并返回了问卷（答复率 = 69%）。结果：妇女对她们的产前、产中和产后护理非常满意。正如此类研究中常见的那样，不满意的报告相对较少。然而，亚组之间的满意度存在差异；例如，妇女在分娩期间的护理人员越少，她对所得到的护理就越满意。一系列因素似乎会影响报告的满意度，例如所提供护理的特点和妇女的心理社会状况。结论：除了文献中发现的满意度研究的固有局限性之外，如果不加批判地使用此类调查来塑造未来的孕产服务，可能会出现问题，因为服务使用者倾向于重视现状而不是他们没有经验的创新。因此，尽管满意度调查可以发挥作用，但我们认为应谨慎使用它们，最好将其作为一系列工具的一部分。
Background: Health policymakers throughout the developed world are paying close attention to factors in maternity care that may influence women's satisfaction. This paper examines some of these factors in the light of observations from previous studies of satisfaction with health services. Methods: The Scottish Birth Study, a cross-sectional questionnaire survey, sought the views of all women in Scotland delivering during a 10-day period in 1998. A total of 1,137 women completed and returned questionnaires (response rate = 69%). Results: Women were overwhelmingly satisfied with their prenatal, intrapartum, and postnatal care. As is common in this type of study, reports of dissatisfaction were relatively low. However, differences occurred in satisfaction levels between subgroups; for example, the fewer the number of caregivers the woman had during childbirth, the more likely she was to be satisfied with the care received. A range of factors appeared to influence reported satisfaction levels, such as characteristics of the care provided and the woman's psychosocial circumstances. Conclusions: In addition to the inherent limitations of satisfaction studies found in the literature, problems may arise if such surveys are used uncritically to shape the future provision of maternity services, because service users tend to value the status quo over innovations of which they have no experience. Therefore, although satisfaction surveys have a role to play, we argue that they should only be used with caution, and preferably as part of an array of tools.