Exploring Patients’ Needs and Desires for Quality Prenatal Care in Florida, United States
Background and Objective: High-quality prenatal care promotes adequate care throughout pregnancy by increasing patients’ desires to return for follow-up visits. Almost 15% of women in the United States receive inadequate prenatal care, with 6% receiving late or no prenatal care. Only 63% of pregnan...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Global Health and Education Projects, Inc.
2023-04-01
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| Series: | International Journal of Maternal and Child Health and AIDS |
| Subjects: | |
| Online Access: | https://mchandaids.org/index.php/IJMA/article/view/622 |
| _version_ | 1797837374906957824 |
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| author | Kimberly Fryer Chinyere N. Reid Naciely Cabral Jennifer Marshall Usha Menon |
| author_facet | Kimberly Fryer Chinyere N. Reid Naciely Cabral Jennifer Marshall Usha Menon |
| author_sort | Kimberly Fryer |
| collection | DOAJ |
| description |
Background and Objective: High-quality prenatal care promotes adequate care throughout pregnancy by increasing patients’ desires to return for follow-up visits. Almost 15% of women in the United States receive inadequate prenatal care, with 6% receiving late or no prenatal care. Only 63% of pregnant women in Florida receive adequate prenatal care, and little is known about their perceptions of high-quality prenatal care.Therefore, the objective of this study was to assess women’s perceptions of the quality of their prenatal care and to describe their preferences for seeking prenatal care that meets their needs.
Methods: From April to December 2019, a qualitative study was conducted with postpartum women (n = 55) who received no or late prenatal care and delivered in Tampa, Florida, USA. Eligible women completed an open-ended qualitative survey and a semi-structured in-depth interview. The interview contextualized the factors influencing prenatal care quality perceptions.The qualitative data analysis was based on Donabedian’s quality of care model.
Results: The qualitative data analysis revealed three key themes about women’s perceptions and preferences for prenatal care that meets their needs. First, clinical care processes included provision of health education and medical assessments. Second, structural conditions included language preferences, clinic availability, and the presence of ancillary staff. Finally, interpersonal communication encompassed interactions with providers and continuity of care. Overall, participants desired patient-centered care and care that was informative, tailored to their needs, and worked within the constraints of their daily lives.
Conclusion and Global Health Implications: Women seeking and receiving prenatal care prefer a welcoming, patient-centered health care environment. These findings should prompt health care providers and organizations to improve existing prenatal care models and develop new prenatal care models that provide early, accessible, and high-quality prenatal care to a diverse population of maternity patients.
Copyright © 2023 Fryer et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.
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| first_indexed | 2024-04-09T15:24:52Z |
| format | Article |
| id | doaj.art-799974439582403da8e7b1fc1818d9ad |
| institution | Directory Open Access Journal |
| issn | 2161-8674 2161-864X |
| language | English |
| last_indexed | 2024-04-09T15:24:52Z |
| publishDate | 2023-04-01 |
| publisher | Global Health and Education Projects, Inc. |
| record_format | Article |
| series | International Journal of Maternal and Child Health and AIDS |
| spelling | doaj.art-799974439582403da8e7b1fc1818d9ad2023-04-28T21:36:05ZengGlobal Health and Education Projects, Inc.International Journal of Maternal and Child Health and AIDS2161-86742161-864X2023-04-0112110.21106/ijma.622Exploring Patients’ Needs and Desires for Quality Prenatal Care in Florida, United StatesKimberly Fryer0Chinyere N. Reid1Naciely Cabral2Jennifer Marshall3Usha Menon4Department of Obstetrics and Gynecology, University of South Florida Morsani College of Medicine, 2 Tampa General Circle, 6th Floor, Tampa, FL 33606, USAUniversity of South Florida College of Public Health, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL 33612, USAUniversity of South Florida College of Public Health, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL 33612, USAUniversity of South Florida College of Public Health, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL 33612, USA; Sunshine Education and Research Center, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL 33612, USAUniversity of South Florida College of Nursing, 12901 Bruce B. Downs Blvd, MDC Box 22, Tampa, FL 33612, USA Background and Objective: High-quality prenatal care promotes adequate care throughout pregnancy by increasing patients’ desires to return for follow-up visits. Almost 15% of women in the United States receive inadequate prenatal care, with 6% receiving late or no prenatal care. Only 63% of pregnant women in Florida receive adequate prenatal care, and little is known about their perceptions of high-quality prenatal care.Therefore, the objective of this study was to assess women’s perceptions of the quality of their prenatal care and to describe their preferences for seeking prenatal care that meets their needs. Methods: From April to December 2019, a qualitative study was conducted with postpartum women (n = 55) who received no or late prenatal care and delivered in Tampa, Florida, USA. Eligible women completed an open-ended qualitative survey and a semi-structured in-depth interview. The interview contextualized the factors influencing prenatal care quality perceptions.The qualitative data analysis was based on Donabedian’s quality of care model. Results: The qualitative data analysis revealed three key themes about women’s perceptions and preferences for prenatal care that meets their needs. First, clinical care processes included provision of health education and medical assessments. Second, structural conditions included language preferences, clinic availability, and the presence of ancillary staff. Finally, interpersonal communication encompassed interactions with providers and continuity of care. Overall, participants desired patient-centered care and care that was informative, tailored to their needs, and worked within the constraints of their daily lives. Conclusion and Global Health Implications: Women seeking and receiving prenatal care prefer a welcoming, patient-centered health care environment. These findings should prompt health care providers and organizations to improve existing prenatal care models and develop new prenatal care models that provide early, accessible, and high-quality prenatal care to a diverse population of maternity patients. Copyright © 2023 Fryer et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0. https://mchandaids.org/index.php/IJMA/article/view/622Medicaid Patient Preference Patient-Centered Care Pregnancy Prenatal CareQualitative Research |
| spellingShingle | Kimberly Fryer Chinyere N. Reid Naciely Cabral Jennifer Marshall Usha Menon Exploring Patients’ Needs and Desires for Quality Prenatal Care in Florida, United States International Journal of Maternal and Child Health and AIDS Medicaid Patient Preference Patient-Centered Care Pregnancy Prenatal Care Qualitative Research |
| title | Exploring Patients’ Needs and Desires for Quality Prenatal Care in Florida, United States |
| title_full | Exploring Patients’ Needs and Desires for Quality Prenatal Care in Florida, United States |
| title_fullStr | Exploring Patients’ Needs and Desires for Quality Prenatal Care in Florida, United States |
| title_full_unstemmed | Exploring Patients’ Needs and Desires for Quality Prenatal Care in Florida, United States |
| title_short | Exploring Patients’ Needs and Desires for Quality Prenatal Care in Florida, United States |
| title_sort | exploring patients needs and desires for quality prenatal care in florida united states |
| topic | Medicaid Patient Preference Patient-Centered Care Pregnancy Prenatal Care Qualitative Research |
| url | https://mchandaids.org/index.php/IJMA/article/view/622 |
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