PDF(Pubmed)
Abstract：
BACKGROUND: This is a systematic review on patient-provider satisfaction in U.S. prenatal care by addressing the following research question: What factors influence patient-provider satisfaction during prenatal care?
METHODS: Thirty six online databases were searched for peer-reviewed research from February to September of 2018 using 10 key terms published in English on U.S. populations between the years 1993-2018 on the topic of provider communication skills and patient satisfaction in the prenatal context. Searches yielded 2563 articles. After duplicates were reviewed and eligibility determined, 32 articles met criteria and were included in the final content analysis. All reported study variables were entered into EXCEL, data reported in each study were analyzed by two people for inter-rater reliability and included in the qualitative content analysis. Two researchers also utilized assessment tools to assess the quality of the articles.
RESULTS: Results indicate the importance of good patient-provider communication, that patients have a need for more information on a plethora of topics, and that Hispanic and African American women reported less satisfaction.
CONCLUSIONS: We recommend that future studies measure potentially significant themes not adequately present in the reviewed studies such as practitioner demographics (e.g. gender, years of experience, or race/ethnicity), mothers under 18 years of age, inclusion of religious minorities, patients with differing immigration statuses, and patients with disabilities.
METHODS: Thirty six online databases were searched for peer-reviewed research from February to September of 2018 using 10 key terms published in English on U.S. populations between the years 1993-2018 on the topic of provider communication skills and patient satisfaction in the prenatal context. Searches yielded 2563 articles. After duplicates were reviewed and eligibility determined, 32 articles met criteria and were included in the final content analysis. All reported study variables were entered into EXCEL, data reported in each study were analyzed by two people for inter-rater reliability and included in the qualitative content analysis. Two researchers also utilized assessment tools to assess the quality of the articles.
RESULTS: Results indicate the importance of good patient-provider communication, that patients have a need for more information on a plethora of topics, and that Hispanic and African American women reported less satisfaction.
CONCLUSIONS: We recommend that future studies measure potentially significant themes not adequately present in the reviewed studies such as practitioner demographics (e.g. gender, years of experience, or race/ethnicity), mothers under 18 years of age, inclusion of religious minorities, patients with differing immigration statuses, and patients with disabilities.
摘要：
背景：这是通过解决以下研究问题，对美国产前护理中的患者-提供者满意度进行的系统评价：什么因素会影响产前护理期间的患者-提供者满意度？
方法：从2018年2月至9月，使用在1993年至2018年之间的美国人群中以英文发布的10个关键术语，搜索了36个在线数据库进行同行评审研究，以研究搜索产生了2563篇文章。在审查了重复项并确定了资格后，32篇文章符合标准，并被纳入最终内容分析。所有报告的研究变量都输入到EXCEL中，每个研究报告的数据由2人进行评估者间信度分析,并纳入定性内容分析.两名研究人员还利用评估工具来评估文章的质量。
结果：结果表明良好的医患沟通的重要性，患者需要关于过多主题的更多信息，西班牙裔和非洲裔美国女性的满意度较低。
结论：我们建议未来的研究测量在审查的研究中没有充分呈现的潜在重要主题，如从业者人口统计学（例如性别，多年的经验,或种族/民族)，18岁以下的母亲，包括宗教少数群体，具有不同移民状态的患者，和残疾患者。
方法：从2018年2月至9月，使用在1993年至2018年之间的美国人群中以英文发布的10个关键术语，搜索了36个在线数据库进行同行评审研究，以研究搜索产生了2563篇文章。在审查了重复项并确定了资格后，32篇文章符合标准，并被纳入最终内容分析。所有报告的研究变量都输入到EXCEL中，每个研究报告的数据由2人进行评估者间信度分析,并纳入定性内容分析.两名研究人员还利用评估工具来评估文章的质量。
结果：结果表明良好的医患沟通的重要性，患者需要关于过多主题的更多信息，西班牙裔和非洲裔美国女性的满意度较低。
结论：我们建议未来的研究测量在审查的研究中没有充分呈现的潜在重要主题，如从业者人口统计学（例如性别，多年的经验,或种族/民族)，18岁以下的母亲，包括宗教少数群体，具有不同移民状态的患者，和残疾患者。
