Choosing where to deliver: decision criteria among women with low-risk pregnancies in France

Combier, Évelyne; Zeitlin, Jennifer; Courcel, N de; Vasseur, Sébastien; Lalouf, Alberto; Amat-Roze, Jeanne-Marie; Pouvourville, Gérard de

doi:10.1016/j.socscimed.2003.08.015

Cited by 27 publications

(35 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In a French interview study pregnant women with a higher educational level were especially likely to choose a maternity unit with special technical attributes [36]. …”

Section: Discussionmentioning

confidence: 99%

Patients' experience of choosing an outpatient clinic in one county in Denmark: results of a patient survey

Birk

Gut

Henriksen

2011

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundResearch on patients' choice of hospital has focused on inpatients' rather than outpatients' choice of provider. We have investigated Danish outpatients' awareness and utilisation of freedom of choice of provider; which factors influence outpatients' choice of hospital, and how socio-demographic variables influence these factors in a single uptake area, where patients were free to choose any public hospital, where care was provided free at the point of delivery, and where distance to the closest hospitals were short by international standards.MethodsRetrospective questionnaire study of 4,232 outpatients referred to examination, treatment, or follow-up at one of nine somatic outpatient clinics in Roskilde County in two months of 2002, who had not been hospitalised within the latest 12 months. The patients were asked, whether they were aware of and utilised freedom of choice of hospital.ResultsFifty-four percent (2,272 patients) filled in and returned the questionnaire. Forty-one percent of respondents were aware of their right to choose, and 53% of those patients utilised their right to choose. Awareness of freedom of choice of provider was reported to be especially high in female outpatients, patients with longer education, salaried employees in the public sector, and in patients referred to surgical specialties. Female outpatients and students were especially likely to report that they utilised their right to choose the provider. Short distance was the most important reason for outpatients' choice, followed by the GP's recommendations, short waiting time, and the patient's previous experience with the hospital.ConclusionsOutpatients' awareness and utilisation of free choice of health care provider was low. Awareness of freedom of choice of provider differed significantly by specialty and patient's gender, education and employment. Female patients and students were especially likely to choose the clinic by themselves. Most outpatients chose the clinic closest to their home, the GP's recommendation and short waiting time being the second and third most important factors behind choice.

show abstract

“…In a French interview study pregnant women with a higher educational level were especially likely to choose a maternity unit with special technical attributes [36]. …”

Section: Discussionmentioning

confidence: 99%

Patients' experience of choosing an outpatient clinic in one county in Denmark: results of a patient survey

Birk

Gut

Henriksen

2011

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…On average, women identified 30 out of 42 information items as important or extremely important, and many suggested further information items not covered in the survey. These findings suggest that previous studies which have examined the attributes that consumers value in a birth facility using only limited lists of criteria e.g., [11-13] may have neglected many attributes that are important to this population.…”

Section: Resultsmentioning

confidence: 90%

“…Items were derived from reviews of relevant published literature e.g., [11-13], the findings of consultation with current and recent maternity care consumers (e.g., face to face consultation at community events, consultation with a consumer advisory group), and an examination of existing maternity care decision support tools (e.g., the NHS Pregnancy Care Planner [20]). In developing the survey, we endeavoured to select items important to a broad range of maternity care consumers.…”

Section: Methodsmentioning

confidence: 99%

“…Although research has been conducted in several countries to determine the attributes that consumers prefer in a maternity care facility e.g., [11,12] and to determine the criteria that maternity care consumers use in selecting a maternity hospital e.g., [13], these studies have typically measured consumer preferences on only a limited number of attributes. Hundley et al, for example, examined the preferences of pregnant women in Scotland on six key attributes of intrapartum care (i.e., type of midwifery care, options for pain relief, practices in fetal monitoring, ‘homeliness’ of the birth environment, medical staff involvement, and approach to decision-making) [11].…”

Section: Introductionmentioning

confidence: 99%

“…Hundley et al, for example, examined the preferences of pregnant women in Scotland on six key attributes of intrapartum care (i.e., type of midwifery care, options for pain relief, practices in fetal monitoring, ‘homeliness’ of the birth environment, medical staff involvement, and approach to decision-making) [11]. Combier et al surveyed postnatal women in France to determine which out of list of nine criteria (i.e., ease of access, proximity, medical advice or recommendation, satisfaction in previous care, recommendations from family/friends, comfort/physical conditions, quality of contact with personnel, technical quality, and cost) they had used when previously selecting a maternity facility [13]. The importance of a range of other attributes, however, remains untested.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Delivering information: A descriptive study of Australian women’s information needs for decision-making about birth facility

Thompson

Wojcieszek

2012

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

BackgroundLittle information is known about what information women want when choosing a birth facility. The objective of this study was to inform the development of a consumer decision support tool about birth facility by identifying the information needs of maternity care consumers in Queensland, Australia.MethodsParticipants were 146 women residing in both urban and rural areas of Queensland, Australia who were pregnant and/or had recently given birth. A cross-sectional survey was administered in which participants were asked to rate the importance of 42 information items to their decision-making about birth facility. Participants could also provide up to ten additional information items of interest in an open-ended question.ResultsOn average, participants rated 30 of the 42 information items as important to decision-making about birth facility. While the majority of information items were valued by most participants, those related to policies about support people, other women’s recommendations about the facility, freedom to choose one’s preferred position during labour and birth, the aesthetic quality of the facility, and access to on-site neonatal intensive care were particularly widely valued. Additional items of interest frequently focused on postnatal care and support, policies related to medical intervention, and access to water immersion.ConclusionsThe women surveyed had significant and diverse information needs for decision-making about birth facility. These findings have immediate applications for the development of decision support tools about birth facility, and highlight the need for tools which provide a large volume of information in an accessible and user-friendly format. These findings may also be used to guide communication and information-sharing by care providers involved in counselling pregnant women and families about their options for birth facility or providing referrals to birth facilities.

show abstract

EPIC: A Framework for the Factors That Influence the Selection of Health-Care Providers

Fleming¹,

Jacobsen²

2015

WHM

View full text Add to dashboard Cite

The decision about where to seek health-care services once the need for care has been established is an important step in health-care access. We conducted a systematic review of the maternal and child health literature to identify articles about health services accessibility. We then used a qualitative thematic synthesis approach to develop themes from the codes in eligible articles and to integrate those themes into a comprehensive model of the factors that affect health-care provider selection once the decision to seek formal medical care has been made. The EPIC model captures four main provider selection factors from the included articles: environment (such as travel distance and transportation access), provider (level of care, services, ownership, staffing, equipment and supplies, and reputation), individual (socioeconomic and health status), and cost (price and time). All aspects of the EPIC model should be considered when studying and developing location-specific strategies to improve access to and choice of health-care providers.

show abstract

Choosing where to deliver: decision criteria among women with low-risk pregnancies in France

Cited by 27 publications

References 17 publications

Patients' experience of choosing an outpatient clinic in one county in Denmark: results of a patient survey

Patients' experience of choosing an outpatient clinic in one county in Denmark: results of a patient survey

Delivering information: A descriptive study of Australian women’s information needs for decision-making about birth facility

EPIC: A Framework for the Factors That Influence the Selection of Health-Care Providers

Contact Info

Product

Resources

About