Patient-centered care: The vector of development of obstetric hospital

Shuvalova M.P., Pismenskaya T.V., Kan N.E., Tyutyunnik V.L., Tetruashvili N.K.

Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, Moscow 117997, Ac. Oparina str. 4, Russia
Objective. To determine the list of the most important preferences associated with a woman’s stay in an obstetric hospital.
Subjects and method. The exploratory cross-sectional study enrolled 400 women aged over 18 years who had been admitted to the obstetric department of a round-the-clock hospital. An anonymous survey touching upon the nonclinical aspects of hospital stay was conducted. Ten most important parameters appropriate to the patients’ individual preferences were proposed to be selected during the survey.
Results. Empathy among physicians and mid-level healthcare personnel and their duty to inform patients in detail about medical prescriptions and tactics for planned diagnostic and treatment measures were the most important preferences along with the results of treatment itself. Moreover, the mid-level healthcare personnel’s responsive attitude towards women under 30 years of age and primiparas was of greater importance.
Conclusion. The obtained knowledge about key preferences will assist the heads of healthcare facilities in choosing priorities when introducing the concept of patient-centered care into the activity of obstetric services and will be able to further elaborate a methodology for its assessment.

Keywords

patient-centered care
a patient’s preferences
obstetric hospital
pregnant women
puerperas

Supplementary Materials

  1. Table 1. The list of initial expectations associated with women stay in the obstetric department
  2. Figure 1. List of the most important expectations that matter to women regarding their standing in the obstetric department
  3. Figure 2. List of the most important expectations that matter to women regarding their standing in the obstetric department according to their age
  4. Figure 3. List of the not important expectations that matter to women regarding their standing in the obstetric department according to their age

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Received 09.12.2016

Accepted 23.12.2016

About the Authors

Shuvalova Marina P., MD, PhD, Head of the Department of Medical and Social Researches of the Scientific and Organizational Support Service, Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparin str. 4. Tel.: +74954386948. E-mail: m_shuvalova@oparina4.ru
Pismenskaya Tatiana V., MD, Junior Researcher Associate in the Department of Medical and Social Researches of the Scientific and Organizational Support Service,
Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia.
117997, Russia, Moscow, Ac. Oparin str. 4. Tel.: +74954386948. E-mail: t_pismenskaya@oparina4.ru
Kan Natalia E., Phd, MD, Head of the Department of Obstetrical Observation, Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparin str. 4. Tel.: +74954380988. E-mail: n_kan@oparina4.ru
Tyutyunnik Victor L., Phd, MD, Head of the Department of Obstetrical Phisiologic, Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparin str. 4. Tel.: +74954388508. E-mail: v_tioutiounnik@oparina4.ru
Tetruashvili Nana K., MD, PhD, Head of the Department of Pregnancy Loss Prevention and Therapy, Research Center of Obstetrics, Gynecology and Perinatology,
Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparin str. 4. Tel.: +74954381477. E-mail: n_tetruashvili@oparina4.ru

For citations: Shuvalova M.P., Pismenskaya T.V., Kan N.E., Tyutyunnik V.L., Tetruashvili N.K. Patient-centered care: The vector of development of obstetric hospital. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2017; (10): 92-7. (in Russian)
https://dx.doi.org/10.18565/aig.2017.10.92-97

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