Intersections between patient-provider communication and antenatal anxiety in a public healthcare setting in Pakistan.

This study explores pregnant women's and healthcare providers' perspectives on the role of patient-provider communication in experiences of antenatal anxiety within a low-resource setting. In 2017-18, we consecutively sampled pregnant women (n = 19) with at least mild anxiety and purposive...

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Autores principales:	Asiya K Kazi, Armaan A Rowther, Najia Atif, Huma Nazir, Maria Atiq, Shaffaq Zulfiqar, Abid Malik, Pamela J Surkan
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/682103edee064e3898f2da86a6aa6911
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spelling	oai:doaj.org-article:682103edee064e3898f2da86a6aa69112021-12-02T20:05:44ZIntersections between patient-provider communication and antenatal anxiety in a public healthcare setting in Pakistan.1932-620310.1371/journal.pone.0244671https://doaj.org/article/682103edee064e3898f2da86a6aa69112021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0244671https://doaj.org/toc/1932-6203This study explores pregnant women's and healthcare providers' perspectives on the role of patient-provider communication in experiences of antenatal anxiety within a low-resource setting. In 2017-18, we consecutively sampled pregnant women (n = 19) with at least mild anxiety and purposively sampled antenatal care providers (n = 10) from a public hospital in Punjab Province, Pakistan. We then conducted in-depth interviews and thematically coded them with a combination of inductive and deductive coding methodologies. We found that patients expressed a desire for warm, empathetic communication from providers who demonstrate respect, attentiveness, and a shared lived experience. Providers revealed an awareness that their heavy caseloads, high stress levels, and discourteous tones adversely influenced communication with pregnant women and may exacerbate their anxieties, but also reported that compassionately addressing women's concerns, providing financial problem-solving and/or assistance, and moderating conflicting healthcare desires between patients and their families could alleviate anxiety in pregnant women. Patients reported feelings of anxiety stemming from a belief that they received lower quality communication from antenatal providers at public hospitals than patients received from antenatal providers at private hospitals, an experience that they partially attributed to their low socioeconomic status. Meanwhile, some providers disclosed potentially stigmatizing views of women from particular sociocultural backgrounds or low socioeconomic status, including perceptions that appeared to shape communication with these patients in antenatal care encounters. Our findings provide preliminary evidence that communication between pregnant women and antenatal providers that is warm, normalizes patient fears, and integrates patients' interpersonal and financial considerations can mitigate pregnant women's experiences of anxiety and reduce barriers to accessing antenatal care in Pakistan's public healthcare facilities.Asiya K KaziArmaan A RowtherNajia AtifHuma NazirMaria AtiqShaffaq ZulfiqarAbid MalikPamela J SurkanPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 2, p e0244671 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Asiya K Kazi Armaan A Rowther Najia Atif Huma Nazir Maria Atiq Shaffaq Zulfiqar Abid Malik Pamela J Surkan Intersections between patient-provider communication and antenatal anxiety in a public healthcare setting in Pakistan.
description	This study explores pregnant women's and healthcare providers' perspectives on the role of patient-provider communication in experiences of antenatal anxiety within a low-resource setting. In 2017-18, we consecutively sampled pregnant women (n = 19) with at least mild anxiety and purposively sampled antenatal care providers (n = 10) from a public hospital in Punjab Province, Pakistan. We then conducted in-depth interviews and thematically coded them with a combination of inductive and deductive coding methodologies. We found that patients expressed a desire for warm, empathetic communication from providers who demonstrate respect, attentiveness, and a shared lived experience. Providers revealed an awareness that their heavy caseloads, high stress levels, and discourteous tones adversely influenced communication with pregnant women and may exacerbate their anxieties, but also reported that compassionately addressing women's concerns, providing financial problem-solving and/or assistance, and moderating conflicting healthcare desires between patients and their families could alleviate anxiety in pregnant women. Patients reported feelings of anxiety stemming from a belief that they received lower quality communication from antenatal providers at public hospitals than patients received from antenatal providers at private hospitals, an experience that they partially attributed to their low socioeconomic status. Meanwhile, some providers disclosed potentially stigmatizing views of women from particular sociocultural backgrounds or low socioeconomic status, including perceptions that appeared to shape communication with these patients in antenatal care encounters. Our findings provide preliminary evidence that communication between pregnant women and antenatal providers that is warm, normalizes patient fears, and integrates patients' interpersonal and financial considerations can mitigate pregnant women's experiences of anxiety and reduce barriers to accessing antenatal care in Pakistan's public healthcare facilities.
format	article
author	Asiya K Kazi Armaan A Rowther Najia Atif Huma Nazir Maria Atiq Shaffaq Zulfiqar Abid Malik Pamela J Surkan
author_facet	Asiya K Kazi Armaan A Rowther Najia Atif Huma Nazir Maria Atiq Shaffaq Zulfiqar Abid Malik Pamela J Surkan
author_sort	Asiya K Kazi
title	Intersections between patient-provider communication and antenatal anxiety in a public healthcare setting in Pakistan.
title_short	Intersections between patient-provider communication and antenatal anxiety in a public healthcare setting in Pakistan.
title_full	Intersections between patient-provider communication and antenatal anxiety in a public healthcare setting in Pakistan.
title_fullStr	Intersections between patient-provider communication and antenatal anxiety in a public healthcare setting in Pakistan.
title_full_unstemmed	Intersections between patient-provider communication and antenatal anxiety in a public healthcare setting in Pakistan.
title_sort	intersections between patient-provider communication and antenatal anxiety in a public healthcare setting in pakistan.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/682103edee064e3898f2da86a6aa6911
work_keys_str_mv	AT asiyakkazi intersectionsbetweenpatientprovidercommunicationandantenatalanxietyinapublichealthcaresettinginpakistan AT armaanarowther intersectionsbetweenpatientprovidercommunicationandantenatalanxietyinapublichealthcaresettinginpakistan AT najiaatif intersectionsbetweenpatientprovidercommunicationandantenatalanxietyinapublichealthcaresettinginpakistan AT humanazir intersectionsbetweenpatientprovidercommunicationandantenatalanxietyinapublichealthcaresettinginpakistan AT mariaatiq intersectionsbetweenpatientprovidercommunicationandantenatalanxietyinapublichealthcaresettinginpakistan AT shaffaqzulfiqar intersectionsbetweenpatientprovidercommunicationandantenatalanxietyinapublichealthcaresettinginpakistan AT abidmalik intersectionsbetweenpatientprovidercommunicationandantenatalanxietyinapublichealthcaresettinginpakistan AT pamelajsurkan intersectionsbetweenpatientprovidercommunicationandantenatalanxietyinapublichealthcaresettinginpakistan
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Intersections between patient-provider communication and antenatal anxiety in a public healthcare setting in Pakistan.

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