Patient perspectives on quality family planning services in underserved areas

Ongoing challenges impede efforts to improve the quality of family planning services in underserved communities, which by definition lack sufficient numbers of physicians and other health professionals. Challenges to improving the quality of family planning services include financing difficulties, l...

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Autores principales: Debora Goldberg, Bhakthi Sahgal, Tishra Beeson, Susan Wood, Holly Mead, Aliyah Abdul-Wakil, Hallie Stevens, Pinyao Rui, Sara Rosenbaum
Formato: article
Lenguaje:EN
Publicado: The Beryl Institute 2017
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Acceso en línea:https://doaj.org/article/db310346d303497ea7d3c67f291d4b5a
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spelling oai:doaj.org-article:db310346d303497ea7d3c67f291d4b5a2021-11-15T04:21:57ZPatient perspectives on quality family planning services in underserved areas2372-0247https://doaj.org/article/db310346d303497ea7d3c67f291d4b5a2017-04-01T00:00:00Zhttps://pxjournal.org/journal/vol4/iss1/7https://doaj.org/toc/2372-0247Ongoing challenges impede efforts to improve the quality of family planning services in underserved communities, which by definition lack sufficient numbers of physicians and other health professionals. Challenges to improving the quality of family planning services include financing difficulties, lack of standards, training deficiencies, as well as little understanding and attention to patient preferences. The objectives of this study were to explore female patients’ preferences for family planning services in underserved areas and to develop a framework to help providers improve patient-centered care. The methodology for this paper included mixed methods research including a survey of women between the ages of 18 and 44 in 19 underserved communities (n=1868) across the United States and qualitative research involving 16 focus groups (n=103) to explore patient preferences and experiences with family planning services. Descriptive statistics of survey items and thematic analysis of transcripts were utilized to analyze study data. Triangulation of data sources and methods resulted in an overall framework for patient-centered family planning care. The results show women in underserved areas identified important aspects of family planning care as: relationship with provider, communication, confidentiality in receiving care, provider competence, service access and convenience. The conclusion suggests improving patient-centered care for family planning services could improve outcomes by increasing patient return for follow up care, patient pursuit of other primary and preventive care services, continuation rates of contraceptive method, and higher contraceptive use. Achieving patient-centered family planning care will require investments in human capital and technology, modifications in clinic operations, and an organizational culture focused on patient preferences and experience.Debora GoldbergBhakthi SahgalTishra BeesonSusan WoodHolly MeadAliyah Abdul-WakilHallie StevensPinyao RuiSara RosenbaumThe Beryl Institutearticlepatient experiencepatient-centered carequality of carewomen's healthfamily planningMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2017)
institution DOAJ
collection DOAJ
language EN
topic patient experience
patient-centered care
quality of care
women's health
family planning
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
spellingShingle patient experience
patient-centered care
quality of care
women's health
family planning
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
Debora Goldberg
Bhakthi Sahgal
Tishra Beeson
Susan Wood
Holly Mead
Aliyah Abdul-Wakil
Hallie Stevens
Pinyao Rui
Sara Rosenbaum
Patient perspectives on quality family planning services in underserved areas
description Ongoing challenges impede efforts to improve the quality of family planning services in underserved communities, which by definition lack sufficient numbers of physicians and other health professionals. Challenges to improving the quality of family planning services include financing difficulties, lack of standards, training deficiencies, as well as little understanding and attention to patient preferences. The objectives of this study were to explore female patients’ preferences for family planning services in underserved areas and to develop a framework to help providers improve patient-centered care. The methodology for this paper included mixed methods research including a survey of women between the ages of 18 and 44 in 19 underserved communities (n=1868) across the United States and qualitative research involving 16 focus groups (n=103) to explore patient preferences and experiences with family planning services. Descriptive statistics of survey items and thematic analysis of transcripts were utilized to analyze study data. Triangulation of data sources and methods resulted in an overall framework for patient-centered family planning care. The results show women in underserved areas identified important aspects of family planning care as: relationship with provider, communication, confidentiality in receiving care, provider competence, service access and convenience. The conclusion suggests improving patient-centered care for family planning services could improve outcomes by increasing patient return for follow up care, patient pursuit of other primary and preventive care services, continuation rates of contraceptive method, and higher contraceptive use. Achieving patient-centered family planning care will require investments in human capital and technology, modifications in clinic operations, and an organizational culture focused on patient preferences and experience.
format article
author Debora Goldberg
Bhakthi Sahgal
Tishra Beeson
Susan Wood
Holly Mead
Aliyah Abdul-Wakil
Hallie Stevens
Pinyao Rui
Sara Rosenbaum
author_facet Debora Goldberg
Bhakthi Sahgal
Tishra Beeson
Susan Wood
Holly Mead
Aliyah Abdul-Wakil
Hallie Stevens
Pinyao Rui
Sara Rosenbaum
author_sort Debora Goldberg
title Patient perspectives on quality family planning services in underserved areas
title_short Patient perspectives on quality family planning services in underserved areas
title_full Patient perspectives on quality family planning services in underserved areas
title_fullStr Patient perspectives on quality family planning services in underserved areas
title_full_unstemmed Patient perspectives on quality family planning services in underserved areas
title_sort patient perspectives on quality family planning services in underserved areas
publisher The Beryl Institute
publishDate 2017
url https://doaj.org/article/db310346d303497ea7d3c67f291d4b5a
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