Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comparative Study
. 2013 Oct;59(10):e456-61.

Family practice versus specialist care for low-risk obstetrics: examining patient satisfaction in Newfoundland and Labrador

Monica Kidd  1 , Susan Avery, Norah Duggan, Jennifer McPhail
Affiliations
Comparative Study

Family practice versus specialist care for low-risk obstetrics: examining patient satisfaction in Newfoundland and Labrador

Monica Kidd et al. Can Fam Physician. 2013 Oct.

Abstract
in English, French

Objective: To investigate patient satisfaction with 3 models of low-risk obstetrics care: solo care by a GP, group care by GPs, and specialist care.

Design: Three-arm study comparing results of a self-administered, anonymous questionnaire.

Setting: Two academic family practices and the labour and delivery ward in St John's, Nfld.

Participants: A total of 220 women deemed to have low-risk pregnancies; 82 women completed the questionnaire (37% response rate).

Main outcome measures: Patient satisfaction scores obtained from a modified version of the Patient Expectations and Satisfaction with Prenatal Care instrument.

Results: Low-risk maternity patients' satisfaction with obstetric care provided by GPs in a group-care setting was equivalent to that with obstetric care provided by GPs working solo and greater than that with obstetric care provided by specialists.

Conclusion: Patients found that group care by GPs was an acceptable means of receiving obstetric services in a low-risk setting. Therefore, a group practice model might provide an attractive means for FPs to keep obstetrics within the scope of primary care.

Objectif: Sonder le degré de satisfaction des patientes pour 3 modèles de soins obstétricaux à faible risque : ceux prodigués par un MF seul, ceux dispensés des MF pratiquant en groupe et ceux prodigués par un spécialiste.

Type d’étude: Étude à trois branches comparant les résultats d’un questionnaire anonyme auto-administré.

Contexte: Deux cliniques de médecine familiale universitaires et la salle de travail et d’accouchement à St. John’s, Terre-Neuve.

Participantes: Un total de 220 femmes considérées comme ayant une grossesse à faible risque; 82 d’entre elles ont rempli le questionnaire (taux de réponse de 37 %).

Principaux paramètres à l’étude: Les scores de satisfaction des patientes, tels qu’obtenus à partir d’une version modifiée de l’instrument Patient Expectation and Satisfaction with Prenatal Care.

Résultats: La satisfaction exprimée par les patientes présentant une grossesse à faible risque pour les soins obstétricaux prodigués par des médecins pratiquant en groupe était équivalente à celle pour les soins prodigués par un MF pratiquant en solo et supérieure à celle pour les soins prodigués par des spécialistes.

Conclusion: Les patientes ont jugé qu’en cas de faible risque, les soins obstétricaux dispensés par des MF travaillant en groupe sont une façon acceptable d’obtenir ces soins. Par conséquent, un modèle de pratique de groupe pourrait représenter pour les MF un moyen intéressant pour maintenir l’obstétrique dans le domaine des soins primaires.

PubMed Disclaimer

References

    1. Reid AJ, Grava-Gubins I, Carroll JC. Family physicians in maternity care. Still in the game? Report from the CFPC’s Janus Project. Can Fam Physician. 2000;46:601–11. - PMC - PubMed
    1. Buchman S. It’s about time: 3-year FM residency training. Can Fam Physician. 2012;58:1045. (Eng), 1046 (Fr). - PMC - PubMed
    1. Klein MC, Kelly A, Spence A, Kaczorowski J, Grzybowski S. In for the long haul. Which family physicians plan to continue delivering babies? Can Fam Physician. 2002;48:1216–22. - PMC - PubMed
    1. Kaczorowski J, Levitt C. Intrapartum care by general practitioners and family physicians. Provincial trends from 1984–1985 to 1994–1995. Can Fam Physician. 2000;46:587–97. - PMC - PubMed
    1. Shapiro JL. Satisfaction with obstetric care. Patient survey in a family practice shared-call group. Can Fam Physician. 1999;45:651–7. - PMC - PubMed

LinkOut - more resources