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. 2024 Dec 25;16(12):e76383.
doi: 10.7759/cureus.76383. eCollection 2024 Dec.

Assessment of Pregnant Women's Satisfaction With the Model of Care Initiative: Antenatal Care Services at Primary Health Care Centers in the Qassim Health Cluster, Saudi Arabia

Ghaday Almutairi  1 , Layan S Alshmrani  2 , Rahaf Mishal Alomairi  3 , Mohammed S Alotaibi  4 , Norah H Alhumaidi  1 , Rayan Muslih Alotaibi  5 , Shahad Mubarak Aljebeli  6 , Suha Ali Alarfaj  7 , Shaden Ali Alhenaki  7 , Bashaer Abdulaziz Albedah  8 , Tameem A Alhomaid  9
Affiliations

Assessment of Pregnant Women's Satisfaction With the Model of Care Initiative: Antenatal Care Services at Primary Health Care Centers in the Qassim Health Cluster, Saudi Arabia

Ghaday Almutairi et al. Cureus. .

Abstract

Background: Patient satisfaction is a critical indicator of healthcare quality, including high-quality antenatal care (ANC), and it directly impacts care continuity and health outcomes. This study assessed the satisfaction levels of pregnant women with ANC services provided at primary healthcare centers (PHCs) within the Qassim Health Cluster, Saudi Arabia.

Methods: A cross-sectional survey was conducted among 646 pregnant women attending ANC services in the Qassim region. Participants completed a validated questionnaire assessing demographic characteristics, healthcare interactions, and satisfaction levels across various ANC service aspects, including waiting times, healthcare provider communication, and healthcare service quality. Statistical analyses, including Pearson's chi-squared tests, Fisher's exact tests, and regression analyses, were performed to identify predictors of satisfaction.

Results: The majority of participants (N=366, 90.6%) reported successfully booking their appointments, and 368 (91.1%) faced no challenges during the process. While 393 (97.3%) and 398 (98.5%) reported receiving weight and blood pressure measurements, respectively, only 312 (77.2%) were advised on diet, and 298 (73.8%) received explanations about alarming symptoms. Communication gaps were noted, with 71% (N=287) of participants indicating that physicians did not introduce themselves, and 307 (76%) reported that physicians did not disclose their specialties. Satisfaction levels were highest for maintaining privacy (273 (67.6%) highly satisfied) and healthcare staff attitudes (247 (61.1%) highly satisfied), with an overall satisfaction mean score of 4.31±0.869. Regression analyses identified healthcare service levels and years of marriage as significant predictors of satisfaction (p<0.05).

Conclusion: While overall satisfaction with ANC services was high, areas such as physician communication and health education require improvement. Interventions focusing on enhancing patient-provider interactions, providing comprehensive health education, and optimizing service delivery could further improve satisfaction.

Keywords: antenatal care; healthcare quality; maternal health; patient satisfaction; qassim health cluster; saudi arabia.

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Conflict of interest statement

Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. National Committee of Bio-Ethics issued approval H-04-Q-001. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Information received by participants from ultrasound
Figure 2
Figure 2. Participants’ expectations of information provided through ultrasound
Figure 3
Figure 3. Relative weights of the satisfaction items
Figure 4
Figure 4. Scatter plot for the relation between satisfaction and healthcare service levels
See this image and copyright information in PMC

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