Assessing women's preferences for intrapartum care

Authors: Hundley, V., Ryan, M. and Graham, W.

Journal: Birth

Volume: 28

Issue: 4

Pages: 254-263

ISSN: 0730-7659

DOI: 10.1046/j.1523-536X.2001.00254.x

Abstract:

Background: Recent government reports have recommended involving consumers in the planning of health services. Although satisfaction surveys have traditionally been used, they have several limitations. This paper describes a relatively new method of eliciting consumer preferences that allows respondents (women) to indicate the importance that they attribute to specific aspects of a service. The aim was to explore the feasibility of using a discrete choice experiment to assess the importance to women of different aspects of intrapartum care. Methods: In this pilot study of 301 women at low obstetric risk, data were collected using an anonymous self-complete questionnaire given to each participant by the midwife at the booking visit. Results: The results of the regression model suggest that respondents prefer maternity units that offer greater continuity of caregiver, more methods of pain relief, continuous fetal heart rate monitoring, a homely appearance, routine involvement of medical staff, and greater involvement for the woman in the decision-making process. Although all attributes were important to women, they were not all of equal importance. For example, if continuity of caregiver were achieved at the expense of decreasing the availability of pain relief then women would be worse off. Conclusions: The discrete choice experiment appears to be a useful tool in assessing the strength of women's preferences for different aspects of maternity care. Future research should include a qualitative approach to explore in greater depth the processes involved in shaping women's preferences.

Source: Scopus

Assessing women's preferences for intrapartum care.

Authors: Hundley, V., Ryan, M. and Graham, W.

Journal: Birth

Volume: 28

Issue: 4

Pages: 254-263

ISSN: 0730-7659

DOI: 10.1046/j.1523-536x.2001.00254.x

Abstract:

BACKGROUND: Recent government reports have recommended involving consumers in the planning of health services. Although satisfaction surveys have traditionally been used, they have several limitations. This paper describes a relatively new method of eliciting consumer preferences that allows respondents (women) to indicate the importance that they attribute to specific aspects of a service. The aim was to explore the feasibility of using a discrete choice experiment to assess the importance to women of different aspects of intrapartum care. METHODS: In this pilot study of 301 women at low obstetric risk, data were collected using an anonymous self-complete questionnaire given to each participant by the midwife at the booking visit. RESULTS: The results of the regression model suggest that respondents prefer maternity units that offer greater continuity of caregiver, more methods of pain relief, continuous fetal heart rate monitoring, a homely appearance, routine involvement of medical staff, and greater involvement for the woman in the decision-making process. Although all attributes were important to women, they were not all of equal importance. For example, if continuity of caregiver were achieved at the expense of decreasing the availability of pain relief then women would be worse off. CONCLUSIONS: The discrete choice experiment appears to be a useful tool in assessing the strength of women's preferences for different aspects of maternity care. Future research should include a qualitative approach to explore in greater depth the processes involved in shaping women's preferences.

Source: PubMed

Assessing women's preferences for intrapartum care

Authors: Hundley, V., Ryan, M. and Graham, W.

Journal: BIRTH-ISSUES IN PERINATAL CARE

Volume: 28

Issue: 4

Pages: 254-263

ISSN: 0730-7659

DOI: 10.1046/j.1523-536X.2001.00254.x

Source: Web of Science (Lite)

Assessing Women's Preferences for Intrapartum Care

Authors: Hundley, V., Ryan, M. and Graham, W.

Journal: Birth

Volume: 28

Pages: 254-263

ISSN: 0730-7659

DOI: 10.1046/j.1523-536X.2001.00254.x

Abstract:

Background:Recent government reports have recommended involving consumers in the planning of health services. Although satisfaction surveys have traditionally been used, they have several limitations. This paper describes a relatively new method of eliciting consumer preferences that allows respondents (women) to indicate the importance that they attribute to specific aspects of a service. The aim was to explore the feasibility of using a discrete choice experiment to assess the importance to women of different aspects of intrapartum care.Methods:In this pilot study of 301 women at low obstetric risk, data were collected using an anonymous self-complete questionnaire given to each participant by the midwife at the booking visit.Results:The results of the regression model suggest that respondents prefer maternity units that offer greater continuity of caregiver, more methods of pain relief, continuous fetal heart rate monitoring, a homely appearance, routine involvement of medical staff, and greater involvement for the woman in the decision-making process. Although all attributes were important to women, they were not all of equal importance. For example, if continuity of caregiver were achieved at the expense of decreasing the availability of pain relief then women would be worse off.Conclusions: The discrete choice experiment appears to be a useful tool in assessing the strength of women's preferences for different aspects of maternity care. Future research should include a qualitative approach to explore in greater depth the processes involved in shaping women's preferences.

http://dx.doi.org/10.1046/j.1523-536X.2001.00254.x

Source: Manual

Preferred by: Vanora Hundley

Assessing women's preferences for intrapartum care.

Authors: Hundley, V., Ryan, M. and Graham, W.

Journal: Birth (Berkeley, Calif.)

Volume: 28

Issue: 4

Pages: 254-263

eISSN: 1523-536X

ISSN: 0730-7659

DOI: 10.1046/j.1523-536x.2001.00254.x

Abstract:

Background

Recent government reports have recommended involving consumers in the planning of health services. Although satisfaction surveys have traditionally been used, they have several limitations. This paper describes a relatively new method of eliciting consumer preferences that allows respondents (women) to indicate the importance that they attribute to specific aspects of a service. The aim was to explore the feasibility of using a discrete choice experiment to assess the importance to women of different aspects of intrapartum care.

Methods

In this pilot study of 301 women at low obstetric risk, data were collected using an anonymous self-complete questionnaire given to each participant by the midwife at the booking visit.

Results

The results of the regression model suggest that respondents prefer maternity units that offer greater continuity of caregiver, more methods of pain relief, continuous fetal heart rate monitoring, a homely appearance, routine involvement of medical staff, and greater involvement for the woman in the decision-making process. Although all attributes were important to women, they were not all of equal importance. For example, if continuity of caregiver were achieved at the expense of decreasing the availability of pain relief then women would be worse off.

Conclusions

The discrete choice experiment appears to be a useful tool in assessing the strength of women's preferences for different aspects of maternity care. Future research should include a qualitative approach to explore in greater depth the processes involved in shaping women's preferences.

Source: Europe PubMed Central