Abstract
Heart disease is the leading cause of pregnancy-related mortality in the United States and has led to the development of combined cardio-obstetrics (COB) clinics as a model for prenatal care. In other areas of medicine, these types of collaborative care models have shown improvement in morbidity, mortality, and patient satisfaction. There is some data to suggest that a combined COB clinic improves maternal outcomes but there is no data to suggest patients prefer this type of care model. This study aims to evaluate patient satisfaction in a combined COB clinic and whether this type of model enhances perceived communication and knowledge uptake. A quality questionnaire was developed to assess patient perceptions regarding communication, satisfaction, and perceived knowledge. Patients who attended the clinic (n = 960) from 2014–2020 were contacted by email, with a response received from 119 (12.5%). Participants completed a questionnaire assessing satisfaction and perceived knowledge uptake with answers based on a Likert scale (7 representing very satisfied and 1 representing very unsatisfied). Safe and effective contraceptive use was evaluated by multiple choice options. Knowledge was also assessed by comparing contraceptive use before and after the clinic. Participants reported high levels of satisfaction with the clinic (6.2 ± 1.5), provider-to-patient communication (6.1 ± 1.6), and with the multidisciplinary appointment approach (6.3 ± 1.5). As well, participants reported an increase in knowledge about heart disease a result of collaborative counseling. In summary, a multidisciplinary approach to cardio-obstetrics not only improves outcomes but is a patient satisfier.
Subject
Pharmacology (medical),General Pharmacology, Toxicology and Pharmaceutics
Reference29 articles.
1. Overview of Maternal Mortality in the United States;Callaghan;Semin. Perinatol.,2012
2. Why Is US Maternal Mortality Rising?;Carroll;JAMA,2017
3. CDC (2022, October 01). Leading Causes of Death—Females—All Races and Origins—United States 2017, Available online: https://www.cdc.gov/women/lcod/2017/all-races-origins/index.htm.
4. Maternal Mortality in the United States: Updates on Trends, Causes, and Solutions;Collier;Neoreviews,2019
5. Cardiovascular Considerations in Caring for Pregnant Patients: A Scientific Statement From the American Heart Association;Mehta;Circulation,2020
Cited by
2 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献