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Patient-centered communication, patient satisfaction, and retention in care in assisted reproductive technology visits

التفاصيل البيبلوغرافية
العنوان: Patient-centered communication, patient satisfaction, and retention in care in assisted reproductive technology visits
المؤلفون: G. Tomasi, A. P. Ferraretti, Alberto Revelli, G. Giuffrida, Daniela Leone, F. Tomei, E. Chelo, Elena Vegni, Claudia Filippini, Lidia Borghi, C. Becattini, R. Palermo, L. De Lauretis, S. Poli, Claudia Livi, Arne Luehwink, Mauro Costa
المصدر: J Assist Reprod Genet
سنة النشر: 2019
مصطلحات موضوعية: 0301 basic medicine, Adult, Male, medicine.medical_specialty, Adolescent, Reproductive Techniques, Assisted, medicine.medical_treatment, Retention in care, Reproductive medicine, Satisfaction, Context (language use), RIAS, 03 medical and health sciences, 0302 clinical medicine, Patient satisfaction, Patient-centered communication, Patient-Centered Care, Surveys and Questionnaires, Genetics, medicine, Humans, Assisted Reproduction Technologies, Genetics (clinical), Physician-Patient Relations, 030219 obstetrics & reproductive medicine, Assisted reproductive technology, Obstetrics and Gynecology, General Medicine, Middle Aged, Test (assessment), 030104 developmental biology, Reproductive Medicine, Italy, Content analysis, Patient Satisfaction, Family medicine, Conventional PCI, Female, Doctor-patient interaction, Psychology, Developmental Biology
الوصف: PURPOSE: To explore the association between patient-centered communication, patients’ satisfaction, and retention in care in assisted reproductive technology (ART) visits. METHODS: ART visits at eight Italian clinics were videotaped and coded using the Roter Interaction Analysis System, which includes a Patient-Centered Index (PCI), a summary “patient-centered communication” ratio. After the visit, patients completed a satisfaction questionnaire (SATQ). After 3 months, patients were asked about their retention in care. Spearman correlations and Mann-Whitney tests were used to test associations between the study variables; the open-ended item of SATQ was analyzed through content analysis. RESULTS: Eighty-five visits were videotaped (involving 28 gynecologists and 160 patients). PCI score (μ = 0.51 ± 0.28) revealed a more disease-oriented communication during the visit. Patients reported high levels of satisfaction with the visit and identified in the information provision or in the doctor’s humanity or kindness the main reasons of satisfaction. At the follow-up, the majority of the couples declared to have followed the clinicians’ recommendations and to have remained related to the ART center. No associations were found among the study variables, except for a lower male satisfaction among couples who declared to have changed ART clinic. CONCLUSIONS: Contrary to what was expected, the style of physician-patient communication was not found to be associated with patient satisfaction and retention in care. However, patients were highly satisfied and engaged. The actual meaning of a communication that is “patient-centered” in the ART context might be wider, including the couples’ need for information, as suggested by qualitative findings.
اللغة: English
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6a3d4b534fa658157387b284522546d6
https://hdl.handle.net/11562/1083327
Rights: OPEN
رقم الانضمام: edsair.doi.dedup.....6a3d4b534fa658157387b284522546d6
قاعدة البيانات: OpenAIRE
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