Publicação
Satisfaction with maternal care in migrants and natives: a population-based study from Portugal
| Resumo: | Women’s satisfaction is an indicator of maternal healthcare quality. As migrant population contributed for 8.8% of births in Portugal in 2016, maternal care providers should evaluate the effect of multicultural diversity in women’s satisfaction. The aim of this paper is to assess the degree of maternal satisfaction with care during labour and delivery by migrant groups in Portugal. Methods: This is a part of the baMBINO project, an ongoing populationbased study enrolling native and foreign-born women recruited in 32 Portuguese public hospitals during admission for delivery. For this analysis, foreign-born women (n = 1385) were classified into long-term (LT, >8 years) and recent (RM) migrants from Portuguese Speaking African Countries (PSAC), Brazil (B) and Non-Portuguese Speaking Countries (NPSC). Such groups were compared with native women (n = 1167) for the prevalence of satisfaction with healthcare received, time spent by the professionals in providing explanations, how professionals were respectful, helpful and encouraging. Multivariate logistic regression models were used. Results: There was variation between groups for the prevalence of satisfaction with healthcare received (p<0.001) from 90.8% (B-RM) to 98.1% (PSAC-RM); time spent by professionals to provide explanations (p<0.004) from 88,3%(NPSC-RM) to 93,2% (PSAC-RM); how professionals were helpful (p = 0.035) from 94,3% (B-RM) to 98,6% (B-LTM), respectful (p = 0.038) from 93.6% (B-RM) to 98.4% (NPSC-LT) and encouraging (p = 0.002) from 88.7% (B-RM) to 96.5% (BLT). Differences remained after adjusting for maternal age, educational level, mode of delivery and complications. Conclusions: Although the prevalence of satisfied women is high, there is heterogeneity in the satisfaction with some aspects of maternal care between groups of migrant women. Key messages: Professionals should be aware about the effect of cultural background in women’s satisfaction with care. It is important to consider significance of determinants of satisfaction to improve care for migrants. |
|---|---|
| Autores principais: | Muralova, Ana |
| Outros Autores: | Teixeira, Cristina; Barros, Henrique |
| Assunto: | Women health Satisfaction Obstetric care Migration |
| Ano: | 2018 |
| País: | Portugal |
| Tipo de documento: | documento de conferência |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Instituto Politécnico de Bragança |
| Idioma: | inglês |
| Origem: | Biblioteca Digital do IPB |
| Resumo: | Women’s satisfaction is an indicator of maternal healthcare quality. As migrant population contributed for 8.8% of births in Portugal in 2016, maternal care providers should evaluate the effect of multicultural diversity in women’s satisfaction. The aim of this paper is to assess the degree of maternal satisfaction with care during labour and delivery by migrant groups in Portugal. Methods: This is a part of the baMBINO project, an ongoing populationbased study enrolling native and foreign-born women recruited in 32 Portuguese public hospitals during admission for delivery. For this analysis, foreign-born women (n = 1385) were classified into long-term (LT, >8 years) and recent (RM) migrants from Portuguese Speaking African Countries (PSAC), Brazil (B) and Non-Portuguese Speaking Countries (NPSC). Such groups were compared with native women (n = 1167) for the prevalence of satisfaction with healthcare received, time spent by the professionals in providing explanations, how professionals were respectful, helpful and encouraging. Multivariate logistic regression models were used. Results: There was variation between groups for the prevalence of satisfaction with healthcare received (p<0.001) from 90.8% (B-RM) to 98.1% (PSAC-RM); time spent by professionals to provide explanations (p<0.004) from 88,3%(NPSC-RM) to 93,2% (PSAC-RM); how professionals were helpful (p = 0.035) from 94,3% (B-RM) to 98,6% (B-LTM), respectful (p = 0.038) from 93.6% (B-RM) to 98.4% (NPSC-LT) and encouraging (p = 0.002) from 88.7% (B-RM) to 96.5% (BLT). Differences remained after adjusting for maternal age, educational level, mode of delivery and complications. Conclusions: Although the prevalence of satisfied women is high, there is heterogeneity in the satisfaction with some aspects of maternal care between groups of migrant women. Key messages: Professionals should be aware about the effect of cultural background in women’s satisfaction with care. It is important to consider significance of determinants of satisfaction to improve care for migrants. |
|---|