Show simple item record

dc.contributor.authorZapka, Jane G.
dc.contributor.authorLemon, Stephenie C
dc.contributor.authorPeterson, Laura E.
dc.contributor.authorPalmer, Heather
dc.contributor.authorGoldman, Marlene B.
dc.date2022-08-11T08:10:20.000
dc.date.accessioned2022-08-23T17:05:04Z
dc.date.available2022-08-23T17:05:04Z
dc.date.issued2001-02-15
dc.date.submitted2011-11-09
dc.identifier.citationMed Care. 2001 Jan;39(1):50-60. <a href="http://www.jstor.org/stable/3767699">Link to article on publisher's website</a>
dc.identifier.issn0025-7079 (Linking)
dc.identifier.pmid11176543
dc.identifier.urihttp://hdl.handle.net/20.500.14038/44776
dc.description.abstractBACKGROUND: Abortion is one of the most common surgical procedures performed on women in the United States, and its safety has been demonstrated. Little research has focused, however, on women's reports and ratings of the service. OBJECTIVES: This study explored the association of demographic factors, medical outcomes, and client ratings of service dimensions with global satisfaction. RESEARCH DESIGN: For this cross-sectional study, permission to access clinic medical records was obtained. Surveys were distributed after the procedure, with instructions to return by mail. SUBJECTS: Study subjects were 797 women who underwent an outpatient surgical abortion at 1 of 2 New England health centers in 1996 and 1997. MEASURES: Demographic data, pregnancy history, and information on the procedure were collected from medical records. Survey items measured reports of access, medical outcomes, and satisfaction ratings with service domains. RESULTS: Women with positive ratings of staff sensitivity and of the counseling process and information received and those who had the procedure at a younger gestational age were less likely to report that care could be better. Although very few women reported a medical complication, this was associated with agreement that care could have been better, as was reporting agreement that the wait between the preexamination visit and the procedure was too long. CONCLUSIONS: Satisfaction with abortion services is high. Education and counseling play very important roles. Survey items could routinely be used to monitor services.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=11176543&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://www.jstor.org/stable/3767699
dc.subject*Abortion, Induced
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAmbulatory Care Facilities
dc.subjectAnalysis of Variance
dc.subjectCross-Sectional Studies
dc.subjectFemale
dc.subject*Health Services Accessibility
dc.subjectHumans
dc.subjectLogistic Models
dc.subjectNew Hampshire
dc.subjectOdds Ratio
dc.subject*Outcome Assessment (Health Care)
dc.subjectPatient Satisfaction
dc.subjectPregnancy
dc.subjectTreatment Outcome
dc.subjectVermont
dc.subjectBehavioral Disciplines and Activities
dc.subjectBehavior and Behavior Mechanisms
dc.subjectCommunity Health and Preventive Medicine
dc.subjectPreventive Medicine
dc.titleThe silent consumer: women's reports and ratings of abortion services
dc.typeJournal Article
dc.source.journaltitleMedical care
dc.source.volume39
dc.source.issue1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/prevbeh_pp/198
dc.identifier.contextkey2340889
html.description.abstract<p>BACKGROUND: Abortion is one of the most common surgical procedures performed on women in the United States, and its safety has been demonstrated. Little research has focused, however, on women's reports and ratings of the service.</p> <p>OBJECTIVES: This study explored the association of demographic factors, medical outcomes, and client ratings of service dimensions with global satisfaction.</p> <p>RESEARCH DESIGN: For this cross-sectional study, permission to access clinic medical records was obtained. Surveys were distributed after the procedure, with instructions to return by mail.</p> <p>SUBJECTS: Study subjects were 797 women who underwent an outpatient surgical abortion at 1 of 2 New England health centers in 1996 and 1997.</p> <p>MEASURES: Demographic data, pregnancy history, and information on the procedure were collected from medical records. Survey items measured reports of access, medical outcomes, and satisfaction ratings with service domains.</p> <p>RESULTS: Women with positive ratings of staff sensitivity and of the counseling process and information received and those who had the procedure at a younger gestational age were less likely to report that care could be better. Although very few women reported a medical complication, this was associated with agreement that care could have been better, as was reporting agreement that the wait between the preexamination visit and the procedure was too long.</p> <p>CONCLUSIONS: Satisfaction with abortion services is high. Education and counseling play very important roles. Survey items could routinely be used to monitor services.</p>
dc.identifier.submissionpathprevbeh_pp/198
dc.contributor.departmentDepartment of Medicine, Division of Preventive and Behavioral Medicine
dc.source.pages50-60


This item appears in the following Collection(s)

Show simple item record