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Master Thesis

Le suivi externalisé à la maternité de Port-Royal : satisfaction des patientes

Abstract : Background: in the current context where large public maternity units primarily monitor pathological pregnancies in their wards, some of them have created outsourced prenatal follow-up of their low-risk patients. This follow-up is composed in three parts : the “Midwifery of Host and Orientation” consultation ( “Sage-Femme d’Accueil et d’Orientation (SFAO)” in french) at the 15th week of gestation at the maternity, the pregnancy follow-up with a health professional in town, and the "retour SFAO" consultation at the 36th week of gestation at the maternity. Patients' satisfaction with pregnancy follow-up was 95% according to the Directorate of Research, Studies, Evaluation and Statistics (DREES in french). However, no satisfaction survey has been conducted on outsourced prenatal follow-up yet. Purpose: to assess patients' overall satisfaction with outsourced prenatal follow-up at the Port-Royal maternity.
Patients and Method: the quantitative observational tranverse single-center study, at the Port-Royal maternity, used an anonymous paper satisfaction questionnaire distributed to patients by midwives during the "retour SFAO" consultation. The antenatal nurses retrieved the completed questionnaire in the waiting room after the consultation and stored it. The study was conducted from June 30th to November 31st, 2019.
Results: we were able to analyse 201 questionnaires. 134 patients had been followed by midwives in the city, compared to 67 patients by doctors. We found that patients were generally satisfied with the outsourced follow-up, up to 75.1% (score ≥8 for all components of the outsourced follow-up). Several characteristics of the follow-up had an impact on patient satisfaction. When the patient was already dissatisfied at the end of the “SFAO consultation” to continue her pregnancy in the city, she will not be satisfied either with the outsourced follow-up at the end (p<0,001). When the “SFAO” midwife informed the patient of the possibility of being followed in the city (p<0,01) and the pregnancy record should be taken with them during the emergency room visits (p<0,01), the patients were more satisfied. When the town practitioner informs his patients about the birth in Port-Royal (p-<0,02) and develops a birth plan with her (p<0,02), the patients are more satisfied. Finally, the more patients felt that their practitioner took the time to answer their question (p<0,01) and that he could reach the hospital without problems (p<0,001), the more satisfied they were.
Conclusion: patients are generally satisfied with outsourced follow-up and several characteristics of this follow-up influence their satisfaction. It may be interesting to consider these factors and improve them as much as possible to increase patient satisfaction.
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Submitted on : Tuesday, January 19, 2021 - 11:44:06 AM
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  • HAL Id : dumas-03114881, version 1

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Lucie Pivotti. Le suivi externalisé à la maternité de Port-Royal : satisfaction des patientes. Gynécologie et obstétrique. 2020. ⟨dumas-03114881⟩

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