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

Abstract：

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.

journal_name

J Assist Reprod Genet

journal_title

Journal of assisted reproduction and genetics

authors

Borghi L,Leone D,Poli S,Becattini C,Chelo E,Costa M,De Lauretis L,Ferraretti AP,Filippini C,Giuffrida G,Livi C,Luehwink A,Palermo R,Revelli A,Tomasi G,Tomei F,Vegni E

doi

10.1007/s10815-019-01466-1

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

1135-1142

issue

eissn

1058-0468

issn

1573-7330

pii

10.1007/s10815-019-01466-1

journal_volume

pub_type

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