ArticleBirth (Berkeley, Calif.)2017
How do pregnant women use quality measures when choosing their obstetric provider?
Article in Birth (Berkeley, Calif.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 23 citations in OpenAlex.
- Impact of an educational program and decision tool on choice of maternity hospital: the delivery decisions randomized clinical trial.BMC pregnancy and childbirth · 2022Trial
- Does comparing cesarean delivery rates influence women's choice of obstetric hospital?The American journal of managed care · 2019Trial
- Perceived Importance of Obstetric Quality Measures to Veterans Receiving Community-Based Obstetric Care.Maternal and child health journal · 2026Article
- Making the "Birthing-Friendly" hospital designation better.Health affairs scholar · 2025Article
- UK Public Focus Groups on Healthcare's Environmental Impacts: A Critical Analysis of Co-Benefits Approaches.Sociology of health & illness · 2025Article
- Public Maternal Health Dashboards in the United States: Descriptive Assessment.Journal of medical Internet research · 2024Article
- Use of and Attitudes About Telelactation Services among New Parents.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2023Article
- Changes in Breastfeeding and Lactation Support Experiences During COVID.Journal of women's health (2002) · 2023Article
- Assessment of the Quality of Obstetric Services From the Perspective of Maternity Patients and Service Providers in a Tertiary Care Obstetric Unit in Lithuania.Health services insights · 2023Article
- Article
- Patterns of Use of a Price Transparency Tool for Childbirth Among Pregnant Individuals With Commercial Insurance.JAMA network open · 2021Article
- Accuracy of patient perceptions of maternity facility quality and the choice of providers in Nairobi, Kenya: a cohort study.BMJ open · 2019Article
- Patient Perspectives in Comparing Hospitals for Childbirth: Insights from Hawai'i.Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health · 2019Article
- Accreditation and resulting clerical duties represent commercial excesses that are ethically and scientifically unacceptable.Facts, views & vision in ObGyn · 2018Article
- How do pregnant women use quality measures when choosing their obstetric provider?Birth (Berkeley, Calif.) · 2017Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGiven increased public reporting of the wide variation in hospital obstetric quality, we sought to understand how women incorporate quality measures into their selection of an obstetric hospital.
methodsWe surveyed 6141 women through Ovia Pregnancy, an application used by women to track their pregnancy. We used t tests and chi-square tests to compare response patterns by age, parity, and risk status.
resultsMost respondents (73.2%) emphasized their choice of obstetrician/midwife over their choice of hospital. Over half of respondents (55.1%) did not believe that their choice of hospital would affect their likelihood of having a cesarean delivery. While most respondents (74.9%) understood that quality of care varied across hospitals, few prioritized reported hospital quality metrics. Younger women and nulliparous women were more likely to be unfamiliar with quality metrics. When offered a choice, only 43.6% of respondents reported that they would be willing to travel 20 additional miles farther from their home to deliver at a hospital with a 20 percentage point lower cesarean delivery rate. DISCUSSION: Women's lack of interest in available quality metrics is driven by differences in how women and clinicians/researchers conceptualize obstetric quality. Quality metrics are reported at the hospital level, but women care more about their choice of obstetrician and the quality of their outpatient prenatal care. Additionally, many women do not believe that a hospital's quality score influences the care they will receive. Presentations of hospital quality data should more clearly convey how hospital-level characteristics can affect women's experiences, including the fact that their chosen obstetrician/midwife may not deliver their baby.
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