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Dissertation

Provider and Patient Perspectives of Integrated Perinatal Care: An Exploratory Study

12 June 2018

Abstract

The World Health Organization (WHO, 2016) estimates that at least 10% of pregnant women and 13% of women who have just given birth will experience a serious mental illness. Evidence has shown that ante and postpartum PMAD are part of a process rather than two discrete experiences thus shifting best practice protocols to include PMAD screening during pregnancy. Integrated care models have been used to incorporate behavioral health into maternal health to support early intervention efforts. Current integrated primary care research has shown that if providers and patients positively regard integration, integrated care programs are more likely to succeed. Provider access to the behavioral health consultant and patient trust and confidence in their provider lead to higher levels of satisfaction. Limited integrated perinatal care research has similar outcomes for provider satisfaction with little to none regarding patient satisfaction.

The researcher collaborated with two integrated perinatal care clinics in Portland Oregon, Legacy Maternal Fetal Medicine and Legacy Midwifery. To investigate the success of integration at both clinics, all providers and patients were invited to participate via completion of satisfaction surveys. Provider and patient perspectives of integration were explored using a quasi-experimental design. Themes emerged via responses to open-ended questions indicating that access and trust increase satisfaction. Small sample size hindered causal analysis however participant responses were summarily positive and aligned with results seen in similar integrated primary care research. Results indicated that providers and patients at both clinics would benefit from education regarding integrated BHS as well as increased access to BHCs.


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