Physician Trust among Disadvantaged Birthing Persons
Location
LSU Health Sciences Center - New Orleans
Event Website
https://www.medschool.lsuhsc.edu/genetics/2023_medical_student_research_poster_symposium.aspx
Presentation Date
23-10-2023 8:29 AM
Description
Background: In perinatal healthcare settings, adequate physician trust is critical for patients’ willingness to share sensitive information and to adhere to medical treatment. Understanding factors that influence physician trust levels among pregnant individuals can help healthcare teams improve efforts to strengthen patient-provider relationships and improve overall maternal health outcomes. Therefore, the purpose of this study was to characterize physician trust levels of pregnant individuals in a high volume, high acuity, low resource academic practice serving majority disadvantaged individuals. Our study aimed to examine longitudinal changes in trust between the third trimester to postpartum period and to evaluate the association of change in trust scores with adverse birth experiences in disadvantaged birthing persons. Methods: Obstetric patients who were in their third trimester (>27 weeks gestation), ≥16 years of age, Medicaid-enrolled, and accessing care within the Louisiana State University OB/GYN clinic at Woman’s Hospital, Baton Rouge, LA were recruited. Participants were surveyed by Woman's Hospital’s research team after physician encounters for prenatal and postpartum visits between July 2021 and July 2023. Participants completed the validated 10-item Wake Forest Physician Trust Scale (WFPTS), which is answered on a five-point Likert Scale and has scores ranging from 10-50 (higher scores indicating higher physician trust), after their third trimester and postpartum visits. Additional medical and sociodemographic information was obtained by patient response and confirmed with electronic medical records. A medical record abstraction was also performed to determine the occurrence of adverse perinatal outcomes (transfusion, hospital readmission, non-live birth, PPROM, and pre-term birth). Participant responses to the WFPTS were scored. Categorical covariates were reported using counts and percentages, and trust scores and continuous covariates were reported using means and standard deviations. Ttests were used for trust scores when comparing within various groups of interest (higher/lower income, higher/lower age, Black vs. non-Black race, and higher/lower education). Results: Of the 45 participants, 69% were Black, 64% reported earning
Recommended Citation
Pochana, Sai Sravya, "Physician Trust among Disadvantaged Birthing Persons" (2023). Medical Student Research Poster Symposium. 86.
https://digitalscholar.lsuhsc.edu/sommrd/2023MSRD/Posters/86
Physician Trust among Disadvantaged Birthing Persons
LSU Health Sciences Center - New Orleans
Background: In perinatal healthcare settings, adequate physician trust is critical for patients’ willingness to share sensitive information and to adhere to medical treatment. Understanding factors that influence physician trust levels among pregnant individuals can help healthcare teams improve efforts to strengthen patient-provider relationships and improve overall maternal health outcomes. Therefore, the purpose of this study was to characterize physician trust levels of pregnant individuals in a high volume, high acuity, low resource academic practice serving majority disadvantaged individuals. Our study aimed to examine longitudinal changes in trust between the third trimester to postpartum period and to evaluate the association of change in trust scores with adverse birth experiences in disadvantaged birthing persons. Methods: Obstetric patients who were in their third trimester (>27 weeks gestation), ≥16 years of age, Medicaid-enrolled, and accessing care within the Louisiana State University OB/GYN clinic at Woman’s Hospital, Baton Rouge, LA were recruited. Participants were surveyed by Woman's Hospital’s research team after physician encounters for prenatal and postpartum visits between July 2021 and July 2023. Participants completed the validated 10-item Wake Forest Physician Trust Scale (WFPTS), which is answered on a five-point Likert Scale and has scores ranging from 10-50 (higher scores indicating higher physician trust), after their third trimester and postpartum visits. Additional medical and sociodemographic information was obtained by patient response and confirmed with electronic medical records. A medical record abstraction was also performed to determine the occurrence of adverse perinatal outcomes (transfusion, hospital readmission, non-live birth, PPROM, and pre-term birth). Participant responses to the WFPTS were scored. Categorical covariates were reported using counts and percentages, and trust scores and continuous covariates were reported using means and standard deviations. Ttests were used for trust scores when comparing within various groups of interest (higher/lower income, higher/lower age, Black vs. non-Black race, and higher/lower education). Results: Of the 45 participants, 69% were Black, 64% reported earning
https://digitalscholar.lsuhsc.edu/sommrd/2023MSRD/Posters/86
Comments
Mentors: Drs. Sarah Buzhardt and Elizabeth Sutton LSUHSC, Department of OB/GYN & Woman’s Hospital