What Drives Poor Care for Child Diarrhea?: A Standardized Patient Experiement in India

2021 ◽  
Author(s):  
Zachary Wagner
Keyword(s):  
Standardized Patient ◽  
Poor Care

scholarly journals Respectful maternal and newborn care: measurement in one EN-BIRTH study hospital in Nepal

2021 ◽  
Vol 21 (S1) ◽  
Author(s):  
Rejina Gurung ◽  
◽  
Harriet Ruysen ◽  
Avinash K. Sunny ◽  
Louise T. Day ◽  
...  
Keyword(s):  
Newborn Care ◽  
Verbal Abuse ◽  
Standards Of Care ◽  
Skin Contact ◽  
Mode Of Birth ◽  
Survey Interviews ◽  
Maternal And Newborn Care ◽  
Poor Care ◽  
Respectful Care ◽  
Maternal And Newborn

Abstract Background Respectful maternal and newborn care (RMNC) is an important component of high-quality care but progress is impeded by critical measurement gaps for women and newborns. The Every Newborn Birth Indicators Research Tracking in Hospitals (EN-BIRTH) study was an observational study with mixed methods assessing measurement validity for coverage and quality of maternal and newborn indicators. This paper reports results regarding the measurement of respectful care for women and newborns. Methods At one EN-BIRTH study site in Pokhara, Nepal, we included additional questions during exit-survey interviews with women about their experiences (July 2017–July 2018). The questionnaire was based on seven mistreatment typologies: Physical; Sexual; or Verbal abuse; Stigma/discrimination; Failure to meet professional standards of care; Poor rapport between women and providers; and Health care denied due to inability to pay. We calculated associations between these typologies and potential determinants of health – ethnicity, age, sex, mode of birth – as possible predictors for reporting poor care. Results Among 4296 women interviewed, none reported physical, sexual, or verbal abuse. 15.7% of women were dissatisfied with privacy, and 13.0% of women reported their birth experience did not meet their religious and cultural needs. In descriptive analysis, adjusted odds ratios and multivariate analysis showed primiparous women were less likely to report respectful care (β = 0.23, p-value < 0.0001). Women from Madeshi (a disadvantaged ethnic group) were more likely to report poor care (β = − 0.34; p-value 0.037) than women identifying as Chettri/Brahmin. Women who had caesarean section were less likely to report poor care during childbirth (β = − 0.42; p-value < 0.0001) than women with a vaginal birth. However, babies born by caesarean had a 98% decrease in the odds (aOR = 0.02, 95% CI, 0.01–0.05) of receiving skin-to-skin contact than those with vaginal births. Conclusions Measurement of respectful care at exit interview after hospital birth is challenging, and women generally reported 100% respectful care for themselves and their baby. Specific questions, with stratification by mode of birth, women’s age and ethnicity, are important to identify those mistreated during care and to prioritise action. More research is needed to develop evidence-based measures to track experience of care, including zero separation for the mother-newborn pair, and to improve monitoring.

scholarly journals Assessing Medical Studentsʼ Awareness of and Sensitivity to Diverse Health Beliefs Using a Standardized Patient Station

2001 ◽  
Vol 76 (1) ◽  
pp. 76-80 ◽  
Author(s):  
Lynne S. Robins ◽  
Casey B. White ◽  
Gwen L. Alexander ◽  
Larry D. Gruppen ◽  
Cyril M. Grum
Keyword(s):  
Health Beliefs ◽  
Standardized Patient

Use of "Standardized Examinees" to Screen for Standardized-Patient Scoring Bias in a Clinical Skills Examination

2005 ◽  
Vol 17 (1) ◽  
pp. 9-13 ◽  
Author(s):  
Heidi Worth-Dickstein ◽  
Louis N. Pangaro ◽  
Mary K. MacMillan ◽  
Daniel J. Klass ◽  
John H. Shatzer
Keyword(s):  
Clinical Skills ◽  
Standardized Patient
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