JMIR Publications

ABSTRACT

Background:

The patient-provider relationship in obstetrics and gynecology (OB/GYN) is uniquely complex due to the sensitive nature of exams and topics. Previous studies on desired OB/GYN provider traits lack evaluation of current relationships, barriers to care, and evolving patient preferences.

Objective:

To investigate if there are changes in patient preferences, patients’ concerns relating to current provider relationships, and prominent barriers to care post the #MeToo movement.

Methods:

A mixed-methods cross-sectional survey, utilizing a convergent parallel design, was conducted. OB/GYN patients from the US were recruited through social media from October to December 2019. Participants (n=1039) with experience with an OB/GYN provider, aged 18 and above, were included. Survey content included demographics, current relationships, provider traits, barriers to care, and qualities desired in providers. Quantitative data were analyzed to create descriptive statistics including means, standard deviations, and frequencies. Qualitative data from open-ended survey questions were reviewed for data-transformation and data-validation purposes.

Results:

Findings reveal that trust and comfort are paramount to patients, with listening skills ranked highest. The most significant shift in preferences is the increasing importance of provider gender, with 80.7% indicating same-gender preference. Barriers to care include daily commitments (67.5%). Participant demographics show a well-educated cohort (54.7% with higher degrees), with 83% emphasizing trust in provider relationships.

Conclusions:

The study highlights evolving patient preferences in OB/GYN provider characteristics, emphasizing gender identity as a significant factor. Trust and communication play pivotal roles in patient-provider relationships. The findings underscore the importance of patient-centered care, provider education, and quality improvement efforts in the OB/GYN setting to enhance patient experiences and outcomes. Further research involving diverse populations is necessary to ensure broad applicability.