Miscarriages during the pandemic: Relationships between social determinants of health and patient experience
Author
Whaley, Anna Simone
Abstract
Title: Pandemic miscarriages: Social determinants of health and patient experiences
Background/Purpose: Miscarriage is considered the most common complication of pregnancy in the US, with 750,000-1,000,000 cases reported annually and 15-20% being clinically reported. Women suffering from a miscarriage are subjected to poor healthcare experiences that are exacerbated by their social determinants of health (SDOH) (Arpey & Rosenbaum, 2017). The purpose of this secondary data analysis was to examine the relationships between the SDOH and the patient experience of women in North Carolina who miscarried during the COVID-19 pandemic.
Methodology: This cross-sectional study examines demographics and the patient experience survey data collected in the mixed-methods parent study. Using SPSS-28, chi-square tests of independence and independent-sample t-tests were conducted to examine relationships between SDOH and the patient experience (good vs. poor).
Results: Over half of participants reported a poor patient experience. Those with higher levels of income and who are employed full time reported significantly better patient experiences. Age, education, insurance, residential area, marital status, and race/ethnicity were not found to be significantly different between women with good versus poor patient experiences.
Discussion: This study’s results indicate that there may be some implicit bias within healthcare providers interacting with low‐socioeconomic‐status patients. There is an existing evidenced-based relationship between socioeconomic status (SES) and provider implicit bias. This relationship should be continually explored and effective interventions to reduce healthcare provider implicit biases should be developed.
Date
2023-04-26
Citation:
APA:
Whaley, Anna Simone.
(April 2023).
Miscarriages during the pandemic: Relationships between social determinants of health and patient experience
(Honors Thesis, East Carolina University). Retrieved from the Scholarship.
(http://hdl.handle.net/10342/13002.)
MLA:
Whaley, Anna Simone.
Miscarriages during the pandemic: Relationships between social determinants of health and patient experience.
Honors Thesis. East Carolina University,
April 2023. The Scholarship.
http://hdl.handle.net/10342/13002.
May 22, 2024.
Chicago:
Whaley, Anna Simone,
“Miscarriages during the pandemic: Relationships between social determinants of health and patient experience”
(Honors Thesis., East Carolina University,
April 2023).
AMA:
Whaley, Anna Simone.
Miscarriages during the pandemic: Relationships between social determinants of health and patient experience
[Honors Thesis]. Greenville, NC: East Carolina University;
April 2023.
Collections
Publisher
East Carolina University