Abstract
Background: Patient satisfaction with the quality of health care services is complex with many known factors impacting upon satisfaction, among them the choice of physician. Previous studies examined characteristics of a woman’s choice of gynecologist, but information regarding reasons for these choices among women of Ethiopian descent is lacking. The objective of this study was to identify characteristics related preference of an obstetrician-gynecologist based on gender among women of Ethiopian descent. Method: Analysis of anonymous self-reported questionnaire distributed to 500 women of Ethiopian descent who visited an obstetrician-gynecologist at least once in the past three years (Mean age 29.5; SD = 8.2). Trust in physician was examined using the TPS scale; service quality was checked using the SERVQUAL; and the 5Qs model was used to measure patient’s satisfaction of health care. Results: Very religious (84.1%) and religious (53.6%) women of Ethiopian descent were more likely to prefer a female obstetrician-gynecologist compared to traditional (39.3%) or secular (34.4%) women (p < 0.001). Participants had higher probability to prefer a male gynecologist if they had more employment hours (OR = 3.57, 95% CI = 1.72–7.42, p < 0.001), and the responsiveness of the physician was less important to them (OR = 0.77, 95% CI = 0.60–0.99, p < 0.05). Age of participants, country of birth, years in Israel, family status, being a mother, education or health status were not associated with choosing a female obstetrician-gynecologist. Religious women would prefer to wait longer for a female gynecologist due to modesty imperatives, even at the cost of compromising their health as a result of waiting longer. Conclusions: The findings of this research highlight the importance of accessibility to female obstetrician-gynecologists for women of Ethiopian descent and demonstrate that determinants in the host population rather than immigrant’s past culture, affect the women’s decision. This study demonstrates the importance of the health care system in Israel to enable more female obstetrician-gynecologists to treat women of Ethiopian descent.
Highlights
Patient satisfaction with the quality of health care services is complex with many known factors impacting upon satisfaction, among them the choice of physician.Previous studies examined characteristics of a woman’s choice of gynecologist, but information regarding reasons for these choices among women of Ethiopian descent is lacking
In phase 1, out of nine variables only religion (OR = 0.25, 95% CI = 0.13–0.56, p < 0.001) and employment (OR = 2.87, 95% CI = 1.50–5.48, p < 0.001) were significant sociodemographic characteristics that predicted male obstetrician-gynecologist preference, which stayed significant in phase 2 (OR = 0.22, 95% CI = 0.09–0.56, p < 0.01 for religion and OR = 3.57, 95% CI = 1.72–7.42, p < 0.001) for employment)
We found that women of Ethiopian descent will prefer a male obstetrician-gynecologist if she values his professionalism, experience and positive recommendations, matching up with previous research [9,10,11,12,13,14]
Summary
Patient satisfaction with the quality of health care services is complex with many known factors impacting upon satisfaction, among them the choice of physician.Previous studies examined characteristics of a woman’s choice of gynecologist, but information regarding reasons for these choices among women of Ethiopian descent is lacking. The objective of this study was to identify characteristics related preference of an obstetrician-gynecologist based on gender among women of Ethiopian descent. Trust in physician was examined using the TPS scale; service quality was checked using the SERVQUAL; and the 5Qs model was used to measure patient’s satisfaction of health care. Kitapci and colleagues suggested five components for quality of health services in the SERVQUAL quality model [10]: reliability, assurance, responsiveness, empathy and tangibles. Another model is the 5Q construct, suggesting five different components [11]: quality of object, processes, infrastructure, interaction and atmosphere
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