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Table 2 Experienced continuity of care by women measured with subscale scores of the Nijmegen Continuity Questionnaire

From: Continuity of care is an important and distinct aspect of childbirth experience: findings of a survey evaluating experienced continuity of care, experienced quality of care and women’s perception of labor

 

Not referred during pregnancy (n = 151)

Referred during pregnancy (midwife-led care at onset of pregnancy and obstetrician-led care at onset of labor) (n = 36)

Total of the Subscale

Midwife-led care at onset of pregnancy and labor. Score primary care midwife ¥

Obstetrician-led care at onset of pregnancy and labor. Score hospital staff

Score primary care midwife

Score hospital staff

 

mean (n = 136) ¥

mean (n = 15)

mean (n = 36)

mean (n = 36)

Subscale 1: personal continuity/ care provider knows me

1. I know this care provider very well

3.71

3.20

3.57

2.58

2. This care provider knows my medical history very well

4.10

3.93

3.91

3.34

3. This care provider always remembers what he/she did during my last visit(s)

4.08

3.80

3.96

3.27

4. This care provider knows my family circumstances very well

3.77

3.13

3.77

2.60

5. This care provider knows very well what I do in my day-to-day life

3.53

2.80

3.46

2.40

Total subscale score

3.84

3.37 (p = 0.02)

3.73 (p = 0.44)

2.83 (p = <0.001)

missing

6

0

1

6

Subscale 2: Personal continuity/ care provider shows commitment

This care provider contacts me when necessary without me having to ask him/her to do so

3.84

2.60

3.89

2.22

2. This care provider knows very well what I think is important when it comes to my care

3.93

3.13

3.83

2.39

3. This care provider maintains enough contact with me when I am seen by another care provider

n.a.

n.a.

4.03

2.70

Total subscale

n.a.

n.a.

3.94

2.42

missing

  

2

4

Subscale 3: Team continuity

1. These care providers pass on information to each other very well

4.27

3.67

4.11

3.25

2. These care providers work together very well

4.36

3.73

4.09

3.53

3. The care given by these care providers is well-connected

4.33

3.67

4.17

3.59

4. These care providers always know very well what the other care providers have done

4.23

3.60

4.09

3.44

Total subscale score

4.29

3.67 (p = 0.002)

4.11 (p = 0.20)

3.43 (p = <0.001)

missing

4

0

1

6

Subscale 3b Cross-boundary continuity

n.a.

n.a.

3.38

missing

  

4

  1. Experienced care for women who received midwife-led care at onset of labor compared to a. obstetrician-led care, at onset of labor and b. care provided by primary care midwives and hospital staff for women who were referred during pregnancy. (Subscale scores of the NCQ: n = 187 women)
  2. Mean score (1 = strongly disagree, 2 = disagree, 3 = neutral, 4 = agree, 5 = strongly agree)
  3. n.a. No score because one item is not applicable (see additional file)
  4. ¥Reference category
  5. Statistically significant results p < 0.05 are in bold