Prenatal care in urban China: Qualitative study on challenges and coping mechanisms

This study aims to identify challenges that women face in accessing prenatal care services in urban China and their coping mechanisms to deal with the challenges. We conducted semi-structured interviews in June and July in 2019 with 38 women who had experience of childbirth within the last five year...

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Main Author: Haruka Nagao
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:SSM: Qualitative Research in Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667321524001112
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author Haruka Nagao
author_facet Haruka Nagao
author_sort Haruka Nagao
collection DOAJ
description This study aims to identify challenges that women face in accessing prenatal care services in urban China and their coping mechanisms to deal with the challenges. We conducted semi-structured interviews in June and July in 2019 with 38 women who had experience of childbirth within the last five years. Through interviews, this study pays particular attention to a quality of prenatal care services by focusing on women's experiences in seeking for such services. The findings suggest that most participants had access to standardized prenatal care services but faced two challenges: long wait time and short doctor-patient interaction time. These challenges stem from overcrowded hospitals. The findings also illuminate power and information asymmetry between doctors and patients. Women leverage social networks with friends, colleagues, and former classmates to fill in the gap of short doctor-patient interaction by obtaining relevant information about pregnancy and prenatal care services. The analyses of interviews and a social networking site also suggest that online social networks play a similar role to fill in the informational gap. Still, social networks remain a coping mechanism rather than a fundamental solution to the systemic issues within the public health system.
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spelling doaj-art-143c2a31ab9e47a0ba9dcd09dd1b95e12024-12-13T11:07:42ZengElsevierSSM: Qualitative Research in Health2667-32152024-12-016100502Prenatal care in urban China: Qualitative study on challenges and coping mechanismsHaruka Nagao0Department of Global Studies, University of Oregon, 114 Friendly Hall, 1161 E. 13th Ave, Eugene, OR, 97403, USAThis study aims to identify challenges that women face in accessing prenatal care services in urban China and their coping mechanisms to deal with the challenges. We conducted semi-structured interviews in June and July in 2019 with 38 women who had experience of childbirth within the last five years. Through interviews, this study pays particular attention to a quality of prenatal care services by focusing on women's experiences in seeking for such services. The findings suggest that most participants had access to standardized prenatal care services but faced two challenges: long wait time and short doctor-patient interaction time. These challenges stem from overcrowded hospitals. The findings also illuminate power and information asymmetry between doctors and patients. Women leverage social networks with friends, colleagues, and former classmates to fill in the gap of short doctor-patient interaction by obtaining relevant information about pregnancy and prenatal care services. The analyses of interviews and a social networking site also suggest that online social networks play a similar role to fill in the informational gap. Still, social networks remain a coping mechanism rather than a fundamental solution to the systemic issues within the public health system.http://www.sciencedirect.com/science/article/pii/S2667321524001112Prenatal careHealthcare accessQuality of careSemi-structured interviewsChina
spellingShingle Haruka Nagao
Prenatal care in urban China: Qualitative study on challenges and coping mechanisms
SSM: Qualitative Research in Health
Prenatal care
Healthcare access
Quality of care
Semi-structured interviews
China
title Prenatal care in urban China: Qualitative study on challenges and coping mechanisms
title_full Prenatal care in urban China: Qualitative study on challenges and coping mechanisms
title_fullStr Prenatal care in urban China: Qualitative study on challenges and coping mechanisms
title_full_unstemmed Prenatal care in urban China: Qualitative study on challenges and coping mechanisms
title_short Prenatal care in urban China: Qualitative study on challenges and coping mechanisms
title_sort prenatal care in urban china qualitative study on challenges and coping mechanisms
topic Prenatal care
Healthcare access
Quality of care
Semi-structured interviews
China
url http://www.sciencedirect.com/science/article/pii/S2667321524001112
work_keys_str_mv AT harukanagao prenatalcareinurbanchinaqualitativestudyonchallengesandcopingmechanisms