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Medical Care Research and Review, Vol. 59, No. 4, 412-439 (2002)
DOI: 10.1177/107755802237809

Structure, Process, and Satisfaction with Obstetricians: An Analysis of Mainland Puerto Ricans

R. S. Oropesa

Pennsylvania State University

Nancy S. Landale

Pennsylvania State University

Tanya S. Kenkre

Pennsylvania State University

This study examines various dimensions of satisfaction with obstetricians among mainland Puerto Ricans using data from a survey administered to a representative sample of 1,219 Puerto Rican mothers. The results indicate that the majority of Puerto Rican women are satisfied with their obstetricians, but they are not typically "extremely" satisfied. Moreover, satisfaction is influenced by the structure of care, the process of care, and the outcome of care. Two aspects of process that are especially important are the continuity and content of care. Although satisfaction is not generally associated with the ethnicity or the gender of physicians, some evidence suggests that patients who utilize public facilities or lack continuity of care tend to be more satisfied if they have a female physician.


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