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Women's preferences for interconception care: a discrete choice experiment study.

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Summary

Women prefer interconception care (ICC) delivered by nurses or midwives, with home visits or in-person appointments and lower costs. Addressing these preferences can improve engagement with this vital postpartum care.

Keywords:
Health PersonnelHealth Services AccessibilityHealth Services ResearchPatient PreferenceReproductive Health Servicesgeneral practice

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Area of Science:

  • Reproductive Health
  • Maternal Health
  • Women's Health Services Research

Background:

  • Interconception care (ICC) between pregnancies enhances maternal and infant health.
  • Women face barriers to accessing ICC, including caregiving, transport, and clinician availability.
  • Understanding women's preferences is crucial for improving ICC engagement.

Purpose of the Study:

  • To determine women's preferences for engaging with interconception care (ICC).
  • To identify key attributes influencing women's choices regarding ICC services.

Main Methods:

  • A discrete choice experiment (DCE) survey was administered to Australian women (March 2024).
  • Analysis involved mixed logit models and latent class modeling to assess preferences and heterogeneity.
  • Data included sociodemographics, ICC attitudes, and preferences for service delivery.

Main Results:

  • Women preferred ICC provided by nurses/midwives, via home visits or in-person consultations.
  • Preferred attributes included child-friendly waiting areas, 30-60 minute appointments, and lower costs.
  • Key informational needs focused on emotional/mental health support; general practice was a favored location.

Conclusions:

  • Familiar clinicians, longer appointments, and reduced costs are vital for enhancing ICC access.
  • Policy and funding are necessary to support the effective provision of interconception care.
  • Tailoring ICC services to women's preferences can improve uptake and health outcomes.