{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T16:49:53Z","timestamp":1790700593346,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,4,24]],"date-time":"2018-04-24T00:00:00Z","timestamp":1524528000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Satisfaction is a key component of the care experience and part of the health system \u201ctriple aim,\u201d along with improving population health and reducing per capita health care costs, the other two parts of the \u201ctriple aim.\u201d The objectives of the study were to examine birth\u2010experience satisfaction among women in Ontario, Canada, who received care from midwives, family physicians, and obstetricians.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We used Statistics Canada's 2006 national Maternity Experiences Survey. The sample includes 1900 Ontario women and is, with appropriate weighting, representative of an estimated population of 29\u00a0700 women who gave birth in Ontario to a singleton baby during the study period. Information was collected on respondents\u2019 satisfaction with their health care providers, demographic characteristics, and a range of pregnancy, labor, birth, and postpartum experiences. We used logistic regression analysis to assess differences in patient\/client satisfaction by type of health care provider.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Women cared for by midwives were three times more likely to be satisfied with their care (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 3.32 [95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 2.26\u20104.86]) when compared with obstetrician\u2010led care. Depression symptoms, having to travel outside the respondents\u2019 community to give birth, and being born in an East Asian country were associated with lower levels of satisfaction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Given recent health system reforms emphasizing the importance of shifting from expensive acute hospital\u2010based care to community\u2010based care, our findings support empirically the importance of supporting women's access to midwifery services within their communities. Findings of ethnocultural differences in satisfaction with care can inform policy makers as health systems move to provide culturally appropriate care to increasingly diverse populations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/birt.12352","type":"journal-article","created":{"date-parts":[[2018,4,24]],"date-time":"2018-04-24T07:01:43Z","timestamp":1524553303000},"page":"322-327","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["Midwifery and obstetrics: Factors influencing mothers\u2019 satisfaction with the birth experience"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7210-0690","authenticated-orcid":false,"given":"Cristina A.","family":"Mattison","sequence":"first","affiliation":[{"name":"McMaster Health Forum McMaster University  Hamilton ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle L.","family":"Dion","sequence":"additional","affiliation":[{"name":"Department of Political Science McMaster University  Hamilton ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John N.","family":"Lavis","sequence":"additional","affiliation":[{"name":"Department of Political Science McMaster University  Hamilton ON Canada"},{"name":"Department of Health Evidence and Impact McMaster Health Forum Centre for Health Economics and Policy Analysis McMaster University  Hamilton ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eileen K.","family":"Hutton","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology McMaster University  Hamilton ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael G.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Health Evidence and Impact McMaster Health Forum Centre for Health Economics and Policy Analysis McMaster University  Hamilton ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,4,24]]},"reference":[{"key":"e_1_2_5_2_1","unstructured":"Institute for Healthcare Improvement.IHI triple aim initiative 2017.http:\/\/www.ihi.org\/engage\/initiatives\/tripleaim\/Pages\/default.aspx. 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Canada Year Book","author":"Statistics Canada","year":"2012"},{"key":"e_1_2_5_16_1","first-page":"6","article-title":"Midwifery in Canada is growing!","volume":"5","author":"Canadian Association of Midwives","year":"2015","journal-title":"The Pinard: newletter for the Canadian Association of Midwives"},{"key":"e_1_2_5_17_1","volume-title":"Ministry of Health and Long\u2010term Care. The Estimates 2013\u20102014. Ministry Program Summary","author":"Ministry of Finance","year":"2014"},{"key":"e_1_2_5_18_1","unstructured":"College of Midwives of Ontario.About the college 2017.http:\/\/www.cmo.on.ca\/about-the-college\/. Accessed November 17 2017."},{"key":"e_1_2_5_19_1","volume-title":"Canada's Health Care Providers: Provincial Profiles, 2013","author":"Canadian Institute for Health Information","year":"2015"},{"key":"e_1_2_5_20_1","unstructured":"Association of Ontario Midwives.Model and philosophy 2017.http:\/\/www.ontariomidwives.ca\/midwife\/philosophy. Accessed November 17 2017."},{"key":"e_1_2_5_21_1","volume-title":"Midwifery\u2010led Birth Centres: An Innovative Solution to Improve Care and Cut Costs","author":"Association of Ontario Midwives","year":"2013"},{"key":"e_1_2_5_22_1","first-page":"CD004667","article-title":"Midwife\u2010led continuity models versus other models of care for childbearing women","volume":"9","author":"Sandall J","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1523-536X.2011.00482.x"},{"key":"e_1_2_5_24_1","volume-title":"Patient's First: Action Plan for Health Care","author":"Ministry of Health and Long\u2010Term Care","year":"2015"},{"key":"e_1_2_5_25_1","unstructured":"Ministry of Health and Long\u2010Term Care.Excellent Care for All Act 2010.https:\/\/www.ontario.ca\/laws\/statute\/10e14. 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