Explaining Women's High Satisfaction With Objectively Poor Quality Childbirth Services: Armenia as a Case Study

Ruzanna Grigoryan, Michael E. Thompson, Byron Crape, Kim Hekimian

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Despite documented low-quality care in Armenia, surveys document high ratings of patient satisfaction with health care services. We explored reasons for high satisfaction in Armenia despite poor quality. Twenty-five women who recently delivered participated in this qualitative study through in-depth interviews. Patients avoided critiquing health care services because of personal relationships with and respect for providers and fear of losing services. Although they shared an understanding of what quality care should be, many were satisfied because their low expectations were met. Further mixed methods research may explain this dissonance. Until then, patient satisfaction measures need careful, contextual interpretations.

Original languageEnglish
Pages (from-to)121-134
Number of pages14
JournalHealth Care for Women International
Volume36
Issue number1
DOIs
Publication statusPublished - Jan 2 2015

ASJC Scopus subject areas

  • Health Professions(all)

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