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KMID : 0361720140250030159
Korean Journal of perinatology
2014 Volume.25 No. 3 p.159 ~ p.165
Current Status and Availability of Specialized Maternity Non-Standard Room for Delivering Mothers
Yoon Jung-Won

Han Sang-Won
Lee San-Hui
Jung Yeon-Soo
Kim Ji-Man
Kim Eui-Hyeok
Abstract
Purpose : Demand of specialized maternity ward is increasing as national income level rises. However, the National Health Insurance limits the number of hospital¡¯s non-standard room to less than 50% of total hospital beds. Therefore, this research was performed to investigate the utilization of non-standard room among the Korean women who recently delivered baby in medical facilities in order to examine the factors affecting their selection.

Methods : One hundred sixty six medical facilities which deliver a minimum of ten cases in the year 2011 were selected and categorized by type, region, and size. A cross-sectional survey was done in November 2012 by a professional research survey company. Eight hundred and two pregnant women answered the questionnaire through a face-to-face interview.

Results : Of the 802 expecting mothers, 690 (86%) occupied non-standard room and 684 (85.2%) preferred non-standard room to the standard room. Satisfaction levels were significantly higher in mothers occupying non-standard room [5.9¡¾1.0 vs. 5.4¡¾1.2 (0-7 scale), P<0.01] and high-income families used non-standard room more often. Reasons for using non-standard room included adequate convalescence (78%), separate place for breastfeeding (6.1%), and convenience on receiving visitors (5.4%). Preference for non-standard room on next visit was higher in case of delivery compared to other cause of hospitalization (81.8% vs. 44.9%, P<0.001).

Conclusions : Preference and actual use of non-standard room after delivery was significant. In spite of concrete preference, there was certain barrier in use of non-standard room according to income and types of hospitals. Therefore, changes of policy are needed such as insurance support for room charge in case of delivery.
KEYWORD
Patients` rooms, Maternal health service, Availability, Delivery, Postpartum
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