Patients' experiences of obstetric and gynaecological care in Québec: interactions with healthcare providers, respect of rights, satisfaction, and trust in the healthcare system

Background and objectives: Obstetric and gynaecological care profoundly affects individuals' health and well-being. However, many international studies reveal negative and even dehumanizing experiences of this type of healthcare. This study documents recent experiences of obstetric and gynaecological care in Québec. We examine patient-healthcare provider interactions, respect for patient rights, whether patient needs are met, and how these factors impact satisfaction with the treatment provided and trust in the healthcare system. Methods: The PAROLES project is based on a self-report questionnaire posted online from July 2023 to January 2024. The sample comprises 1490 respondents who reported 1599 recent experiences of obstetric and gynaecological care. Descriptive analyses and linear regressions were performed. Results: Generally, patient-healthcare provider interactions were perceived positively, but some significant shortcomings were revealed in terms of unmet needs for shared decision-making and disrespected rights. Although patients were relatively satisfied with their care, there was considerable distrust in the healthcare system. Meeting needs in terms of shared decision-making and respecting rights were associated with overall satisfaction and trust in the healthcare system. Conclusion: The results uncover substantial inadequacies in obstetric and gynaecological care in Québec. To optimize patient-healthcare provider interactions and better meet patient needs, there must be greater respect for patients' rights.