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Table 5 Promax rotated factor solution for the birth phase

From: Validity of a questionnaire measuring the world health organization concept of health system responsiveness with respect to perinatal services in the dutch obstetric care system

  Factor   
Factor name Confidentiality Choice Dignity Prompt attention Autonomy Communication Quality of basic amenities   Unique variance
Respect shown during examinations (midwife) .032 .096 .670 -.004 -.053 -.004 -.178 .243 .305
Examination room suitable to provide privacy .090 .018 .792 .018 -.163 -.221 .137 -.013 .277
Treated with respect (midwife) -.103 -.138 .871 .037 -.059 .001 .057 .071 .310
Respect shown during examinations (nurse) -.004 .031 .768 -.051 .092 .193 -.095 -.061 .267
Treated with respect (nurse) -.056 -.103 .568 .032 .017 .244 .067 .029 .265
Involved in making a decision regarding your examinations or treatments -.163 .041 .065 -.058 .895 -.051 .010 .080 .279
Able to refuse examinations or treatments .011 -.029 -.162 .044 1.009 .059 -.102 -.006 .242
Asked permission before testing or starting treatment .059 .187 -.033 -.046 .693 -.067 -.046 .003 .377
Protecting your confidentiality during consultations (midwife) .635 .055 .135 -.003 .062 -.048 .100 .039 .234
Confidentiality kept on provided information (midwife) .773 .076 .099 -.098 .055 .014 .078 -.064 .179
Confidentiality of patients’ medical records preserved (midwife) .843 .063 .086 -.117 .065 -.020 -.070 .033 .161
Protecting your confidentiality during consultations (nurse) .548 -.081 -.051 .091 -.192 -.126 .071 .156 .584
Confidentiality kept on provided information (nurse) .955 -.079 -.066 .144 -.108 .113 -.023 -.050 .156
Confidentiality of patients’ medical records preserved (nurse) .872 .012 -.160 .099 .046 .089 .003 .016 .140
Information clearly explained (midwife) .236 -.221 -.072 .164 .225 .236 .000 .359 .281
Information about other treatment options (midwife) .065 .057 -.022 -.155 .157 .181 .093 .641 .211
Encouraged to ask questions about diseases. treatment and care (midwife) .105 .010 .131 .006 -.068 .201 -.059 .694 .233
Information clearly explained (nurse) .032 -.139 -.041 .013 .057 .720 .085 .188 .234
Information about other treatment options (nurse) .009 .079 -.062 -.078 .079 .701 .085 .225 .172
Encouraged to ask questions about diseases. treatment and care (nurse) .065 .047 .124 -.036 -.090 .699 -.045 .227 .216
Experience of the waiting time when arriving on the place of delivery .154 .031 -.102 .743 -.121 .012 -.051 .005 .423
Experience of the waiting time on examinations -.108 .109 .030 .683 .003 -.001 -.096 .399 .257
Experience of the waiting time after you asked for help (midwife) -.056 .196 .072 .724 -.068 -.101 -.031 -.014 .360
Accessibility by phone (midwife) -.026 .013 .188 .082 .089 .099 .270 .080 .493
Travelling time to the place of birth .082 -.144 .085 .514 .215 .038 .028 -.174 .463
Experience of the waiting time after you asked for help (nurse) .012 .034 .030 .406 -.023 .118 .234 -.002 .387
Accessibility by phone (nurse) .055 .164 -.020 .195 -.033 .237 .218 -.023 .402
Facilitate the support of relatives and friends (midwife) .144 .025 .000 -.064 -.098 -.032 .937 -.017 .253
Consideration of home situation when planning appointments/examinations .123 .101 .089 -.121 .190 .018 .466 .119 .253
Facilitate the support of relatives and friends (nurse) -.091 .075 .050 .077 -.057 .219 .690 -.026 .287
Hygiene of the toilets and examination rooms. -.068 -.086 .244 .167 .206 .108 .151 -.160 .503
Comfort of the examination rooms and waiting rooms .157 -.002 .256 .303 .201 -.108 .005 -.241 .440
Quality of the food -.078 .237 .143 .171 .193 -.153 -.039 -.028 .667
Able to choose own health care provider (midwife) .119 .611 -.116 .124 .032 -.264 .144 .132 .383
Able to be referred to a medical specialist (midwife) .267 .398 .127 -.165 .069 -.062 .014 .074 .404
Presence of different health care providers (midwife) .062 .622 -.039 .056 .066 .128 -.096 .043 .295
Continuity of care by one health care provider (midwife) .059 .434 .148 .179 .034 -.003 -.094 .119 .321
Able to choose own health care provider (nurse) -.207 .683 -.123 .020 .077 -.062 .344 -.016 .327
Presence of different health care providers (nurse) -.043 .760 -.002 -.029 -.076 .495 -.169 -.150 .269
Continuity of care of one health care provider (nurse) -.045 .492 -.024 .049 -.101 .558 .065 -.131 .294
  1. Total variance explained; 69%.
  2. For each factor the rotated solution of grouped items are made bold.