User-centered care, engagement, and user's orientation preference in postpartum care of quality: practitioner-postpartum women interdependence mediation analysis

Postpartum or "zuo yue zi" services are well-received among Chinese communities such as Taiwan, China, Singapore, and Malaysia. The postpartum services provided by the confinement center or one-month home confinement are designed to support the needs of postpartum women and to help in regaining their health. The goal of this research was to analyse the impact of postpartum women-centered care towards the quality of the postpartum care. Engagement was proposed as the mediating variable to investigate whether postpartum women-centered care can drive the postpartum women's engagement and, eventually, improve the quality of care. In addition, patient-practitioner orientation preference was tested whether it moderates the relationship between postpartum women-centered behavior and quality of care. 80 female participants who had the experience of using postpartum service in Taiwan were recruited. The analysis results showed that postpartum women-centered care had significant and positive effect on quality of care. Meanwhile, the mediating effect of postpartum women engagement and the moderating effect of orientation preference were not significant.