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Quality and satisfaction with care following changes to the structure of obstetric care during the COVID-19 pandemic in a safety-net hospital in Georgia: Results from a mixed-methods study
OBJECTIVE: To understand perceived quality of obstetric care following changes to the structure of care in a safety-net institution during the COVID-19 pandemic. METHODS: We conducted a mixed-methods study including a web-based survey (n = 67) and in-depth interviews (n = 16) between October 2020 an...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
National Medical Association. Published by Elsevier Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8759626/ https://www.ncbi.nlm.nih.gov/pubmed/35039177 http://dx.doi.org/10.1016/j.jnma.2021.12.017 |
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author | Stanhope, Kaitlyn K Piper, Kendra Goedken, Peggy Johnson, Tatyana Joseph, Naima T Ti, Angeline Geary, Franklyn Boulet, Sheree L |
author_facet | Stanhope, Kaitlyn K Piper, Kendra Goedken, Peggy Johnson, Tatyana Joseph, Naima T Ti, Angeline Geary, Franklyn Boulet, Sheree L |
author_sort | Stanhope, Kaitlyn K |
collection | PubMed |
description | OBJECTIVE: To understand perceived quality of obstetric care following changes to the structure of care in a safety-net institution during the COVID-19 pandemic. METHODS: We conducted a mixed-methods study including a web-based survey (n = 67) and in-depth interviews (n = 16) between October 2020 and January 2021. We present a descriptive analysis of quantitative results and key qualitative themes on reactions to changes and drivers of perceived quality. RESULTS: Reported quality was high for in-person and phone visits (median subscale responses: 5/5). Respondents were willing to include phone visits in care for a future pregnancy (77.8% (49)) but preferred in-person visits (84.1% (53)). In interviews, provider communication was the key driver of quality. Respondents found changes to care to be inconvenient but acceptable. CONCLUSIONS: To improve satisfaction with changes to care, health systems should ensure that relationship building remains a priority and offer patients information about the reason behind changes. |
format | Online Article Text |
id | pubmed-8759626 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | National Medical Association. Published by Elsevier Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-87596262022-01-18 Quality and satisfaction with care following changes to the structure of obstetric care during the COVID-19 pandemic in a safety-net hospital in Georgia: Results from a mixed-methods study Stanhope, Kaitlyn K Piper, Kendra Goedken, Peggy Johnson, Tatyana Joseph, Naima T Ti, Angeline Geary, Franklyn Boulet, Sheree L J Natl Med Assoc Article OBJECTIVE: To understand perceived quality of obstetric care following changes to the structure of care in a safety-net institution during the COVID-19 pandemic. METHODS: We conducted a mixed-methods study including a web-based survey (n = 67) and in-depth interviews (n = 16) between October 2020 and January 2021. We present a descriptive analysis of quantitative results and key qualitative themes on reactions to changes and drivers of perceived quality. RESULTS: Reported quality was high for in-person and phone visits (median subscale responses: 5/5). Respondents were willing to include phone visits in care for a future pregnancy (77.8% (49)) but preferred in-person visits (84.1% (53)). In interviews, provider communication was the key driver of quality. Respondents found changes to care to be inconvenient but acceptable. CONCLUSIONS: To improve satisfaction with changes to care, health systems should ensure that relationship building remains a priority and offer patients information about the reason behind changes. National Medical Association. Published by Elsevier Inc. 2022-02 2022-01-14 /pmc/articles/PMC8759626/ /pubmed/35039177 http://dx.doi.org/10.1016/j.jnma.2021.12.017 Text en © 2022 National Medical Association. Published by Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
spellingShingle | Article Stanhope, Kaitlyn K Piper, Kendra Goedken, Peggy Johnson, Tatyana Joseph, Naima T Ti, Angeline Geary, Franklyn Boulet, Sheree L Quality and satisfaction with care following changes to the structure of obstetric care during the COVID-19 pandemic in a safety-net hospital in Georgia: Results from a mixed-methods study |
title | Quality and satisfaction with care following changes to the structure of obstetric care during the COVID-19 pandemic in a safety-net hospital in Georgia: Results from a mixed-methods study |
title_full | Quality and satisfaction with care following changes to the structure of obstetric care during the COVID-19 pandemic in a safety-net hospital in Georgia: Results from a mixed-methods study |
title_fullStr | Quality and satisfaction with care following changes to the structure of obstetric care during the COVID-19 pandemic in a safety-net hospital in Georgia: Results from a mixed-methods study |
title_full_unstemmed | Quality and satisfaction with care following changes to the structure of obstetric care during the COVID-19 pandemic in a safety-net hospital in Georgia: Results from a mixed-methods study |
title_short | Quality and satisfaction with care following changes to the structure of obstetric care during the COVID-19 pandemic in a safety-net hospital in Georgia: Results from a mixed-methods study |
title_sort | quality and satisfaction with care following changes to the structure of obstetric care during the covid-19 pandemic in a safety-net hospital in georgia: results from a mixed-methods study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8759626/ https://www.ncbi.nlm.nih.gov/pubmed/35039177 http://dx.doi.org/10.1016/j.jnma.2021.12.017 |
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