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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...

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Autores principales: Stanhope, Kaitlyn K, Piper, Kendra, Goedken, Peggy, Johnson, Tatyana, Joseph, Naima T, Ti, Angeline, Geary, Franklyn, Boulet, Sheree L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: National Medical Association. Published by Elsevier Inc. 2022
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.
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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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