Cargando…
Quality of prenatal and postpartum telehealth visits during COVID-19 and preferences for future care
BACKGROUND: At the start of the COVID-19 pandemic, telehealth practices for pregnancy-related care were rapidly implemented. Telehealth for pregnancy-related care is likely to continue after the pandemic. In order for health systems and clinicians to provide person-centered pregnancy-related care vi...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9699818/ https://www.ncbi.nlm.nih.gov/pubmed/36465317 http://dx.doi.org/10.1016/j.xagr.2022.100139 |
_version_ | 1784839168300417024 |
---|---|
author | Marshall, Cassondra Gutierrez, Sirena Hecht, Hannah Logan, Rachel Kerns, Jennifer Diamond-Smith, Nadia |
author_facet | Marshall, Cassondra Gutierrez, Sirena Hecht, Hannah Logan, Rachel Kerns, Jennifer Diamond-Smith, Nadia |
author_sort | Marshall, Cassondra |
collection | PubMed |
description | BACKGROUND: At the start of the COVID-19 pandemic, telehealth practices for pregnancy-related care were rapidly implemented. Telehealth for pregnancy-related care is likely to continue after the pandemic. In order for health systems and clinicians to provide person-centered pregnancy-related care via telehealth, it is critical to understand patients’ telehealth experiences and their preferences regarding the use of telehealth moving forward. OBJECTIVE: This study aimed to describe perceived quality of prenatal and postpartum telehealth visits during COVID-19 and to examine the association between telehealth quality during the pandemic and future telehealth preferences. STUDY DESIGN: We used data from of an online sample of US women aged 18 to 45 years seeking reproductive health care during COVID-19. Two cross-sections of survey data were collected in July 2020 and January 2021. This analysis included those who sought prenatal (n=1496) or postpartum (n=482) care during the pandemic. Among those who had a prenatal or postpartum telehealth visit, we used multivariable logistic regression to examine the association between a measure of perceived telehealth quality and openness to future telehealth visits, adjusting for sociodemographic characteristics. RESULTS: A total of 57.5% of prenatal and 52.9% of postpartum respondents had a telehealth appointment. Respondents agreed with most statements about the quality of their telehealth appointments, with ≥80% reporting that they were convenient, easy, safe, and provided good information. Lower-ranked quality items were related to visits feeling personal and the patient feeling cared for. A total of 35.2% of prenatal (n=816) and 43.3% of postpartum (n=231) respondents expressed openness to telehealth visits in the future. Prenatal and postpartum respondents reporting higher telehealth quality had increased odds of being open to telehealth in the future (prenatal: adjusted odds ratio, 1.2; 95% confidence interval, 1.2–1.3; postpartum: adjusted odds ratio, 1.2; 95% confidence interval, 1.1–1.3). CONCLUSION: Prenatal and postpartum respondents with better telehealth experiences were more likely to express openness to telehealth in the future, although most preferred future in-person visits. As pregnancy-related telehealth continues, it is important to offer appointment options that match patient preferences, especially populations that face barriers in access to care, and to explore ways to personalize care and support positive patient–provider relationships. |
format | Online Article Text |
id | pubmed-9699818 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-96998182022-11-28 Quality of prenatal and postpartum telehealth visits during COVID-19 and preferences for future care Marshall, Cassondra Gutierrez, Sirena Hecht, Hannah Logan, Rachel Kerns, Jennifer Diamond-Smith, Nadia AJOG Glob Rep Original Research BACKGROUND: At the start of the COVID-19 pandemic, telehealth practices for pregnancy-related care were rapidly implemented. Telehealth for pregnancy-related care is likely to continue after the pandemic. In order for health systems and clinicians to provide person-centered pregnancy-related care via telehealth, it is critical to understand patients’ telehealth experiences and their preferences regarding the use of telehealth moving forward. OBJECTIVE: This study aimed to describe perceived quality of prenatal and postpartum telehealth visits during COVID-19 and to examine the association between telehealth quality during the pandemic and future telehealth preferences. STUDY DESIGN: We used data from of an online sample of US women aged 18 to 45 years seeking reproductive health care during COVID-19. Two cross-sections of survey data were collected in July 2020 and January 2021. This analysis included those who sought prenatal (n=1496) or postpartum (n=482) care during the pandemic. Among those who had a prenatal or postpartum telehealth visit, we used multivariable logistic regression to examine the association between a measure of perceived telehealth quality and openness to future telehealth visits, adjusting for sociodemographic characteristics. RESULTS: A total of 57.5% of prenatal and 52.9% of postpartum respondents had a telehealth appointment. Respondents agreed with most statements about the quality of their telehealth appointments, with ≥80% reporting that they were convenient, easy, safe, and provided good information. Lower-ranked quality items were related to visits feeling personal and the patient feeling cared for. A total of 35.2% of prenatal (n=816) and 43.3% of postpartum (n=231) respondents expressed openness to telehealth visits in the future. Prenatal and postpartum respondents reporting higher telehealth quality had increased odds of being open to telehealth in the future (prenatal: adjusted odds ratio, 1.2; 95% confidence interval, 1.2–1.3; postpartum: adjusted odds ratio, 1.2; 95% confidence interval, 1.1–1.3). CONCLUSION: Prenatal and postpartum respondents with better telehealth experiences were more likely to express openness to telehealth in the future, although most preferred future in-person visits. As pregnancy-related telehealth continues, it is important to offer appointment options that match patient preferences, especially populations that face barriers in access to care, and to explore ways to personalize care and support positive patient–provider relationships. Elsevier 2022-11-26 /pmc/articles/PMC9699818/ /pubmed/36465317 http://dx.doi.org/10.1016/j.xagr.2022.100139 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Research Marshall, Cassondra Gutierrez, Sirena Hecht, Hannah Logan, Rachel Kerns, Jennifer Diamond-Smith, Nadia Quality of prenatal and postpartum telehealth visits during COVID-19 and preferences for future care |
title | Quality of prenatal and postpartum telehealth visits during COVID-19 and preferences for future care |
title_full | Quality of prenatal and postpartum telehealth visits during COVID-19 and preferences for future care |
title_fullStr | Quality of prenatal and postpartum telehealth visits during COVID-19 and preferences for future care |
title_full_unstemmed | Quality of prenatal and postpartum telehealth visits during COVID-19 and preferences for future care |
title_short | Quality of prenatal and postpartum telehealth visits during COVID-19 and preferences for future care |
title_sort | quality of prenatal and postpartum telehealth visits during covid-19 and preferences for future care |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9699818/ https://www.ncbi.nlm.nih.gov/pubmed/36465317 http://dx.doi.org/10.1016/j.xagr.2022.100139 |
work_keys_str_mv | AT marshallcassondra qualityofprenatalandpostpartumtelehealthvisitsduringcovid19andpreferencesforfuturecare AT gutierrezsirena qualityofprenatalandpostpartumtelehealthvisitsduringcovid19andpreferencesforfuturecare AT hechthannah qualityofprenatalandpostpartumtelehealthvisitsduringcovid19andpreferencesforfuturecare AT loganrachel qualityofprenatalandpostpartumtelehealthvisitsduringcovid19andpreferencesforfuturecare AT kernsjennifer qualityofprenatalandpostpartumtelehealthvisitsduringcovid19andpreferencesforfuturecare AT diamondsmithnadia qualityofprenatalandpostpartumtelehealthvisitsduringcovid19andpreferencesforfuturecare |