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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...

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Autores principales: Marshall, Cassondra, Gutierrez, Sirena, Hecht, Hannah, Logan, Rachel, Kerns, Jennifer, Diamond-Smith, Nadia
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
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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.
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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
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