دورية أكاديمية
أعرض في EDS

The Successes and Challenges of Implementing Telehealth for Diverse Patient Populations Requiring Prenatal Care During COVID-19: Qualitative Study.

التفاصيل البيبلوغرافية
العنوان: The Successes and Challenges of Implementing Telehealth for Diverse Patient Populations Requiring Prenatal Care During COVID-19: Qualitative Study.
المؤلفون: Farrell R; Obstetrics and Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, OH, United States.; Genomic Medicine Institute, Cleveland Clinic, Cleveland, OH, United States.; Center for Bioethics, Cleveland Clinic, Cleveland, OH, United States., Collart C; Obstetrics and Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, OH, United States., Craighead C; Obstetrics and Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, OH, United States., Pierce M; Obstetrics and Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, OH, United States., Chien E; Obstetrics and Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, OH, United States., Frankel R; Research Innovation and Education, Cleveland Clinic Lerner College of Medicine, Cleveland, OH, United States., Tucker Edmonds B; Department of Obstetrics and Gynecology, Indiana University, Indianapolis, IN, United States., Perni U; Obstetrics and Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, OH, United States., Coleridge M; Obstetrics and Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, OH, United States.; Genomic Medicine Institute, Cleveland Clinic, Cleveland, OH, United States., Ranzini AC; Department of Obstetrics and Gynecology, MetroHealth Medical Center, Cleveland, OH, United States., Rose S; Center for Patience Experience, Cleveland Clinic, Cleveland, OH, United States.
المصدر: JMIR formative research [JMIR Form Res] 2022 Mar 30; Vol. 6 (3), pp. e32791. Date of Electronic Publication: 2022 Mar 30.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: JMIR Publications Country of Publication: Canada NLM ID: 101726394 Publication Model: Electronic Cited Medium: Internet ISSN: 2561-326X (Electronic) Linking ISSN: 2561326X NLM ISO Abbreviation: JMIR Form Res Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Toronto, ON, Canada : JMIR Publications, [2017]-
مستخلص: Background: Although telehealth appears to have been accepted among some obstetric populations before the COVID-19 pandemic, patients' receptivity and experience with the rapid conversion of this mode of health care delivery are unknown.
Objective: In this study, we examine patients' prenatal care needs, preferences, and experiences during the COVID-19 pandemic, with the aim of supporting the development of successful models to serve the needs of pregnant patients, obstetric providers, and health care systems during this time.
Methods: This study involved qualitative methods to explore pregnant patients' experiences with prenatal health care delivery at the onset of the COVID-19 pandemic. We conducted in-depth interviews with pregnant patients in the first and second trimester of pregnancy who received prenatal care in Cleveland, Ohio, from May to July 2020. An interview guide was used to probe experiences with health care delivery as it rapidly evolved at the onset of the pandemic.
Results: Although advantages of telehealth were noted, there were several concerns noted with the broad implementation of telehealth for prenatal care during the pandemic. This included concerns about monitoring the pregnancy at home; the need for additional reassurance for the pregnancy, given the uncertainties presented by the pandemic; and the ability to have effective patient-provider discussions via a telehealth visit. The need to tailor telehealth to prenatal health care delivery was noted.
Conclusions: Although previous studies have demonstrated that telehealth is a flexible and convenient alternative for some prenatal appointments, our study suggests that there may be specific needs and concerns among the diverse patient groups using this modality during the pandemic. More research is needed to understand patients' experiences with telehealth during the pandemic and develop approaches that are responsive to the needs and preferences of patients.
(©Ruth Farrell, Christina Collart, Caitlin Craighead, Madelyn Pierce, Edward Chien, Richard Frankel, Brownsyne Tucker Edmonds, Uma Perni, Marissa Coleridge, Angela C Ranzini, Susannah Rose. Originally published in JMIR Formative Research (https://formative.jmir.org), 30.03.2022.)
References: Birth. 2002 Jun;29(2):101-11. (PMID: 12051188)
Am J Reprod Immunol. 2015 Mar;73(3):199-213. (PMID: 25582523)
Am J Obstet Gynecol MFM. 2020 May;2(2):100118. (PMID: 32292903)
J Womens Health (Larchmt). 2021 Feb;30(2):274-279. (PMID: 33211604)
J Obstet Gynaecol Res. 2019 Jul;45(7):1376-1381. (PMID: 31060105)
Soc Sci Med. 2006 Oct;63(7):1934-46. (PMID: 16781809)
Obstet Gynecol. 2020 May;135(5):1038-1046. (PMID: 32282598)
Obstet Gynecol. 2020 Aug;136(2):317-322. (PMID: 32544144)
Ethics Hum Res. 2020 Jul;42(4):17-23. (PMID: 32562594)
N Engl J Med. 2016 Jun 2;374(22):2142-51. (PMID: 27028667)
Death Stud. 2009 Jan;33(1):1-29. (PMID: 19140290)
MCN Am J Matern Child Nurs. 2014 May-Jun;39(3):165-74; quiz 175-6. (PMID: 24472796)
Arch Pathol Lab Med. 2020 Jul 1;144(7):799-805. (PMID: 32180426)
Obstet Gynecol. 2020 Feb;135(2):e73-e79. (PMID: 31977796)
Health Care Women Int. 2004 Jun-Jul;25(6):543-60. (PMID: 15354621)
Am J Perinatol. 2020 Aug;37(10):1005-1014. (PMID: 32516816)
MMWR Morb Mortal Wkly Rep. 2020 Nov 06;69(44):1641-1647. (PMID: 33151921)
Semin Perinatol. 2020 Oct;44(6):151300. (PMID: 32928561)
Am J Perinatol. 2020 Jun;37(8):800-808. (PMID: 32396948)
Obstet Gynecol Clin North Am. 2020 Sep;47(3):497-502. (PMID: 32762934)
Am J Obstet Gynecol. 2020 Sep;223(3):389.e1-389.e10. (PMID: 32425200)
Semin Perinatol. 2017 Aug;41(5):308-317. (PMID: 28625554)
Am J Perinatol. 2021 Jan;38(1):88-92. (PMID: 33038898)
Matern Child Health J. 2020 Sep;24(9):1104-1110. (PMID: 32564248)
Obstet Gynecol. 2020 Feb;135(2):371-382. (PMID: 31977782)
Am J Obstet Gynecol. 2019 Dec;221(6):638.e1-638.e8. (PMID: 31228414)
JAMA. 2010 Apr 21;303(15):1517-25. (PMID: 20407061)
Prev Chronic Dis. 2020 Jul 23;17:E70. (PMID: 32701430)
معلومات مُعتمدة: R01 HG010092 United States HG NHGRI NIH HHS
فهرسة مساهمة: Keywords: COVID-19; challenge; development; diversity; experience; obstetric; patient experience; pregnancy; prenatal; prenatal health care delivery; reception; telehealth; telemedicine; women
تواريخ الأحداث: Date Created: 20220311 Latest Revision: 20230404
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC8970157
DOI: 10.2196/32791
PMID: 35275833
قاعدة البيانات: MEDLINE
الوصف
تدمد:2561-326X
DOI:10.2196/32791