A Medical Student Postpartum Telehealth Initiative During the COVID-19 Pandemic.

Autor: Wang E; Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, PA, USA. eileen.wang1@pennmedicine.upenn.edu., Gellman C; Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY, USA., Wood E; Department of Obstetrics and Gynecology, Weill Cornell Medicine, New York, NY, USA., Garvey KL; Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY, USA., Connolly C; Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY, USA., Barazani S; Long Island Jewish Medical Center, New Hyde Park, New York, NY, USA., Pruzan A; Department of Obstetrics and Gynecology, NYU Medical Center, New York, NY, USA., Abraham C; Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Jazyk: angličtina
Zdroj: Maternal and child health journal [Matern Child Health J] 2022 Jan; Vol. 26 (1), pp. 65-69. Date of Electronic Publication: 2021 Dec 01.
DOI: 10.1007/s10995-021-03314-0
Abstrakt: Purpose: The coronavirus disease 2019 (COVID-19) pandemic has had an unprecedented impact on our health systems and delivery of care and on the disruption of medical education. It has forced hospitals to move to a telehealth model for prenatal and postpartum visits and expedite discharges for postpartum patients in order to reduce exposure. We describe our medical school and hospital system initiative to employ medical student volunteers for postpartum telehealth calls during the peak of the COVID-19 pandemic in New York City.
Description: Ten medical students conducted phone interviews with postpartum patients within 72 h of discharge at three hospitals in a large NYC health system, with faculty preceptors at each site who provided daily call assignments and oversight. Students called patients to screen for risk factors for postpartum complications, including preeclampsia and postpartum depression; provide additional contraception counseling; and address newborn care and health. One week and 2 week post-discharge calls were also made for COVID-19 positive patients for ongoing symptom monitoring and counseling.
Assessment: We found numerous opportunities for intervention in postpartum health via telehealth, including addressing pharmacy-related needs, patient counseling, improving pain management, and identifying patients in need of emergent re-evaluation.
Conclusion: As this pandemic continues to evolve, our model demonstrates the feasibility of telehealth and medical student involvement in postpartum care and its benefits to patients, medical student learning, and alleviation of burden on obstetric staff.
(© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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