Telehealth Uptake into Prenatal Care and Provider Attitudes during the COVID-19 Pandemic in New York City: A Quantitative and Qualitative Analysis

Autor: Nicole Krenitsky, Alexander M. Friedman, Ashanda M. Saint Jean, Russell S. Miller, Erica Spiegel, Chia Ling Nhan-Chang, Samsiya Ona, Janice Aubey, Lynn L. Simpson, Karin Fuchs, Mary E. D'Alton, Caitlin Baptiste, Aleha Aziz, Nigel Madden, Sneha Kondragunta, Ukachi N. Emeruwa, Cynthia Gyamfi-Bannerman, Hope S. Yates, Dena Goffman, Noelia Zork, Jaclyn Coletta, Hemangi P. Shukla
Rok vydání: 2020
Předmět:
Adult
medicine.medical_specialty
Attitude of Health Personnel
telehealth
Health Personnel
education
Pneumonia
Viral
MEDLINE
Gestational Age
Prenatal care
Telehealth
03 medical and health sciences
0302 clinical medicine
Documentation
Pregnancy
Pandemic
Obstetrics and Gynaecology
medicine
Humans
Pediatrics
Perinatology
and Child Health
health services
Pandemics
health care economics and organizations
Qualitative Research
Academic Medical Centers
Infection Control
030219 obstetrics & reproductive medicine
business.industry
Medicaid
Attendance
Obstetrics and Gynecology
COVID-19
Prenatal Care
Transitional Care
Telemedicine
United States
Evaluation Studies as Topic
Family medicine
Pediatrics
Perinatology and Child Health
Female
New York City
Original Article
Patient Safety
business
Coronavirus Infections
Qualitative research
Zdroj: American Journal of Perinatology
ISSN: 1098-8785
Popis: Objective This study aimed to (1) determine to what degree prenatal care was able to be transitioned to telehealth at prenatal practices associated with two affiliated hospitals in New York City during the novel coronavirus disease 2019 (COVID-19) pandemic and (2) describe providers' experience with this transition. Study Design Trends in whether prenatal care visits were conducted in-person or via telehealth were analyzed by week for a 5-week period from March 9 to April 12 at Columbia University Irving Medical Center (CUIMC)-affiliated prenatal practices in New York City during the COVID-19 pandemic. Visits were analyzed for maternal-fetal medicine (MFM) and general obstetrical faculty practices, as well as a clinic system serving patients with public insurance. The proportion of visits that were telehealth was analyzed by visit type by week. A survey and semistructured interviews of providers were conducted evaluating resources and obstacles in the uptake of telehealth. Results During the study period, there were 4,248 visits, of which approximately one-third were performed by telehealth ( n = 1,352, 31.8%). By the fifth week, 56.1% of generalist visits, 61.5% of MFM visits, and 41.5% of clinic visits were performed via telehealth. A total of 36 providers completed the survey and 11 were interviewed. Accessing technology and performing visits, documentation, and follow-up using the telehealth electronic medical record were all viewed favorably by providers. In transitioning to telehealth, operational challenges were more significant for health clinics than for MFM and generalist faculty practices with patients receiving public insurance experiencing greater difficulties and barriers to care. Additional resources on the patient and operational level were required to optimize attendance at in-person and video visits for clinic patients. Conclusion Telehealth was rapidly implemented in the setting of the COVID-19 pandemic and was viewed favorably by providers. Limited barriers to care were observed for practices serving patients with commercial insurance. However, to optimize access for patients with Medicaid, additional patient-level and operational supports were required. Key Points Telehealth uptake differed based on insurance. Medicaid patients may require increased assistance for telehealth. Quick adoption of telehealth is feasible.
Databáze: OpenAIRE
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