Quality of prenatal and postpartum telehealth visits during COVID-19 and preferences for future careAJOG Global Reports at a Glance
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...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-02-01
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| Series: | AJOG Global Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666577822000879 |
| _version_ | 1797869690704363520 |
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| author | Cassondra Marshall, DrPH, MPH Sirena Gutierrez, MPH Hannah Hecht, MPH Rachel Logan, PhD, MPH Jennifer Kerns, MD, MPH Nadia Diamond-Smith, PhD, MS |
| author_facet | Cassondra Marshall, DrPH, MPH Sirena Gutierrez, MPH Hannah Hecht, MPH Rachel Logan, PhD, MPH Jennifer Kerns, MD, MPH Nadia Diamond-Smith, PhD, MS |
| author_sort | Cassondra Marshall, DrPH, MPH |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-04-10T00:15:30Z |
| format | Article |
| id | doaj.art-6b93ab2252ec43558b1f37d6cb40453b |
| institution | Directory Open Access Journal |
| issn | 2666-5778 |
| language | English |
| last_indexed | 2024-04-10T00:15:30Z |
| publishDate | 2023-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | AJOG Global Reports |
| spelling | doaj.art-6b93ab2252ec43558b1f37d6cb40453b2023-03-16T05:06:25ZengElsevierAJOG Global Reports2666-57782023-02-0131100139Quality of prenatal and postpartum telehealth visits during COVID-19 and preferences for future careAJOG Global Reports at a GlanceCassondra Marshall, DrPH, MPH0Sirena Gutierrez, MPH1Hannah Hecht, MPH2Rachel Logan, PhD, MPH3Jennifer Kerns, MD, MPH4Nadia Diamond-Smith, PhD, MS5School of Public Health, University of California, Berkeley, Berkeley, CA (Dr Marshall and Ms Hecht); Corresponding author: Cassondra Marshall, DrPH, MPHDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA (Ms Gutierrez and Dr Diamond-Smith)School of Public Health, University of California, Berkeley, Berkeley, CA (Dr Marshall and Ms Hecht)Department of Family and Community Medicine, Person-Centered Reproductive Health Program, University of California, San Francisco, San Francisco, CA (Dr Logan)Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, San Francisco, CA (Dr Kerns)Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA (Ms Gutierrez and Dr Diamond-Smith)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.http://www.sciencedirect.com/science/article/pii/S2666577822000879antenatal careCOVID-19pandemicpatient-centered careperinatal careprovider–patient relationships |
| spellingShingle | Cassondra Marshall, DrPH, MPH Sirena Gutierrez, MPH Hannah Hecht, MPH Rachel Logan, PhD, MPH Jennifer Kerns, MD, MPH Nadia Diamond-Smith, PhD, MS Quality of prenatal and postpartum telehealth visits during COVID-19 and preferences for future careAJOG Global Reports at a Glance AJOG Global Reports antenatal care COVID-19 pandemic patient-centered care perinatal care provider–patient relationships |
| title | Quality of prenatal and postpartum telehealth visits during COVID-19 and preferences for future careAJOG Global Reports at a Glance |
| title_full | Quality of prenatal and postpartum telehealth visits during COVID-19 and preferences for future careAJOG Global Reports at a Glance |
| title_fullStr | Quality of prenatal and postpartum telehealth visits during COVID-19 and preferences for future careAJOG Global Reports at a Glance |
| title_full_unstemmed | Quality of prenatal and postpartum telehealth visits during COVID-19 and preferences for future careAJOG Global Reports at a Glance |
| title_short | Quality of prenatal and postpartum telehealth visits during COVID-19 and preferences for future careAJOG Global Reports at a Glance |
| title_sort | quality of prenatal and postpartum telehealth visits during covid 19 and preferences for future careajog global reports at a glance |
| topic | antenatal care COVID-19 pandemic patient-centered care perinatal care provider–patient relationships |
| url | http://www.sciencedirect.com/science/article/pii/S2666577822000879 |
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