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Quality and satisfaction with care following changes to the structure of obstetric care during the COVID-19 pandemic in a safety-net hospital in Georgia: Results from a mixed-methods study.
Stanhope, Kaitlyn K; Piper, Kendra; Goedken, Peggy; Johnson, Tatyana; Joseph, Naima T; Ti, Angeline; Geary, Franklyn; Boulet, Sheree L.
  • Stanhope KK; Department of Gynecology and Obstetrics Emory University School of Medicine, Division of Research, 49 Jesse Hill Dr SE, Faculty Office Building, office 353, 49 Jesse Hill Jr. Drive, Atlanta, GA 30303, United States. Electronic address: Kaitlyn.keirsey.stanhope@emory.edu.
  • Piper K; Morehouse School of Medicine, Department of Community Health and Preventive Medicine, 720 Westview Dr SW, Atlanta, GA 30310, United States.
  • Goedken P; Department of Gynecology and Obstetrics Emory University School of Medicine, Division of Research, 49 Jesse Hill Dr SE, Faculty Office Building, office 353, 49 Jesse Hill Jr. Drive, Atlanta, GA 30303, United States.
  • Johnson T; Emory University School of Medicine 201 Dowman Dr, Atlanta, GA 30322, United States.
  • Joseph NT; Department of Gynecology and Obstetrics Emory University School of Medicine, Division of Research, 49 Jesse Hill Dr SE, Faculty Office Building, office 353, 49 Jesse Hill Jr. Drive, Atlanta, GA 30303, United States; Harvard Medical School, 25 Shattuck St, Boston, MA 02115, United States.
  • Ti A; Department of Gynecology and Obstetrics Emory University School of Medicine, Division of Research, 49 Jesse Hill Dr SE, Faculty Office Building, office 353, 49 Jesse Hill Jr. Drive, Atlanta, GA 30303, United States; Wellstar Medical Center, 303 Parkway Dr NE, Atlanta, GA 30312, United States.
  • Geary F; Department of Obstetrics and Gynecology, Morehouse School of Medicine, 720 Westview Dr SW, Atlanta, GA 30310, United States.
  • Boulet SL; Department of Gynecology and Obstetrics Emory University School of Medicine, Division of Research, 49 Jesse Hill Dr SE, Faculty Office Building, office 353, 49 Jesse Hill Jr. Drive, Atlanta, GA 30303, United States.
J Natl Med Assoc ; 114(1): 94-103, 2022 Feb.
Article in English | MEDLINE | ID: covidwho-1620864
ABSTRACT

OBJECTIVE:

To understand perceived quality of obstetric care following changes to the structure of care in a safety-net institution during the COVID-19 pandemic.

METHODS:

We conducted a mixed-methods study including a web-based survey (n = 67) and in-depth interviews (n = 16) between October 2020 and January 2021. We present a descriptive analysis of quantitative results and key qualitative themes on reactions to changes and drivers of perceived quality.

RESULTS:

Reported quality was high for in-person and phone visits (median subscale responses 5/5). Respondents were willing to include phone visits in care for a future pregnancy (77.8% (49)) but preferred in-person visits (84.1% (53)). In interviews, provider communication was the key driver of quality. Respondents found changes to care to be inconvenient but acceptable.

CONCLUSIONS:

To improve satisfaction with changes to care, health systems should ensure that relationship building remains a priority and offer patients information about the reason behind changes.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Telemedicine / COVID-19 Type of study: Observational study / Qualitative research Limits: Female / Humans / Pregnancy Country/Region as subject: North America Language: English Journal: J Natl Med Assoc Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Telemedicine / COVID-19 Type of study: Observational study / Qualitative research Limits: Female / Humans / Pregnancy Country/Region as subject: North America Language: English Journal: J Natl Med Assoc Year: 2022 Document Type: Article