The Uptake of Telemedicine in Obstetric Care During the Early Acute Phase of the Coronavirus 2019 Pandemic

McKenney, Kathryn; Lundsberg, Lisbet S.; Burris, Heather H.; Ledyard, Rachel; Son, Moeun; Greenspan, Jay S.; Handley, Sara C.; Dysart, Kevin; Culhane, Jennifer F.

doi:10.1089/tmj.2022.0291

Cited by 6 publications

(6 citation statements)

References 5 publications

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“…Education had six categories: some high school, high school diploma, some college, associate degree, bachelor’s degree, and graduate degree. Number of past live births (categorized as 0, 1, 2, and 3 or more) were included as secondary covariates of the pregnancy-related experience ( McKenney et al, 2022 ; Vintzileos et al, 2002 ).…”

Section: Methodsmentioning

confidence: 99%

Beyond Being Insured: Insurance Coverage Denial as a Major Barrier to Accessing Care During Pregnancy and Postpartum

et al. 2023

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This study investigates the association between insurance coverage denial and delays in care during pregnancy and postpartum. An online survey was administered in March and April 2022 to women who were either pregnant or within 1 year postpartum ( n = 1,113). The outcome was delayed care, measured at four time points: during pregnancy and 1 week, 2 to 6 weeks, and after 7 weeks postpartum. The key covariate was insurance coverage denial by providers during pregnancy. Delayed care due to having an unaccepted insurance and being “out-of-network” was more pronounced at 1 week postpartum with 3.37 times and 3.47 times greater odds and in 2 to 6 weeks postpartum with 5.74 times and 2.97 times greater odds, respectively. The association between insurance denial and delays in care encapsulated transportation, rural residency, time issues, and financial constraints. The findings suggest that coverage denial is associated with significant delays in care, providing practical implications for effective perinatal care.

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Section: Methodsmentioning

confidence: 99%

Beyond Being Insured: Insurance Coverage Denial as a Major Barrier to Accessing Care During Pregnancy and Postpartum

et al. 2023

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“…12 Despite a positive prenatal experience with telemedicine, a majority of patients still preferred in-person visits. 5,13 Although preliminary results were promising, these studies varied widely in research design, sample sizes, and outcomes assessed with minimal depth in exploring user satisfaction. Moreover, telemedicine research on prenatal ✦ The primary reasons cited for not using available virtual prenatal care were concerns about quality of care and potential challenges with developing trusting patient-provider relationships.…”

Section: Introductionmentioning

confidence: 99%

“…Despite a positive prenatal experience with telemedicine, a majority of patients still preferred in‐person visits 5,13 . Although preliminary results were promising, these studies varied widely in research design, sample sizes, and outcomes assessed with minimal depth in exploring user satisfaction.…”

Section: Introductionmentioning

confidence: 99%

Telemedicine for Routine Prenatal Care: Use and Satisfaction During the COVID‐19 Pandemic

Wu,

Phillippi,

Mueller

et al. 2024

J Midwife Womens Health

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IntroductionTelemedicine use in prenatal care has greatly expanded without substantial research. Optimizing user experiences can increase telemedicine's utilization to support care access. The purpose of this study was to explore patient and provider experiences using telemedicine for routine prenatal care during the COVID‐19 pandemic, identifying factors affecting its utilization and satisfaction.MethodsIn this mixed methods study, online surveys and semi‐structured interviews with pregnant and postpartum patients and perinatal providers across the United States were used to explore experiences with telemedicine and prenatal care during the COVID‐19 pandemic. Data were collected from July to December 2021. Survey findings were analyzed using descriptive and inferential statistics, and interviews were thematically coded and analyzed, followed by mixed methods analysis.ResultsResults of 946 surveys (750 patients and 196 providers) and 30 interviews (15 patients and 15 providers) met inclusion for analysis. Telemedicine was utilized by 42% of patients and 72% of perinatal provider participants. The primary reason patients did not use telemedicine was because it was not offered. Patients and providers who did not use telemedicine expressed the following main concerns with virtual care: uncertainty about care quality, particularly when blood pressure and the fetal heart rate were not assessed, and potential challenges with developing trusting patient‐provider relationships. Patients and providers who used telemedicine rated their experience as mild to moderate satisfaction across the 6 Telehealth Usability Questionnaire domains. Satisfaction scores were not dependent on whether physical examination components were included in virtual visits.DiscussionProviding patients with the choice to use telemedicine as needed or combined with in‐person visits for routine prenatal care may increase care utilization. Although not directly linked with satisfaction, interest in using telemedicine would likely increase for patients and providers concerned with care quality if blood pressure and fetal heart rate are assessed during virtual visits.

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“…The COVID-19 pandemic prompted many prenatal care clinicians to incorporate virtual care. Studies 1 , 2 , 3 at single clinical sites have found mixed results on prenatal telehealth access and satisfaction. However, few studies used data across multiple clinical sites.…”

Section: Introductionmentioning

confidence: 99%

“…Studies [1][2][3] at single clinical sites have found mixed results on prenatal telehealth access and satisfaction. However, few studies used data across multiple clinical sites.…”

Section: Introductionmentioning

confidence: 99%

Use of Prenatal Telehealth in the First Year of the COVID-19 Pandemic

Gourevitch,

Anyoha,

Ali

et al. 2023

JAMA Netw Open

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The Uptake of Telemedicine in Obstetric Care During the Early Acute Phase of the Coronavirus 2019 Pandemic

Cited by 6 publications

References 5 publications

Beyond Being Insured: Insurance Coverage Denial as a Major Barrier to Accessing Care During Pregnancy and Postpartum

Beyond Being Insured: Insurance Coverage Denial as a Major Barrier to Accessing Care During Pregnancy and Postpartum

Telemedicine for Routine Prenatal Care: Use and Satisfaction During the COVID‐19 Pandemic

Use of Prenatal Telehealth in the First Year of the COVID-19 Pandemic

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