Addressing Disparities in Prenatal Care via Telehealth During COVID-19: Prenatal Satisfaction Survey in East Harlem
Addressing Disparities in Prenatal Care via Telehealth During COVID-19: Prenatal Satisfaction Survey in East Harlem
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DOI：
10.1055/s-0040-1718695
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发表时间：
2020-10-10
影响因子：
2
通讯作者：
Clare, Camille A.
中科院分区：
文献类型：
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作者：
Futterman, Itamar;Rosenfeld, Emily;Clare, Camille A.
目的比较新型冠状病毒病2019 （COVID-19）大流行高峰期间，某内城安全网医院患者对远程医疗和上门产前护理的满意度。研究设计通过这项横断面研究，确定了在COVID-19大流行期间至少接受过一次电视探视和一次亲自探视的患者。患者满意度短期评估（SAPS）调查用于测量患者满意度。在电话会议结束时，进行了有关面对面和电视的调查，并记录了总体满意度得分。如果患者只接受面对面或虚拟护理，而不是两者都接受，则排除在外。SAPS评分与患者满意度相关。结果从2020年3月1日至2020年5月1日，共有140例患者接受了虚拟和面对面的产前护理。104名患者（74%）同意接受调查：77名（74%）自称为西班牙裔，56名（54%）表示他们的主要语言是西班牙语。电视访问和亲自访问的总体满意度中位数分别为20分（四分位间距[IQR]: 20, 25）和24分（IQR: 22, 26） （p = 0.008,Zscore = 2.651）。在自认为是西班牙裔或以西班牙语为主要语言的患者中，他们的满意度得分没有统计学上的显著差异。结论虽然患者对电视的满意度在各个类别中得分较低，但由于中位数均在“满意”范围内，因此没有临床意义上的差异。远程医疗降低了患者暴露于严重急性呼吸综合征-冠状病毒2 （SARS-CoV-2）的风险，特别是那些面临获得护理机会减少风险和按邮政编码分类的COVID-19病例较高的患者，因此可以在不影响患者对护理满意度的情况下适当地继续进行满意的产前护理。
Objective In the setting of an inner city, safety net hospital, patient satisfaction with prenatal care conducted via telehealth was compared with in-person visits at the height of the novel coronavirus disease 2019 (COVID-19) pandemic. Study Design Through this cross-sectional study, patients were identified who received at least one televisit and one in-person visit during the COVID-19 pandemic. The Short Assessment of Patient Satisfaction (SAPS) survey was used to measure patient satisfaction. Surveys pertaining to in-person and televisits were conducted at the end of a telephone encounter, and overall satisfaction scores were documented. Patients were excluded if they received in-person or virtual care only and not both. The SAPS score correlated with the degree of patient satisfaction. Results A total of 140 patients were identified who received both virtual and in-person prenatal care from March 1, 2020 to May 1, 2020. One hundred and four patients (74%) agreed to be surveyed: 77 (74%) self-identified as Hispanic and 56 (54%) stated that their primary language was Spanish. The overall median satisfaction score for televisits and in-person visits was 20 (interquartile range [IQR]: 20, 25) and 24 (IQR: 22, 26) (p = 0.008,Zscore = 2.651). In patients who self-identified as Hispanic or identified their primary language as Spanish, there was no statistically significant difference in their satisfaction scores. Conclusion While there were lower scores in patient satisfaction for televisits in every category, there were no clinically significant differences since all medians were in the "satisfied" range. By lowering patient exposure to severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2), especially for those at risk for reduced access to care and higher COVID-19 cases by zip code, telehealth allowed for appropriate continuation of satisfactory prenatal care with no impact on patient perceived satisfaction of care.