Telemedicine for contraceptive counseling: Patient experiences during the early phase of the COVID-19 pandemic in New York City.
Telemedicine for contraceptive counseling: Patient experiences during the early phase of the COVID-19 pandemic in New York City.
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DOI：
10.1016/j.contraception.2021.04.006
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发表时间：
2021-09
期刊：
影响因子：
2.9
通讯作者：
Benfield NC
中科院分区：
文献类型：
--
作者：
Stifani BM;Smith A;Avila K;Boos EW;Ng J;Levi EE;Benfield NC
在COVID-19大流行期间，许多临床医生增加了远程医疗服务的提供。本研究描述了纽约市在COVID-19大流行期间使用远程医疗进行避孕咨询的患者体验。这是一项混合方法研究，包括基于网络或电话调查以及对接受远程医疗避孕访视的患者进行深入电话访谈。2020年4月1日至6月30日期间，共有169名患者接受了合格的远程医疗就诊。其中，86人（51%）对调查作出了答复，23人（14%）参加了访谈。我们发现，86%的受访者对远程医疗访问非常满意，63%的受访者表示完全满足他们的需求。大多数受访者（73%）强烈同意在COVID-19疫情后应维持这些访问，一半（51%）的受访者很可能选择这些访问而不是亲自访问。深入访谈强调了远程医疗的便利性，特别是对那些有工作或育儿责任的人。虽然一些患者在远程医疗后进行了面对面的访问，但许多人都很欣赏他们远程接受的咨询，并发现随后的面对面访问更有效。患者认为不需要体检的就诊是远程保健的理想就诊，有些人希望他们未来的所有或大部分就诊都是远程保健就诊。许多患者（43%）表示更喜欢电话而不是视频访问。患者报告称，在COVID-19大流行期间，远程医疗访问避孕咨询的总体体验是积极的。他们赞赏远程医疗访问的便利性，并重视虚拟咨询体验。在COVID-19大流行期间启动或扩大避孕咨询远程医疗服务的卫生保健提供者应考虑在大流行后继续提供这些服务。在政策层面，这些研究结果有利于扩大远程医疗的可及性，并为虚拟就诊（包括电话就诊）提供报销。
During theCOVID-19 pandemic, many clinicians increased provision of telemedicine services. This study describes patient experiences with telemedicine for contraceptive counseling during the COVID-19 pandemic in New York City. This is a mixed-methods study which includes a web-based or phone survey and in-depth phone interviews with patients who had telemedicine visits for contraception. A total of 169 patients had eligible telemedicine visits between April 1 and June 30, 2020. Of these, 86 (51%) responded to the survey, and 23 (14%) participated in the interviews. We found that 86% of survey respondents were very satisfied with the telemedicine visit, and 63% said it completely met their needs. A majority (73%) strongly agreed that these visits should be maintained after the COVID-19 pandemic, and half (51%) would be very likely to choose them over in-person visits. In-depth interviews highlighted the convenience of telemedicine, especially for those with work or parenting responsibilities. Although some patients had in-person visits after telehealth, many appreciated the counseling they received remotely, and found the subsequent in-person visits more efficient. Patients identified visits that do not require physical exams as ideal visits for telehealth, and some hoped that all or most of their future visits would be telehealth visits. Many patients (43%) expressed a preference for phone over video visits. Patients reported an overall positive experience with telemedicine visits for contraceptive counseling during the COVID-19 pandemic. They appreciated the convenience of telemedicine visits and valued the virtual counseling experience. Health care providers who initiated or expanded telemedicine services for contraceptive counseling during the COVID-19 pandemic should consider continuing to offer them after the pandemic. At the policy level, these findings favor expanding access to telemedicine and providing reimbursement for virtual visits, including telephone visits.
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影响因子：
12.7
作者：
Grossman, Daniel A.;Grindlay, Kate;Schmertmann, Carl P.
通讯作者：
Schmertmann, Carl P.
影响因子：
4
作者：
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通讯作者：
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影响因子：
3.3
作者：
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通讯作者：
Trussell J
DOI：
10.1111/1471-0528.14401
发表时间：
2017-07
期刊：
BJOG : an international journal of obstetrics and gynaecology
影响因子：
--
作者：
Aiken A;Gomperts R;Trussell J
通讯作者：
Trussell J
影响因子：
2.5
作者：
Bates LA;Hicks JP;Walley J;Robinson E
通讯作者：
Robinson E