Implementation of Obstetric Telehealth During COVID-19 and Beyond
Implementation of Obstetric Telehealth During COVID-19 and Beyond
复制标题
DOI：
10.1007/s10995-020-02967-7
复制
发表时间：
2020-06-20
影响因子：
2.3
通讯作者：
Marshall, Jennifer
中科院分区：
文献类型：
--
作者：
Fryer, Kimberly;Delgado, Arlin;Marshall, Jennifer
目的本文的目的是说明和讨论2019年新型冠状病毒（COVID-19）大流行对产科护理的影响，包括讨论预先存在的障碍，产前框架和向远程医疗过渡的必要性。COVID-19于2019年12月首次在中国发现，并于2020年3月蔓延至美国。由于这种病毒与严重疾病有关，它对脆弱人群构成威胁，包括孕妇。由于个人、环境和经济障碍，产科人口在接受优质医疗保健方面已经面临多重障碍，现在又面临新冠肺炎暴露的额外风险和在社交距离界定的时代有限的护理。评估目前的产前保健框架要求患者参加多次在办公室产前检查，可以成倍增加，这取决于母亲和胎儿的合并症。为了降低COVID-19的传播率并限制患者的暴露，佛罗里达希尔斯伯勒县（以及全国范围内）的提供者正在迅速向远程医疗过渡。虚拟护理模式的使用使提供者能够减少亲自访问，并将虚拟访问纳入产前护理计划。结论由于COVID-19大流行，实施远程医疗和远程保健对于确保安全有效地提供产科护理至关重要。这一实施将继续需要关注规划、程序和流程，以及周到的评估，以确保远程医疗和2019冠状病毒病大流行后远程医疗的可持续性。
Purpose The purpose of this article is to illustrate and discuss the impact the 2019 novel Coronavirus (COVID-19) pandemic on the delivery of obstetric care, including a discussion on the preexisting barriers, prenatal framework and need for transition to telehealth. Description The COVID-19 was first detected in China in December of 2019 and by March 2020 spread to the United States. As this virus has been associated with severe illness, it poses a threat to vulnerable populations-including pregnant women. The obstetric population already faces multiple barriers to receiving quality healthcare due to personal, environmental and economic barriers, now challenged with the additional risks of COVID-19 exposure and limited care in times much defined by social distancing. Assessment The current prenatal care framework requires patients to attend multiple in-office prenatal visits that can exponentially multiply depending on maternal and fetal comorbidities. To decrease the rate of transmission of the COVID-19 and limit exposure to patients, providers in Hillsborough County, Florida (and nationwide) are rapidly transitioning to telehealth. The use of a virtual care model allows providers to reduce in-person visits and incorporate virtual visits into the schedule of prenatal care. Conclusion Due to the COVID-19 pandemic, implementation of telehealth and telehealth have become crucial to ensure the safe and effective delivery of obstetric care. This implementation is one that will continue to require attention to planning, procedures and processes, and thoughtful evaluation to ensure the sustainability of telehealth and telehealth post COVID-19 pandemic.