Patient Satisfaction with Virtual-Based Prenatal Care: Implications after the COVID-19 Pandemic.
Patient Satisfaction with Virtual-Based Prenatal Care: Implications after the COVID-19 Pandemic.
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DOI：
10.1007/s10995-021-03211-6
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发表时间：
2021-11
影响因子：
2.3
通讯作者：
Erdei C
中科院分区：
文献类型：
--
作者：
Liu CH;Goyal D;Mittal L;Erdei C
本研究的目的是确定与怀孕期间虚拟访问满意度相关的因素，以在COVID-19大流行期间优先考虑孕妇的干预目标。该研究依赖于从2020年5月21日至11月22日参加围产期经历和COVID-19影响（PEACE）研究的孕妇（N = 416）获得的数据。本研究采用横断面设计，考察了COVID-19相关经历和产前护理变化等因素与患者对虚拟产前护理满意度的相关性。总体而言，妇女报告说，非常或非常满意（27.9%）或中等满意（43.5%）与他们的虚拟产前经验，但是，89.9%表示，在非流行性疾病的条件下，亲自护理的偏好。那些在大流行后完成调查的人对虚拟产前护理的满意度较低（β =-0.127，p < 0.01）。在考虑了这一点和其他社会人口学特征后，对COVID-19怀孕的担忧（β =-0.226，p < 0.001）和由于大流行而改变产前护理的次数（β =-0.137，p < 0.01）与满意度较低相关。我们的研究结果表明，在这项研究中，孕妇对虚拟就诊的总体满意度，尽管一般来说，如果不是因为大流行，妇女更喜欢亲自护理。担心大流行对其怀孕的影响的妇女以及那些经历产前护理过渡的妇女可能需要更多的信息和保证。需要更多的研究来了解通过虚拟护理与亲自护理相比未满足的需求。
The objective of this study was to identify factors related to satisfaction with virtual visits during pregnancy in an effort to prioritize intervention targets for pregnant women during the COVID-19 pandemic. The study relied on data obtained from pregnant women (N = 416) who participated in the Perinatal Experiences and COVID-19 Effects (PEACE) Study from May 21 to November 22, 2020. Using a cross-sectional design, this study examined factors including COVID-19 related experiences and prenatal care changes in association with patient satisfaction of virtual prenatal care. Overall, women reported being very or extremely satisfied (27.9%) or moderately satisfied (43.5%) with their virtual prenatal experiences, however, 89.9% indicated a preference for in-person care under non-pandemic conditions. Those who completed the survey further into the pandemic were less satisfied with virtual prenatal care (β = − 0.127, p < 0.01). After accounting for this and other sociodemographic characteristics, COVID-19 pregnancy worries (β = − 0.226, p < 0.001) and the number of prenatal care changes due to the pandemic (β = − 0.137, p < 0.01) were associated with lower satisfaction. Our findings demonstrate general satisfaction with virtual visits among pregnant women in this study although in general women would prefer in-person care if it weren’t for a pandemic. Women worried about the impact of pandemic on their pregnancy, as well as those experiencing transitions in their prenatal care may need more information and reassurance. Additional studies are needed to understand the unmet needs through virtual care compared to in-person care.
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