Jakubowski Dominik, Sys Dorota, Kajdy Anna, Lewandowska Roksana, Kwiatkowska Ewa, Cymbaluk-Płoska Aneta, Rabijewski Michał, Torbé Andrzej, Kwiatkowski Sebastian
Department Obstetrics and Gynecology, Pomeranian Medical University, Al. Powstańców Wlkp. 72, 70-111 Szczecin, Poland.
Department of Reproductive Health, Centre of Postgraduate Medical Education, Żelazna 90 St., 01-004 Warsaw, Poland.
J Clin Med. 2021 Jun 10;10(12):2570. doi: 10.3390/jcm10122570.
To reduce the risk of infection of SARS-CoV-2 during commuting to the clinic or due to contact with medical staff, the American College of Obstetricians and Gynecologists has recommended arranging some appointments in the form of "telehealth". The aim of the study was to assess the access to medical care in pregnancy during the SARS-CoV-2 pandemic and the role of telehealth in the implementation of prenatal care standards. This is a cross-sectional study. The study group included 618 women who were pregnant and/or gave birth in Poland during the COVID-19 pandemic. The majority of the participants experienced difficulties accessing medical care because of the pandemic. The correlation between this experience and the use of the hybrid healthcare model was established. The affiliation to public or private healthcare was irrelevant. There was no relationship between healthcare (private/public or in-person/hybrid) and implementation of the prenatal care standards. To ensure safe access to prenatal care for pregnant women, recommendations for a hybrid pregnancy management model should be created with detailed information regarding which appointments patients must be present for in-person and which can be conducted remotely. To reduce the risks associated with movement and interpersonal contact, all visits during which tests and screenings take place should be conducted in-person; other appointments can be arranged in the form of telehealth.
为降低在前往诊所途中或因接触医护人员而感染新冠病毒的风险，美国妇产科医师学会建议以“远程医疗”的形式安排部分预约。本研究的目的是评估新冠疫情期间孕期医疗服务的可及性以及远程医疗在实施产前护理标准中的作用。这是一项横断面研究。研究组包括618名在新冠疫情期间于波兰怀孕和/或分娩的女性。大多数参与者因疫情在获得医疗服务方面遇到困难。确定了这种经历与混合医疗模式使用之间的相关性。医疗服务隶属于公立还是私立无关紧要。医疗服务（私立/公立或面对面/混合）与产前护理标准的实施之间没有关系。为确保孕妇能够安全地获得产前护理，应制定关于混合孕期管理模式的建议，并详细说明患者必须亲自到场的预约项目以及哪些可以远程进行。为降低与出行和人际接触相关的风险，所有进行检查和筛查的就诊都应亲自进行；其他预约可以采用远程医疗的形式安排。
