Department of Obstetrics and Gynecology, University of Colorado School of Medicine, 12631 East 17th Avenue, AO1, Room 4213, Mailstop B-198-2, Aurora, CO, 80045, USA.
Matern Child Health J. 2022 Jul;26(7):1401-1408. doi: 10.1007/s10995-022-03412-7. Epub 2022 Mar 15.
The Covid-19 pandemic and statewide stay-at-home orders abruptly impacted clinic operations necessitating the incorporation of telehealth. Uptake of telehealth is multifaceted. Clinician acceptance is critical for success. The aim of this study is to understand maternity care providers' acceptance of and barriers to providing virtual maternity care.
Providers completed a baseline and 3-month follow up survey incorporating the validated implementation outcome measures, feasibility of intervention measure (FIM), intervention appropriateness measure (IAM), and acceptability of intervention measure (AIM).Statistical analyses evaluated differences between groups in this small convenience sample to understand trends in perceptions and barriers to telehealth. While not intended to be a qualitative study, a code tree was used to evaluate open-ended responses.
Baseline response rate 50.4% (n = 56). Follow-up retention/response-rate 68% (n = 38). Most reported no prior telehealth experience. 94% agreed with the FIM, decreasing to 92% at follow-up. 80% (prenatal) and 84% (postpartum) agreed with the IAM. Agreement with the AIM increased to 83%.Differences in the FIM and AIM found by division (p < 0.01) and years in practice (p < 0.01). Identified barriers included patient lack of essential tools, inadequate clinic support, and patients prefer in person visits. Themes that emerged included barriers, needs, and areas of success.
Telehealth was found to be feasible, appropriate, and acceptable across provider types and divisions. Improving patient/provider access to quality equipment is imperative. Future research must address how and when to incorporate telehealth.
Covid-19 大流行和全州范围内的居家令突然影响了诊所的运营，因此需要引入远程医疗。远程医疗的采用是多方面的。临床医生的接受对于成功至关重要。本研究旨在了解产科护理提供者对提供虚拟产妇护理的接受程度和障碍。
提供者在基线和 3 个月的随访中完成了一项调查，该调查纳入了经过验证的实施结果测量、干预可行性测量（FIM）、干预适当性测量（IAM）和干预可接受性测量（AIM）。对小便利样本中组间的差异进行了统计分析，以了解对远程医疗的看法和障碍的趋势。虽然不打算进行定性研究，但使用了代码树来评估开放式回答。
基线的回复率为 50.4%（n=56）。随访保留/回复率为 68%（n=38）。大多数人表示没有远程医疗经验。94%的人同意 FIM，而随访时的同意率下降到 92%。80%（产前）和 84%（产后）同意 IAM。AIM 的同意率上升到 83%。通过分工（p<0.01）和实践年限（p<0.01）发现的 FIM 和 AIM 的差异。确定的障碍包括患者缺乏基本工具、诊所支持不足以及患者更喜欢面对面的访问。出现的主题包括障碍、需求和成功领域。
远程医疗被发现是可行的、适当的和可接受的，适用于不同类型和部门的提供者。改善患者/提供者获得高质量设备的机会至关重要。未来的研究必须解决如何以及何时引入远程医疗。
