Department of Pediatrics, Yale School of Medicine, 333 Cedar St, New Haven, CT, 06517, USA.
Yale School of Medicine, 333 Cedar St, New Haven, CT, 06517, USA.
Matern Child Health J. 2022 Sep;26(9):1762-1778. doi: 10.1007/s10995-022-03483-6. Epub 2022 Jul 28.
To describe demographic characteristics and health-related social needs of families who accessed maternal-infant care through a mobile medical clinic (MMC) during the COVID-19 pandemic and to explore feasibility, acceptability, perceived benefits, and barriers to care.
In this mixed-methods observational study, chart reviews, telephone surveys, and qualitative interviews in English and Spanish were conducted with caregivers who accessed the MMC between April and November 2020. Qualitative interviews were analyzed with the constant comparative method alongside descriptive chart and survey data analyses.
Of 139 caregiver-infant dyads contacted, 68 (48.9%) completed the survey; 27 also completed the qualitative interview. The survey participants did not differ from the larger sample; most (86.7%) were people of color (52.9% identified as Latino and 33.8% as Black). Health-related social needs were high, including food insecurity (52.9%), diaper insecurity (44.1%), and anxiety (32%). Four women (6.1%) were diagnosed with hypertension requiring urgent evaluation. Nearly all (98.5%) reported being very satisfied with the services. Major themes from qualitative interviews included (1) perceived patient- and family-centered care, (2) perceived safety, and (3) perceived benefits of dyadic mother-infant care.
In this assessment of caregivers who accessed the MMC-a rapidly-developed COVID-19 pandemic response-insights from caregivers, predominantly people of color, provided considerations for future postpartum/postnatal service delivery. Perceptions that the MMC addressed health-related social needs and barriers to traditional office-based visits and the identification of maternal hypertension requiring urgent intervention suggest that innovative models for postpartum mother-infant care may have long-lasting benefits.
描述在 COVID-19 大流行期间通过移动医疗诊所（MMC）获得母婴保健的家庭的人口统计学特征和与健康相关的社会需求，并探讨该服务的可行性、可接受性、感知益处和障碍。
在这项混合方法观察性研究中，对 2020 年 4 月至 11 月期间使用 MMC 的护理人员进行了病历回顾、电话调查和英语及西班牙语的定性访谈。定性访谈采用恒比比较法与描述性图表和调查数据分析同时进行。
在联系的 139 对护理人员-婴儿中，有 68 人（48.9%）完成了调查；27 人还完成了定性访谈。调查参与者与更大的样本没有差异；大多数人（86.7%）是有色人种（52.9%自认为是拉丁裔，33.8%自认为是黑人）。与健康相关的社会需求很高，包括食物无保障（52.9%）、尿布无保障（44.1%）和焦虑（32%）。有 4 名女性（6.1%）被诊断为高血压，需要紧急评估。几乎所有（98.5%）的人都表示对服务非常满意。定性访谈的主要主题包括（1）感知到的以患者和家庭为中心的护理，（2）感知到的安全性，以及（3）母婴护理的感知益处。
在对使用 MMC 的护理人员进行的评估中——这是一项针对 COVID-19 大流行迅速做出的反应——主要是有色人种的护理人员的观点为未来的产后/产后服务提供了一些考虑因素。护理人员认为 MMC 解决了与健康相关的社会需求以及传统办公室就诊的障碍，并且发现了需要紧急干预的产妇高血压，这表明针对母婴保健的创新模式可能会带来持久的益处。
