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Quality and satisfaction with care following changes to the structure of obstetric care during the COVID-19 pandemic in a safety-net hospital in Georgia: Results from a mixed-methods study.


ABSTRACT:

Objective

To understand perceived quality of obstetric care following changes to the structure of care in a safety-net institution during the COVID-19 pandemic.

Methods

We conducted a mixed-methods study including a web-based survey (n = 67) and in-depth interviews (n = 16) between October 2020 and January 2021. We present a descriptive analysis of quantitative results and key qualitative themes on reactions to changes and drivers of perceived quality.

Results

Reported quality was high for in-person and phone visits (median subscale responses: 5/5). Respondents were willing to include phone visits in care for a future pregnancy (77.8% (49)) but preferred in-person visits (84.1% (53)). In interviews, provider communication was the key driver of quality. Respondents found changes to care to be inconvenient but acceptable.

Conclusions

To improve satisfaction with changes to care, health systems should ensure that relationship building remains a priority and offer patients information about the reason behind changes.

SUBMITTER: Stanhope KK 

PROVIDER: S-EPMC8759626 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature

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Publications

Quality and satisfaction with care following changes to the structure of obstetric care during the COVID-19 pandemic in a safety-net hospital in Georgia: Results from a mixed-methods study.

Stanhope Kaitlyn K KK   Piper Kendra K   Goedken Peggy P   Johnson Tatyana T   Joseph Naima T NT   Ti Angeline A   Geary Franklyn F   Boulet Sheree L SL  

Journal of the National Medical Association 20220114 1


<h4>Objective</h4>To understand perceived quality of obstetric care following changes to the structure of care in a safety-net institution during the COVID-19 pandemic.<h4>Methods</h4>We conducted a mixed-methods study including a web-based survey (n = 67) and in-depth interviews (n = 16) between October 2020 and January 2021. We present a descriptive analysis of quantitative results and key qualitative themes on reactions to changes and drivers of perceived quality.<h4>Results</h4>Reported qual  ...[more]

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