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10.1055/s-0040-1712939 http://scihub22266oqcxt.onion/10.1055/s-0040-1712939 32516816!7416212!32516816     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=32516816&cmd=llinks): Failed to open stream: HTTP request failed! 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Telehealth Uptake into Prenatal Care and Provider Attitudes during the COVID-19 Pandemic in New York City: A Quantitative and Qualitative Analysis |pdf=|usr=}}{{32516816}} gab.com Text Telehealth Uptake into Prenatal Care and Provider Attitudes during the COVID-19 Pandemic in New York City: A Quantitative and Qualitative Analysis JO: Am J Perinatol http://www.kidney.de/pget.php?&tw=1&pmid=32516816 #FOAvip OBJECTIVE: This study aimed to (1) determine to what degree prenatal care was able to be transitioned to telehealth at prenatal practices associated with two affiliated hospitals in New York City during the novel coronavirus disease 2019 (COVID-19) pandemic and (2) describe providers' experience with this transition. STUDY DESIGN: Trends in whether prenatal care visits were conducted in-person or via telehealth were analyzed by week for a 5-week period from March 9 to April 12 at Columbia University Irving Medical Center (CUIMC)-affiliated prenatal practices in New York City during the COVID-19 pandemic. Visits were analyzed for maternal-fetal medicine (MFM) and general obstetrical faculty practices, as well as a clinic system serving patients with public insurance. The proportion of visits that were telehealth was analyzed by visit type by week. A survey and semistructured interviews of providers were conducted evaluating resources and obstacles in the uptake of telehealth. RESULTS: During the study period, there were 4,248 visits, of which approximately one-third were performed by telehealth (n = 1,352, 31.8%). By the fifth week, 56.1% of generalist visits, 61.5% of MFM visits, and 41.5% of clinic visits were performed via telehealth. A total of 36 providers completed the survey and 11 were interviewed. Accessing technology and performing visits, documentation, and follow-up using the telehealth electronic medical record were all viewed favorably by providers. In transitioning to telehealth, operational challenges were more significant for health clinics than for MFM and generalist faculty practices with patients receiving public insurance experiencing greater difficulties and barriers to care. Additional resources on the patient and operational level were required to optimize attendance at in-person and video visits for clinic patients. CONCLUSION: Telehealth was rapidly implemented in the setting of the COVID-19 pandemic and was viewed favorably by providers. Limited barriers to care were observed for practices serving patients with commercial insurance. However, to optimize access for patients with Medicaid, additional patient-level and operational supports were required. KEY POINTS: . Telehealth uptake differed based on insurance.. . Medicaid patients may require increased assistance for telehealth.. . Quick adoption of telehealth is feasible.. Twit Text FOAVip Telehealth Uptake into Prenatal Care and Provider Attitudes during the COVID-19 Pandemic in New York City: A Quantitative and Qualitative Analysis ????Am J Perinatol http://www.kidney.de/pget.php?&tw=1&pmid=32516816 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32516816 #FOAvip English Wikipedia <ref>{{Cite pmid|32516816}}</ref> Telehealth Uptake into Prenatal Care and Provider Attitudes during the COVID-19 Pandemic in New York City: A Quantitative and Qualitative Analysis #MMPMID32516816 Madden N; Emeruwa UN; Friedman AM; Aubey JJ; Aziz A; Baptiste CD; Coletta JM; D'Alton ME; Fuchs KM; Goffman D; Gyamfi-Bannerman C; Kondragunta S; Krenitsky N; Miller RS; Nhan-Chang CL; Saint Jean AM; Shukla HP; Simpson LL; Spiegel ES; Yates HS; Zork N; Ona S Am J Perinatol 2020[Aug]; 37 (10): 1005-1014 PMID32516816show ga OBJECTIVE: This study aimed to (1) determine to what degree prenatal care was able to be transitioned to telehealth at prenatal practices associated with two affiliated hospitals in New York City during the novel coronavirus disease 2019 (COVID-19) pandemic and (2) describe providers' experience with this transition. STUDY DESIGN: Trends in whether prenatal care visits were conducted in-person or via telehealth were analyzed by week for a 5-week period from March 9 to April 12 at Columbia University Irving Medical Center (CUIMC)-affiliated prenatal practices in New York City during the COVID-19 pandemic. Visits were analyzed for maternal-fetal medicine (MFM) and general obstetrical faculty practices, as well as a clinic system serving patients with public insurance. The proportion of visits that were telehealth was analyzed by visit type by week. A survey and semistructured interviews of providers were conducted evaluating resources and obstacles in the uptake of telehealth. RESULTS: During the study period, there were 4,248 visits, of which approximately one-third were performed by telehealth (n = 1,352, 31.8%). By the fifth week, 56.1% of generalist visits, 61.5% of MFM visits, and 41.5% of clinic visits were performed via telehealth. A total of 36 providers completed the survey and 11 were interviewed. Accessing technology and performing visits, documentation, and follow-up using the telehealth electronic medical record were all viewed favorably by providers. In transitioning to telehealth, operational challenges were more significant for health clinics than for MFM and generalist faculty practices with patients receiving public insurance experiencing greater difficulties and barriers to care. Additional resources on the patient and operational level were required to optimize attendance at in-person and video visits for clinic patients. CONCLUSION: Telehealth was rapidly implemented in the setting of the COVID-19 pandemic and was viewed favorably by providers. Limited barriers to care were observed for practices serving patients with commercial insurance. However, to optimize access for patients with Medicaid, additional patient-level and operational supports were required. KEY POINTS: . Telehealth uptake differed based on insurance.. . Medicaid patients may require increased assistance for telehealth.. . Quick adoption of telehealth is feasible.. |Academic Medical Centers[MESH] |Adult[MESH] |Attitude of Health Personnel[MESH] |COVID-19[MESH] |Coronavirus Infections/epidemiology/*prevention & control[MESH] |Evaluation Studies as Topic[MESH] |Female[MESH] |Gestational Age[MESH] |Health Personnel/*organization & administration[MESH] |Humans[MESH] |Infection Control/methods[MESH] |Medicaid/statistics & numerical data[MESH] |New York City[MESH] |Pandemics/prevention & control/*statistics & numerical data[MESH] |Patient Safety/*statistics & numerical data[MESH] |Pneumonia, Viral/epidemiology/*prevention & control[MESH] |Pregnancy[MESH] |Prenatal Care/*methods[MESH] |Qualitative Research[MESH] |Telemedicine/*statistics & numerical data/trends[MESH] |Transitional Care/organization & administration[MESH]Telehealth Uptake into Prenatal Care and Provider Attitudes during the(epmc).pdf DeepDyve Pubget Overpricing