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Evaluating the Impact of Telehealth ...

Daily, Catherine Delores.

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Evaluating the Impact of Telehealth Prenatal Care.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Evaluating the Impact of Telehealth Prenatal Care./
Author:	Daily, Catherine Delores.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2024,
Description:	86 p.
Notes:	Source: Dissertations Abstracts International, Volume: 85-11, Section: B.
Contained By:	Dissertations Abstracts International85-11B.
Subject:	Obstetrics. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=31148350
ISBN:	9798382341828

Evaluating the Impact of Telehealth Prenatal Care.
Daily, Catherine Delores.

Evaluating the Impact of Telehealth Prenatal Care. - Ann Arbor : ProQuest Dissertations & Theses, 2024 - 86 p.

Source: Dissertations Abstracts International, Volume: 85-11, Section: B.

Thesis (D.N.P.)--Georgetown University, 2024.

During the coronavirus disease 2019 (COVID-19) pandemic prenatal care programs had to reimagine how to safely deliver care by adapting to telehealth. A federally qualified health center in the MidAtlantic region, built an innovative telehealth group prenatal care (T-GPNC) program to ensure equitable and safe healthcare access during the COVID-19 emergency. T-GPNC includes an individual telehealth assessment, group education and support, and direct connection to community resources. The purpose of this program evaluation is to describe adequacy of prenatal care for T-GPNC clients, in comparison to individual prenatal care (IPC) clients, and to describe client satisfaction with T-GPNC.This evaluation is a mixed methods design that uses a retrospective chart review of T-GPNC and IPC Spanish speaking clients, and satisfaction surveys for T-GPNC clients. Measures included the adequacy of prenatal care utilization index, completion of standard screenings, recorded blood pressure, and satisfaction surveys. The satisfaction surveys included questions on usefulness of topics, satisfaction rating, and open-ended questions. Electronic health record data was collected for client encounters from July 1, 2021, to August 31, 2023, with nurse midwives. Data was analyzed using SPSS software to provide descriptive statistics. Qualitative surveys were analyzed with inductive coding. The final analysis includes 141 T-GPNC and 193 IPC clients. The majority of clients are Latinx, and 97.9% receive public insurance or are uninsured. T-GPNC clients were significantly more likely to receive adequate or adequate plus care at 67.9% versus only 39.1% for IPC clients. T-GPNC clients reported they like to receive prenatal care in group sessions (95.7%) with a high average rating (4.85 out of 5, SD = 0.63). Most clients identified all the topics covered as very useful. Qualitative themes included: gaining knowledge, shared experiences, and systems level support.  T-GPNC provided critical support to a marginalized community during a pandemic and resulted in higher rates of adequate prenatal care for T-GPNC clients than those receiving IPC. T-GPNC clients were highly satisfied with their care. Clinical practices should continue to implement this model with resources that ensure equitable access to technology and equipment for adequate telehealth care. 

ISBN: 9798382341828Subjects--Topical Terms:

634501
Obstetrics.
Subjects--Index Terms:

Coronavirus disease

Evaluating the Impact of Telehealth Prenatal Care.
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