Telephone consultations — its quality in the opinion of pregnant and women in postpartum period and patients' sense of security
, 2, 2, 1, 2, 1
Abstract
Objectives: to explore the opinions of pregnant and postpartum women on the services provided via remotely conducted consultation and to assess the sense of security of patients under the care conducted remotely my midwives and gynecologists. Material and methods: An anonymous, self-administered survey questionnaire was completed by 86 women who had at least one telephone consultation with a gynecologist or midwife during pregnancy or after birth. The questionnaire was spread via social media between February 1 and August 1, 2022. Results: More than half of the surveyed group (51.2%) had 1–3 consultations performed remotely during pregnancy and 53.5% after birth. Phone call only was the most popular form of remote consultations performed during pregnancy (69.8%) and after birth (43.0%). Simple app was used in 10.5% consultations during pregnancy and 4.7% after birth. The predominant reason of the remotely conducted consultation during pregnancy and after birth was the need of getting the prescription or consultation of blood/urine test results (61.6%). Although phone-made medical consultations were a convenience and time-saver for most women, the preferred form of visit is to meet the caregiver in person. Conclusions: Special times, such pandemic was, requires a different, individual approach, and perhaps thanks to these experiences we will be able to behave wiser in future states of public health emergency. Teleconsultations were an acceptable form of medical consultation to discuss the results, effects of treatment or to write a referral or prescription.
Keywords: tele-carepandemics2019 novel coronavirus disease (COVID-19)severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2)pregnancypostpartum period
References
- Hallam L. Patient access to general practitioners by telephone: the doctor's view. Br J Gen Pract. 1992; 42(358): 186–189.
- Car J. Telephone consultations. BMJ. 2003; 326(7396): 966–969.
- Karwowski R, Gasiorowska J. Telemedicine consultations in obstetrics and gynecology - a population based study in Polishspeaking women. Ginekol Pol. 2018; 89(12): 677–681.
- Rozporządzenie Ministra Zdrowia z dnia 12 sierpnia 2020 r. w sprawie standardu organizacyjnego teleporady w ramach podstawowej opieki zdrowotnej (Dz. U z 2020 r poz 1395, z późn zm. ; 2020.
- Raport z badania satysfakcji pacjentów korzystających z teleporad u lekarza podstawowej opieki zdrowotnej w okresie epidemii COVID-19. In: Departament Obsługi Pacjenta NFZ. Warszawa: Departament Obsługi Pacjenta, Narodowy Fundusz Zdrowia. ; 2020.
- Wszolek KM, Chmaj-Wierzchowska K, Wilczak M. Management of birth, postpartum care and breastfeeding - Polish recommendations and guidelines during SARS-CoV-2 pandemic. Ginekol Pol. 2021; 92(5): 387–391.
- Rozporządzenie Ministra Zdrowia z dnia 16 sierpnia 2018 r. w sprawie standardu organizacyjnego opieki okołoporodowej (Dz.U. z 2018, poz. ; 1756: 018.
- Wszołek K, Pruski D, Tomczyk K, et al. Women's Healthcare Services since the COVID-19 Pandemic Outbreak in Poland. Int J Environ Res Public Health. 2021; 19(1).
- Jakubowski D, Sys D, Kajdy A, et al. Application of Telehealth in Prenatal Care during the COVID-19 Pandemic-A Cross-Sectional Survey of Polish Women. J Clin Med. 2021; 10(12).
- Implementing Telehealth in Practice: ACOG Committee Opinion Summary, Number 798. Obstet Gynecol. 2020; 135(2): 493–494.
- Commission Recommendation of 6.2. 2019 on a European Electronic Health Record exchange format. 2019.
- The American College of Obstetricians and Gynecologists. Obstetrics & Gynecology. 2017; 130(5).
- Fullerton JT, Thompson JB. Examining the evidence for The International Confederation of Midwives' essential competencies for midwifery practice. Midwifery. 2005; 21(1): 2–13.
- Gruszka JZA, Komar-Gruszka K, Adamczyk-Gruszka O. New technologies in medicine. Pielęgniarstwo w Opiece Długoterminowej / Long-Term Care Nursing. 2022; 7(3): 61–9.
- Bhaskar S, Bradley S, Chattu VK, et al. Telemedicine as the New Outpatient Clinic Gone Digital: Position Paper From the Pandemic Health System REsilience PROGRAM (REPROGRAM) International Consortium (Part 2). Front Public Health. 2020; 8: 410.
- Carrillo de, Sia KL, A H. A. H. The effectiveness of teleconsultations in primary care: systematic review Fam Pract. 2022; 39(1): 168–82.
- Clark JA, Smith LK, Armstrong N. Midwives' and obstetricians' practice, perspectives and experiences in relation to altered fetal movement: A focused ethnographic study. Int J Nurs Stud. 2024; 150: 104643.
- Bindra V. Telemedicine for Women's Health During COVID-19 Pandemic in India: A Short Commentary and Important Practice Points for Obstetricians and Gynaecologists. J Obstet Gynaecol India. 2020; 70(4): 279–282.
- Sienicka A, Pisula A, Pawlik KK, et al. The impact of COVID-19 pandemic on reproductive intentions among the Polish population. Ginekol Pol. 2022; 93(5): 345–350.
- Suligowski R, Ciupa T. Five waves of the COVID-19 pandemic and green-blue spaces in urban and rural areas in Poland. Environ Res. 2023; 216(Pt 3): 114662.
- Ross Mullner M. Centers for Medicare and Medicaid Services (CMS). Encyclopedia of Health Services Research. 2009.
- Fryer K, Delgado A, Foti T, et al. Implementation of Obstetric Telehealth During COVID-19 and Beyond. Matern Child Health J. 2020; 24(9): 1104–1110.
- Telehealth: Analysis of third global survey on eHealth based on the reported data by countries. World Health Organisation Geneva. ; 2016.
- WHO-ITU global standard for accessibility of telehealth services. World Health Organization and International Telecommunication Union. Licence: CC BY-NC-SA 3.0 IGO. World Health Organization and International Telecommunication Union. Geneva. ; 2022.
- GREINER A. Telemedicine Applications in Obstetrics and Gynecology. Clinical Obstetrics & Gynecology. 2017; 60(4): 853–866.
- Skjefte M, Ngirbabul M, Akeju O, et al. COVID-19 vaccine acceptance among pregnant women and mothers of young children: results of a survey in 16 countries. Eur J Epidemiol. 2021; 36(2): 197–211.
- Fiammenghi C, Mbaye NA, Pelleri D, et al. Covid-19 vaccination during pregnancy: A mixed-methods study of attitudes in a sample of Italian women and the role of health professionals' communication. Patient Educ Couns. 2023; 115: 107929.
- Hagenbeck C, Zöllkau J, Helbig M, et al. COVID-19 Vaccination during Pregnancy and Lactation: Attitudes and Uptakes before and after Official Recommendations in Germany. Vaccines (Basel). 2023; 11(3).
- Ignaszak-Kaus N, Chmaj-Wierzchowska K, Wszołek K, et al. COVID-19 Vaccination and Pregnancy. Clinical and Experimental Obstetrics & Gynecology. 2022; 49(10): 220.
- Priyadarshani P, Purwar R, Pipal V, et al. Patient Satisfaction with Telemedicine Services in Obstetrics and Gynecology during the COVID-19 Pandemic. Journal of South Asian Federation of Obstetrics and Gynaecology. 2022; 13(6): 382–386.
- Deldar K, Tara F, Mirteimouri M, et al. Experiences of Obstetricians and Gynecologists in Teleconsultation with Medical Residents: A Qualitative Study. Global Journal of Health Science. 2016; 9(6): 1.
- Ackerman M, Greenwald E, Noulas P, et al. Patient Satisfaction with and Use of Telemental Health Services in the Perinatal Period: a Survey Study. Psychiatr Q. 2021; 92(3): 925–933.
- The European Directive on the Protection of Individuals With Regard to the Processing of Personal Data and on the Free Movement of Such Data. Data Privacy in the Information Age. 2000: 205–236.
- Parmanto B, Jr. AL, Graham K, et al. Development of the Telehealth Usability Questionnaire (TUQ). International Journal of Telerehabilitation. 2016; 8(1): 3–10.
