Evaluation of a Rapid Implementation of Telemedicine for Delivery of Obstetric Care During the COVID-19 Pandemic
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Abstract
The aim of this evaluation was to assess the rapid implementation of obstetric telemedicine during the COVID-19 pandemic using the Consolidated Framework in Implementation Research (CFIR) evaluation framework.
Study Design:
Following 1 month of telemedicine implementation, obstetric providers at the University of South Florida clinic completed qualitative surveys and in-depth interviews about the implementation of obstetric telemedicine in the clinic guided by the CFIR evaluation framework.
Results:
Overall, providers considered obstetric telemedicine comparable to traditional in-person clinic visits and acknowledged that they were adequately prepared for the telemedicine implementation. They perceived that obstetric telemedicine mostly met the needs of patients in terms of convenience and comfort of visits, decreased exposure to COVID-19 infection, and the ability of the patient to listen to fetal heart sounds if at-home doppler monitoring was available.
Conclusions:
The implementation of the obstetric telemedicine care model was deemed a favorable alternative option for patients during the COVID-19 pandemic.
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SciScore for 10.1101/2021.05.19.21257311: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Ethics IRB: This study was reviewed and determined to be exempt as program evaluation by the University of South Florida Institutional Review Board. Sex as a biological variable not detected. Randomization not detected. Blinding not detected. Power Analysis not detected. Table 2: Resources
No key resources detected.
Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).
Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:Strengths and Limitations: One of the major strengths of this study was the ability to quickly evaluate a rapid implementation of …
SciScore for 10.1101/2021.05.19.21257311: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Ethics IRB: This study was reviewed and determined to be exempt as program evaluation by the University of South Florida Institutional Review Board. Sex as a biological variable not detected. Randomization not detected. Blinding not detected. Power Analysis not detected. Table 2: Resources
No key resources detected.
Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).
Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:Strengths and Limitations: One of the major strengths of this study was the ability to quickly evaluate a rapid implementation of telemedicine during a pandemic. We were able to capture this feedback during the rollout of a new model of care and in a prospective fashion. Our results compare favorably with the current research which shows that telemedicine was well received during the COVID pandemic.8–14 Additionally, we were able to perform this evaluation with a robust theoretical framework. Weaknesses include that this study is single site within the context of a unique situation (rapid implementation due to the COVID-19 pandemic); therefore, the results may differ from future implementation of telemedicine where more advanced planning and training would be possible prior to implementation. Future research: Future research is needed on how to integrate telemedicine into care for high-risk pregnancies, patient privacy concerns and access to internet and at-home monitoring devices. Additional funding is needed to provide patients with at home monitoring devices through insurance reimbursement or other funding mechanisms, especially for low-income women who cannot afford these devices due to high out-of-pocket costs. Additional guidance and standardization of a telemedicine prenatal care model for low-risk women from national professional organizations such as ACOG and the American College of Nurse-Midwives would be advantageous for both providers and patients in implementatio...
Results from TrialIdentifier: No clinical trial numbers were referenced.
Results from Barzooka: We did not find any issues relating to the usage of bar graphs.
Results from JetFighter: We did not find any issues relating to colormaps.
Results from rtransparent:- Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
- Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
- No protocol registration statement was detected.
Results from scite Reference Check: We found no unreliable references.
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