Am J Perinatol 2020; 37(10): 1005-1014
DOI: 10.1055/s-0040-1712939
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Telehealth Uptake into Prenatal Care and Provider Attitudes during the COVID-19 Pandemic in New York City: A Quantitative and Qualitative Analysis

Nigel Madden
1  Department of Obstetrics and Gynecology, NewYork Presbyterian/Columbia University Irving Medical Center, Columbia University, New York, New York
,
Ukachi N. Emeruwa
1  Department of Obstetrics and Gynecology, NewYork Presbyterian/Columbia University Irving Medical Center, Columbia University, New York, New York
,
Alexander M. Friedman
1  Department of Obstetrics and Gynecology, NewYork Presbyterian/Columbia University Irving Medical Center, Columbia University, New York, New York
,
Janice J. Aubey
1  Department of Obstetrics and Gynecology, NewYork Presbyterian/Columbia University Irving Medical Center, Columbia University, New York, New York
,
Aleha Aziz
1  Department of Obstetrics and Gynecology, NewYork Presbyterian/Columbia University Irving Medical Center, Columbia University, New York, New York
,
Caitlin D. Baptiste
1  Department of Obstetrics and Gynecology, NewYork Presbyterian/Columbia University Irving Medical Center, Columbia University, New York, New York
,
Jaclyn M. Coletta
1  Department of Obstetrics and Gynecology, NewYork Presbyterian/Columbia University Irving Medical Center, Columbia University, New York, New York
,
Mary E. D'Alton
1  Department of Obstetrics and Gynecology, NewYork Presbyterian/Columbia University Irving Medical Center, Columbia University, New York, New York
,
Karin M. Fuchs
1  Department of Obstetrics and Gynecology, NewYork Presbyterian/Columbia University Irving Medical Center, Columbia University, New York, New York
,
Dena Goffman
1  Department of Obstetrics and Gynecology, NewYork Presbyterian/Columbia University Irving Medical Center, Columbia University, New York, New York
,
Cynthia Gyamfi-Bannerman
1  Department of Obstetrics and Gynecology, NewYork Presbyterian/Columbia University Irving Medical Center, Columbia University, New York, New York
,
Sneha Kondragunta
1  Department of Obstetrics and Gynecology, NewYork Presbyterian/Columbia University Irving Medical Center, Columbia University, New York, New York
,
Nicole Krenitsky
1  Department of Obstetrics and Gynecology, NewYork Presbyterian/Columbia University Irving Medical Center, Columbia University, New York, New York
,
Russell S. Miller
1  Department of Obstetrics and Gynecology, NewYork Presbyterian/Columbia University Irving Medical Center, Columbia University, New York, New York
,
Chia-Ling Nhan-Chang
1  Department of Obstetrics and Gynecology, NewYork Presbyterian/Columbia University Irving Medical Center, Columbia University, New York, New York
,
Ashanda M. Saint Jean
1  Department of Obstetrics and Gynecology, NewYork Presbyterian/Columbia University Irving Medical Center, Columbia University, New York, New York
,
Hemangi P. Shukla
1  Department of Obstetrics and Gynecology, NewYork Presbyterian/Columbia University Irving Medical Center, Columbia University, New York, New York
,
Lynn L. Simpson
1  Department of Obstetrics and Gynecology, NewYork Presbyterian/Columbia University Irving Medical Center, Columbia University, New York, New York
,
Erica S. Spiegel
1  Department of Obstetrics and Gynecology, NewYork Presbyterian/Columbia University Irving Medical Center, Columbia University, New York, New York
,
Hope S. Yates
1  Department of Obstetrics and Gynecology, NewYork Presbyterian/Columbia University Irving Medical Center, Columbia University, New York, New York
,
Noelia Zork
1  Department of Obstetrics and Gynecology, NewYork Presbyterian/Columbia University Irving Medical Center, Columbia University, New York, New York
,
Samsiya Ona
1  Department of Obstetrics and Gynecology, NewYork Presbyterian/Columbia University Irving Medical Center, Columbia University, New York, New York
› Author Affiliations
Funding None.
Further Information

Publication History

08 May 2020

09 May 2020

Publication Date:
09 June 2020 (online)

Abstract

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.

Supplementary Material