Evaluation of a Rapid Implementation of Telemedicine for Delivery of Obstetric Care During the COVID-19 Pandemic

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Abstract

Objective

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 one 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. Advantages included the simplicity of implementation, reduced exposure to COVID-19 infection, and convenience factors. Although obstetric telemedicine mostly met patient needs, a lack of access to at-home monitoring devices, physical examinations, reliable internet service, and privacy concerns posed as barriers.

Conclusion

The implementation of the obstetric telemedicine care model was deemed a favorable, safe alternative option for patients during the COVID-19 pandemic.

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