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Quality framework for remote antenatal care: qualitative study with women, healthcare professionals and system-level stakeholders

Abstract:

Background High-quality antenatal care is important for ensuring optimal birth outcomes and reducing risks of maternal and fetal mortality and morbidity. The COVID-19 pandemic disrupted the usual provision of antenatal care, with much care shifting to remote forms of provision. We aimed to characterise what quality would look like for remote antenatal care from the perspectives of those who use, provide and organise it.

Methods This UK-wide study involved interviews and an online survey inviting free-text responses with: those who were or had been pregnant since March 2020; maternity professionals and managers of maternity services and system-level stakeholders. Recruitment used network-based approaches, professional and community networks and purposively selected hospitals. Analysis of interview transcripts was based on the constant comparative method. Free-text survey responses were analysed using a coding framework developed by researchers.

Findings Participants included 106 pregnant women and 105 healthcare professionals and managers/stakeholders. Analysis enabled generation of a framework of the domains of quality that appear to be most relevant to stakeholders in remote antenatal care: efficiency and timeliness; effectiveness; safety; accessibility; equity and inclusion; person-centredness and choice and continuity. Participants reported that remote care was not straightforwardly positive or negative across these domains. Care that was more transactional in nature was identified as more suitable for remote modalities, but remote care was also seen as having potential to undermine important aspects of trusting relationships and continuity, to amplify or create new forms of structural inequality and to create possible risks to safety.

Conclusions This study offers a provisional framework that can help in structuring thinking, policy and practice. By outlining the range of domains relevant to remote antenatal care, this framework is likely to be of value in guiding policy, practice and research.

Publication status:
Published
Peer review status:
Peer reviewed

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Files:
Publisher copy:
10.1136/bmjqs-2021-014329

Authors


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Role:
Author
ORCID:
0000-0002-6082-3151
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Institution:
University of Oxford
Division:
MSD
Department:
Primary Care Health Sciences
Role:
Author
ORCID:
0000-0002-4105-4617
More by this author
Role:
Author
ORCID:
0000-0002-9610-1863


Publisher:
BMJ Publishing Group
Journal:
BMJ Quality & Safety More from this journal
Volume:
33
Issue:
5
Pages:
301-313
Publication date:
2022-05-12
Acceptance date:
2022-03-15
DOI:
EISSN:
2044-5423
ISSN:
2044-5415
Pmid:
35552252


Language:
English
Keywords:
Pubs id:
1259371
Local pid:
pubs:1259371
Deposit date:
2022-10-27

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