Publication Date

Spring 4-2020

Degree Type

Doctoral Project

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

First Advisor

Carrie Holschuh

Second Advisor

Gretchen Ezaki

Third Advisor

Adanna Ikedilo

Keywords

Perinatal Care, Virtual Care, Telehealth

Abstract

Improving access to health care in general and to appropriate prenatal care specifically are two leading health indicators (LHI) as designated by Healthy People 2020 (U.S Department of Health and Human Services, 2010). The California Department of Public Health (CDPH) also prioritizes minimizing health disparities that prevent women from entering into prenatal health care (CDPH, 2019). In Fresno county, transportation to specialty care such as perinatal care has been identified as a barrier (CDPH, 2017). The American College of Obstetricians and Gynecologists (ACOG) and The American Academy of Pediatricians (AAP) have identified a standard of fourteen to sixteen visits for routine perinatal care (Riley, Papile, & Kilpatrick, 2012) which has demonstrated best outcomes for mother and baby. These visits can result in disruption of work, increased child care expenses, travel and long office wait times that can lead to barriers to participation in adequate perinatal care. This doctoral project will be a pilot study to evaluate patient satisfaction with participation in this model as the virtual component is a new addition to standard office care. The project will also evaluate physician and nurse practitioner (NP) satisfaction in providing virtual obstetric care in order to help determine if this novel model can help decrease obstacles to care.

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