• Kaitlyn K Stanhope, Kendra Piper, Peggy Goedken, Tatyana Johnson, Naima T Joseph, Angeline Ti, Franklyn Geary, and Sheree L Boulet.
• Department of Gynecology and Obstetrics Emory University School of Medicine, Division of Research, 49 Jesse Hill Dr SE, Faculty Office Building, office 353, 49 Jesse Hill Jr. Drive, Atlanta, GA 30303, United States. Electronic address: Kaitlyn.keirsey.stanhope@emory.edu.
• J Natl Med Assoc. 2022 Feb 1; 114 (1): 94-103.

ObjectiveTo understand perceived quality of obstetric care following changes to the structure of care in a safety-net institution during the COVID-19 pandemic.MethodsWe conducted a mixed-methods study including a web-based survey (n = 67) and in-depth interviews (n = 16) between October 2020 and January 2021. We present a descriptive analysis of quantitative results and key qualitative themes on reactions to changes and drivers of perceived quality.ResultsReported quality was high for in-person and phone visits (median subscale responses: 5/5). Respondents were willing to include phone visits in care for a future pregnancy (77.8% (49)) but preferred in-person visits (84.1% (53)). In interviews, provider communication was the key driver of quality. Respondents found changes to care to be inconvenient but acceptable.ConclusionsTo improve satisfaction with changes to care, health systems should ensure that relationship building remains a priority and offer patients information about the reason behind changes.Copyright © 2022 National Medical Association. Published by Elsevier Inc. All rights reserved.

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