Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
COVID-19 Healthcare Provider Experiences
NPWH first sent this survey to our membership in March as the pandemic was first spreading across the country. We are repeating the survey now to monitor how the landscape and the needs of our providers are changing. Thank you for your participation, and thank you for caring for women.
NPWH wants to understand what our members and providers are experiencing during the COVID-19 pandemic. Please share your experiences in this brief survey so we can continue to advocate for you and create resources to serve your needs.
All responses are optional and anonymous.
Sign in to Google
to save your progress.
Learn more
Impact on Providers and their Practices
As a provider, what are your "gaps" or concerns about the COVID-19 pandemic? (check all that apply)
Access to testing kits
Access to personal protective equipment / personal safety
Updated clinical guidance from professional societies
Availability of hospital beds for ill patients
Other:
Has your practice discussed disruptions to service or realigning assignments to fill gaps in care caused by COVID-19?
Yes
No
Clear selection
How is your practice dealing with the possibility of a shortage of personal protective equipment?
Your answer
What changes have you made in your practice due to the COVID-19 pandemic?
Your answer
What actions have you taken to ensure timely access to care and information, while protecting both patients and providers from the spread of COVID-19? (Check all that apply)
Increased telehealth consults
Increased proactive, secure messaging for patient education
Increased hours
Created or used CDC and other medical organization handouts for patient education
Staff wearing N95s
Restrictions on persons accompanying patients
Restrictions on types of visits (e.g. essential OB visits)
Postponed surgeries
Other:
We are seeking to understand the impact of the pandemic on your employment. What is your employment status, currently?
Fully employed with benefits
Fully employed but some benefits (such as retirement contributions) have been placed on hold
Furloughed with benefits
Terminated/laid off
Other:
Clear selection
Impact on Patients
Have you noticed a decrease in visits for critical services, such as (check all that apply):
Prenatal care
High risk prenatal or postpartum care
Chronic disease follow up
GYN/Oncology visits
Chemotherapy
Medication-Assisted Treatment for Substance Use Disorders
Family Planning / Contraception
Other:
Are women reporting barriers to accessing care related to COVID-19 precautions, such as (check all that apply):
Lack of transportation due to avoidance of public transit, or restrictions on Medicaid supported transportation services
Lack of child care due to school/daycare closures
Inability to access abortion care (due to policy or practice closures)
Inability to access contraception options
Other:
Are your patients expressing concern about the impact of COVID-19 on their lives (check all that apply)?
Economic concerns related to time away from work
Job loss
Lack of food and basic necessities
Concern about caring for aging parents
Concern among older women related to at-risk status
Closure or reduced hours for clinic availability
Experiencing domestic abuse
Other:
What is Needed
Are there resources or guidance you would like to see from NPWH?
Your answer
Are there government actions that have not been taken that you would like to see addressed?
Your answer
While the policies and restrictions federal and local governments have put in place are designed to protect public health and reduce the spread of COVID-19, have you seen any unintended negative impacts on patients or providers?
Your answer
Is there anything else you want to share about your experience with COVID-19?
Your answer
NPWH wants to share the stories of providers during this pandemic. If you are interested in sharing your experience through writing, photos, videos, or other mediums, please enter your contact information here:
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Ward Circle Strategies.
Report Abuse
Forms