Midwives’ perception of advantages of health care at a distance during the COVID-19 pandemic in Switzerland

Objective: To explore midwives' perceptions of the advantages of telemedicine during the COVID-19 pandemic in Switzerland. Design: Cross-sectional study based on an online survey using quantitative methods. Setting: Midwives working in Switzerland. Participants: Self-selected convenience sample of 630 members of the Swiss Federation of Midwives. Measurement Open questions on advantages of health care at a distance and workrelated characteristics were used in the online questionnaire. The information was coded and integrative content analysis was applied. Findings: A good half of the respondents associated telemedicine with either an advantage beyond the pandemic (“Reduced workload”, “Improved health care provision”, “Greater self-care of clients”), while the others saw a pandemic-related advantage (“Protection from COVID-19”, “Maintaining care/counseling in an exceptional situation”), or no advantage at all. Older, more experienced midwives were less likely to see an advantage beyond the pandemic. The motive “Reduced workload” was positively associated with professionals aged younger than 40 years and midwives with up to 14 years of professional experience, and “Protection from COVID-19” was more likely cited by midwives aged 50 and more and by midwives working solely in hospitals. Midwives who stated “Maintaining care” and “Improved health care provision” as motives to embrace telemedicine were more likely to experience health care at a distance as a positive treatment alternative. Key conclusion: Midwives’ perceptions of the advantages of health care at a distance vary substantially with age and years of professional experience, as well as workrelated characteristics. Further research is necessary to acquire a sound understanding of underlying reasons, including the sources of the general attitudes involved. Implication for practice: Understanding the differences in perceptions of health care at a distance is important in order to improve the work situation of mid