Taxonomy of access to mental healthcare for economically marginalized women during a public health crisis: a qualitative study of obstetric professionals and perinatal women during the COVID-19 pandemic - Summary - MDSpire

Taxonomy of access to mental healthcare for economically marginalized women during a public health crisis: a qualitative study of obstetric professionals and perinatal women during the COVID-19 pandemic

  • By

  • Azure B. Thompson

  • Ana J. Schaefer

  • Clevanne Julce

  • Martha Zimmermann

  • Leah Ramella

  • Dienta Rochani

  • Tiffany A. Moore Simas

  • Wendy Davis

  • Nancy Byatt

  • Thomas I. Mackie

  • July 15, 2026

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Objective:

To develop a taxonomy of mental healthcare access during public health crises for economically marginalized perinatal women.

Approach:
  • Interviews: In-depth interviews were conducted with obstetric professionals (n=14) and economically marginalized perinatal women (n=24) during the COVID-19 pandemic.
  • Taxonomy Development: A modified grounded theory was employed to create a taxonomy comprising dimensions, components, and factors influencing mental healthcare access.
Key Findings:
  • Obstetric professionals identified six dimensions of access: approachability, availability, affordability, accessibility, accommodation, and acceptability.
  • Each dimension included multiple components and factors that influenced access to mental healthcare, which were triangulated with the experiences of perinatal women.
  • Affordability was impacted by increased un- and under-employment and loss of employer-sponsored health insurance.
Interpretation:

The findings highlight the need for policymakers and healthcare professionals to address the components affected across the six dimensions of access for economically marginalized perinatal women.

Limitations:
  • The study's findings are based on a limited sample size of obstetric professionals and perinatal women, which may affect the generalizability of the results.
Conclusion:

Interventions could include ongoing support to normalize mental healthcare, collaborations with community-based organizations, and prioritization of patient-centered care models.

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