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Developing a preconception medical record audit tool for general practice: a multimethod study.

Nishadi N Withanage1, Jessica R Botfield1, Sharon James1

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Summary
This summary is machine-generated.

General practitioners (GPs) can use a new audit tool to identify preconception health risks in women. This tool, developed with GP input, helps understand risk factors for better preconception care.

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Area of Science:

  • Public Health
  • General Practice
  • Health Informatics

Background:

  • Preconception health risk factors in electronic medical records are crucial for general practitioners (GPs).
  • Understanding these risks aids in assessing women's health before conception.
  • Electronic medical records offer a valuable source for documenting these factors.

Purpose of the Study:

  • To collaborate with GPs to develop an audit tool.
  • To collect preconception health data from structured electronic medical record fields.
  • To facilitate the identification of women who would benefit most from preconception care.

Main Methods:

  • A three-phase multimethod study was conducted.
  • Phase 1 involved developing a preliminary audit tool based on literature review.
  • Phases 2 and 3 focused on GP collaboration for feedback and finalization of the tool.

Main Results:

  • The preliminary audit tool identified 25 preconception health risk factors.
  • GP feedback led to the removal of three factors: second-hand smoke, social history, and history of sexually transmitted infections.
  • The final audit tool includes 22 preconception health risk factors.

Conclusions:

  • The developed audit tool can assist researchers in quantifying preconception health risks in general practice.
  • This facilitates the development of screening processes for targeted preconception care.
  • The tool supports identifying women who would benefit most from preconception interventions.