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Published on: February 23, 2011
Optimising the use of general practice medical records to support preconception care: A qualitative study
Nishadi N Withanage1, Sharon James2, Jessica R Botfield3
1BBioMedSc (Hons), Department of General Practice, Monash University, Melbourne, Vic; SPHERE NHMRC Centre of Research Excellence, Melbourne, Vic.
Background And Objectives:
Preconception care (PCC) reduces preconception health risk factors and improves pregnancy outcomes. General practice electronic medical records (EMRs) contain valuable preconception health data. This study interviewed general practitioners (GPs) and practice nurses (PNs) to investigate their perceived acceptability and feasibility of using EMR data to identify, invite and improve PCC provision to reproductive-aged female patients at risk of adverse pregnancy outcomes.
Method:
Twenty semi-structured qualitative interviews were conducted with GPs and PNs and analysed using inductive reflexive thematic analysis.
Results:
Identifying patients with preconception health risk factors using EMRs was mostly acceptable and feasible. Recommendations included directing invitations towards women with reproductive intent, using generic language to avoid stigmatising individuals and raising awareness of the importance and availability of PCC.
Discussion:
As perceived by GPs and PNs, improving EMR data quality, currency of preconception health risk factors and recording reproductive intent would enhance the feasibility and acceptability of sending PCC invitations based on EMR-generated risk profiles.
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