追溯使用患者的特征来评估产前护理利用率的变化
Alex F Peahl1,2,3, Harini Pennathur4, Nicholas Zacharek4
1Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan.
American journal of perinatology
|August 14, 2023
概括
医疗和心理社会风险因素显著影响产前护理利用率和健康结果. 根据电子健康记录中识别的患者表型来定制护理可以改善结果.
科学领域:
- 产科和妇科 产科和妇科
- 医疗保健服务研究 医疗服务研究
- 围产期健康 围产期健康
背景情况:
- 产前护理利用率和健康结果受到医疗和心理社会风险因素的复杂相互作用的影响.
- 了解这些因素对于开发有效和个性化的产前护理策略至关重要.
研究的目的:
- 探索医疗和心理社会风险因素与产前护理利用和健康结果之间的关联.
- 根据患者风险因子表型,根据产前护理模型的量身定制提供信息.
主要方法:
- 一个回顾性队列研究,对4681名在2018年1月1日至12月31日期间分娩的患者进行了研究.
- 根据电子健康记录 (EHR) 中识别的医疗/心理社会风险因素,患者被分为四种表型.
- 分析包括患者特征,访问和非访问利用,以及健康结果,如早产和孕前.
主要成果:
- 与没有心理社会风险因素的患者相比,患有心理社会风险因素的患者使用的产前访问较少,并且在产前护理的时间较短.
- 随着医疗和心理社会风险因素的增加,观察到更高的早产和妊娠高血压率.
- 风险因素患病率存在差异,比白人患者更多的黑人和西班牙裔患者表现出心理社会风险因素.
结论:
- 电子健康记录数据可以有效地评估医疗和心理社会风险因素对产前护理的影响.
- 来自风险因素的患者表型与产前护理使用和结果的变化有关.
- 推量身定制的产前护理模型,以主动解决患者的各种需求,并改善产前健康.
更多相关视频
06:55Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
14.5K
03:49Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse POP Quantification System
Published on: September 20, 2018
19.1K
相关概念视频
Regression Toward the Mean
6.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K
Observational Studies
8.7K
Observational studies are a type of analytical study where researchers observe events without any interventions. In other words, the researcher does not influence the response variable or the experiment's outcome.
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
8.7K
Data Collection by Observations
12.1K
Data collection refers to a systematic way of obtaining, observing, measuring, and analyzing accurate information. Observational studies are one of the most widely used methods of data collection. It involves collecting data by observing the behavior and physical characteristics of a sample without making any modifications to the sample.
An astronomer viewing the motion and brightness of stars in the sky and recording the data is an example of observational data collection. A botanist recording...
An astronomer viewing the motion and brightness of stars in the sky and recording the data is an example of observational data collection. A botanist recording...
12.1K
Longitudinal Research
12.0K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
12.0K
Analysis of Population Pharmacokinetic Data
295
Analysis of population pharmacokinetic data involves studying the behavior of drugs within diverse populations to understand their pharmacokinetic parameters. Traditional pharmacokinetic methods typically involve collecting samples from a few individuals and estimating these parameters. While these methods are commonly used, they have limitations in capturing the variability in drug response among individuals or heterogeneous populations. Population pharmacokinetics is employed to address these...
295
Cross-Sectional Research
11.4K
In cross-sectional research, a researcher compares multiple segments of the population at the same time. If they were interested in people's dietary habits, the researcher might directly compare different groups of people by age. Instead of following a group of people for 20 years to see how their dietary habits changed from decade to decade, the researcher would study a group of 20-year-old individuals and compare them to a group of 30-year-old individuals and a group of 40-year-old...
11.4K
