在澳大利亚一般实践中推广梅毒测试的数字工具的开发和可接受性:使用可接受性的理论框架进行定性研究
Barbara Hunter1, Jane S Hocking2, Jo-Anne Manski-Nankervis3
1Department of General Practice and Primary Care, The University of Melbourne, Carlton, Vic, Australia.
Sexual health
|August 27, 2024
概括
一个新的数字工具,FHT-梅毒,被全科医生认为可以接受,以促使梅毒测试. 该工具有助于识别有风险的患者,并链接到重要的指导方针,改进检测实践.
科学领域:
- 公共卫生 公共卫生
- 数字健康数字健康
- 传染病流行病学 传染病流行病学
背景情况:
- 澳大利亚的梅毒通知在2013-2022年间增加了2.5倍,报告了83例先天性梅毒病例.
- 及时诊断和治疗梅毒是关键的公共卫生优先事项.
- 现有的电子病历 (EMR) 系统为临床决策支持提供了机会.
研究的目的:
- 开发和评估数字工具 (FHT-梅毒) 的可接受性,将其集成到现有的EMR软件中,以促进梅毒测试在一般实践中.
- 确定在初级保健机构实施梅毒检测提示的障碍和促进者.
主要方法:
- 开发FHT-梅毒工具,对符合梅毒测试条件的患者扫描EMR数据.
- 在52个已经使用"未来健康今天" (FHT) 软件的一般实践中实施FHT-梅毒.
- 与9名实践临床医生进行了定性访谈,以探索使用可接受性理论框架的工具的可接受性.
主要成果:
- 临床医生发现梅毒是一个重要的焦点,并广泛接受FHT-梅毒用于患者识别和启动测试讨论.
- 障碍包括时间限制和与患者访问无关的原因;基于性行为的提示被建议但受到EMR数据的限制.
- 两名临床医生通过该工具提醒他们修订的澳大利亚性传播疾病指南后,更新了他们的梅毒测试实践.
结论:
- 使用现有EMR软件的临床医生可以接受激发梅毒测试的数字工具.
- 将临床指南整合到数字工具中,可以提高临床医生的意识,改善性病检测实践.
- 可能需要进一步开发以捕获行为数据,以获得更有针对性的梅毒查提示.
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