在患者门户网站上讨论大麻安全消息:内容分析
Vishal A Shetty1,2, Christina M Gregor1, Lorraine D Tusing1
1Center for Pharmacy Innovation and Outcomes, Geisinger, Danville, PA, United States.
Journal of medical Internet research
|December 12, 2024
概括
在医用大麻合法化后,患者越来越多地通过安全消息讨论使用大麻的问题,寻求帮助和报告使用. 提供者提供获取帮助或警告风险,强调改善护理过程的需要.
科学领域:
- 医疗信息学 医疗信息学
- 患者与医疗服务提供者之间的沟通
- 大麻研究 大麻研究
背景情况:
- 患者门户安全消息捕捉了超越标准电子健康记录 (EHR) 的健康行为.
- 关于患者门户网站安全消息传递平台中的大麻讨论的理解有限.
研究的目的:
- 识别患者和提供者安全消息讨论大麻.
- 把这些讨论在宾夕法尼亚州医用大麻合法化前后的背景.
主要方法:
- 分析了来自宾夕法尼亚州卫生系统的382,982条安全信息 (2012年1月至2022年6月).
- 使用无监督的自然语言处理来构建一个大麻讨论词典.
- 对采样消息进行定性内容分析,以确定使用和讨论目的的原因.
主要成果:
- 1782个患者和800个提供者信息明确讨论了大麻.
- 患者的主要原因:疼痛 (50.5%),焦虑 (13.7%),睡眠 (11.1%).
- 合法化后,患者的信息集中在寻求医疗使用援助 (35.2%) 和报告使用 (25.3%);提供者信息涉及访问援助 (27.5%) 或无法转诊/处方 (26.3%).
结论:
- 患者积极讨论大麻使用和合法化后的兴趣.
- 提供商的回应各不相同,提供访问援助或风险警告.
- 卫生系统可以利用安全的信息洞察力来加强使用大麻的患者的护理过程.
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