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优化一般医疗记录的使用,以支持孕前护理:一种定性研究
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.
Australian journal of general practice
|June 4, 2025
概括
一般医生和护士发现使用电子医疗记录来进行孕前护理 (PCC) 是可行的. 提高数据质量和记录生殖意图可以提高PCC向有风险的妇女的交付.
科学领域:
- 公共卫生 公共卫生
- 一般的做法一般的做法
- 生殖健康 生殖健康
背景情况:
- 孕前护理 (PCC) 对于降低健康风险和改善妊娠结果至关重要.
- 电子病历 (EMR) 在一般实践中包含重要的数据,用于识别需要PCC的患者.
- 负面的怀孕结果不成比例地影响着未解决孕前健康风险的妇女.
研究的目的:
- 探索全科医生 (GPs) 和实践护士 (PNs) 对使用EMR数据用于PCC的观点.
- 评估识别,邀请和提供PCC的感知可接受性和可行性,以风险女性使用EMRs.
- 确定将基于EMR的PCC识别纳入常规实践的障碍和促进因素.
主要方法:
- 定性研究涉及20个半结构面试与一般医生和PN.
- 用感应反射主题分析来分析采访数据.
- 专注于医疗保健专业人员关于EMR用于怀孕前健康的观点.
主要成果:
- 通过EMR识别患有怀孕前健康风险因素的患者在很大程度上被认为是可以接受和可行的.
- 关键建议包括针对有生殖意图的妇女发出邀请,并使用非耻辱化的语言.
- 还强调了提高PCC的重要性和可用性的认识.
结论:
- 一般医生和妇产科医生认为EMR数据是增强产前护理提供的一个有价值的工具.
- 改善EMR数据质量,风险因子货币化和记录生殖意图对于成功实施至关重要.
- 系统地使用EMR可以优化识别和支持那些有不良妊娠结果风险的妇女.
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