确定围产期焦虑风险增加:一个多视角的定性研究
Tamsin Fisher1, Tom Kingstone2,3, Noureen Asif Shivji2
1Keele University, School of Medicine, Keele, United Kingdom t.e.fisher1@keele.ac.uk.
概括
使用患者数据识别患有围产期焦虑 (PNA) 风险的妇女是可以接受的,如果支持是充足的. 敏感的沟通和解决数据共享/编码问题对于有效的PNA早期干预至关重要.
科学领域:
- 围产期心理健康 围产期心理健康
- 医疗信息学 医疗信息学
- 患者数据分析 患者数据分析
背景情况:
- 围产期焦虑 (PNA) 影响大约20%的女性.
- 常规患者数据可以识别处于早期PNA干预风险的妇女.
- 使用患者数据用于PNA风险识别的可接受性尚不清楚.
研究的目的:
- 探索患者和从业人员对识别PNA风险的看法,使用例行收集的数据.
- 评估数据驱动PNA风险识别的可接受性.
主要方法:
- 与19名具有PNA经验的女性,27名医疗保健从业人员 (HCP) 和4名社区从业人员进行了半结构化采访.
- 采用了面试数据的专题分析.
- 涉及患者和公众参与和参与小组.
主要成果:
- 患者和从业人员都发现,使用医疗记录来识别PNA风险是可以接受的,前提是有足够的支持.
- 敏感的沟通至关重要,更喜欢"更脆弱"等术语.
- 实践者指出,由于有限的数据共享和糟糕的编码,在识别风险因素方面存在挑战.
结论:
- 在患者记录中识别PNA风险因素存在挑战.
- 确定了不完全记录风险因素和跨专业数据共享的局限性.
- 一些从业者倾向于临床直觉,而不仅仅依赖患者记录进行风险评估.
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