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医疗技术系统正在成为高风险产前护理的安全网工具:一项定性研究

Camelia Arsene¹, Jochebed Ode Boakye Ansah², Katharine Vallerand²

¹Department of Medicine, College of Medicine & Life Sciences, University of Toledo and ProMedica, Toledo, OH, USA.

Journal of communication in healthcare

|February 6, 2026

概括

卫生技术系统 (HTS) 改善了高风险怀孕的机会,但也带来了挑战. 患者与医疗服务提供者之间的沟通对于综合护理至关重要,需要对弱势群体进行系统投资.

科学领域:

孕产妇健康孕产妇健康
医疗信息学医疗信息学
医疗保健通讯医疗保健通讯

背景情况:

包括远程医疗和患者门户在内的卫生技术系统 (HTS) 对高风险怀孕中患者与医疗服务提供者的沟通的影响尚未完全理解.
这些系统对于在怀孕期间需要深入医疗评估的妇女至关重要.

研究的目的:

探索高风险怀孕妇女及其围产期医疗保健提供者的关于远程医疗和患者门户的经验.
在高风险产科护理中的HTS背景下分析患者-提供者沟通.

主要方法:

定性现象学研究. 定性现象学研究.
针对15名高风险孕妇和8名来自两个主要为医疗补助患者服务的产科诊所的医疗保健提供者进行了有目的的抽样.
半结构面试使用诱导主题分析进行分析.

主要成果:

医疗保健服务提供了诸如改善接入和增强患者权力的好处,但也给患者和医疗服务提供者带来了重大挑战.
提供者发现,HTS不能完全解决复杂的高风险怀孕需求,并导致工作流程中断.
患者重视HTS的便利性,但报告了沟通延迟和与医疗保健团队的有限互动.

结论:

HTS可以提高产前护理的准入,共享决策和患者赋权.
解决高风险怀孕需求需要以患者-提供者沟通为中心的多因素解决方案,利用HTS.
医疗保健系统必须投资改善HTS,以更好地为弱势群体提供服务.

关键词:

产前护理产前护理卫生技术系统卫生技术系统患者门户的患者门户.远程医疗远程医疗

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