在电子病历中实施标准化妊娠前风险查工具的可行性
Daniella Rogerson1, Carolina Thorlund-Díaz1, Marni B Jacobs1
1Department of Obstetrics, Gynecology and Reproductive Sciences University of California San Diego La Jolla California USA.
Pregnancy (Hoboken, N.J.)
|February 16, 2026
概括
实施电子健康记录 (EHR) 工具用于产前风险查增加了使用率,证明了可行性. 然而,在种族/族群,语言偏好和保险类型之间观察到查率的差异.
科学领域:
- 产科和妇科 产科和妇科
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
背景情况:
- 低剂量阿司匹林 (LDA) 是降低孕前风险的关键干预措施.
- 目前的做法并不能确保所有处于危险的个人都能获得LDA建议.
- 目前正在探索在电子健康记录中实施孕前查工具,以解决这一差距.
研究的目的:
- 评估将孕前风险查工具集成到电子健康记录 (EHR) 中的可行性.
- 评估EHR整合对LDA推率的影响.
- 根据社会人口统计学因素,确定查率的潜在差异.
主要方法:
- 从2023年7月到2024年6月进行了一项回顾性队列研究.
- 在所有产科患者的EHR中实施了一种标准化的孕前风险查工具.
- 可行性以每月查的患者的百分比来衡量;二次结果包括社会人口统计和查率之间的关联.
主要成果:
- 在4556名符合条件的患者中,55.3%的人使用了查工具.
- 在研究期间,每月查率显著增加 (46.2%至67.4%).
- 在西班牙裔/拉丁裔患者,非英语发言者和公共保险患者中,相比于白人,英语发言者和私人保险患者,分别发现查率较低.
结论:
- 整合一个标准化的EHR工具显著改善了孕前风险查可行性.
- 在种族/种族,语言和保险类别中,查率的差异仍然存在.
- 需要采取进一步的干预措施,以确保所有风险人群的公平查.
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