Leveraging Qualitative Insights for Dashboard Development to Address Perinatal Health Inequalities in Maternity, Neonatal and Perinatal Services

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice Pub Date : 2025-05-22 DOI:10.1111/jep.70130

Olufisayo Olakotan, Jennifer N. W. Lim, Mina Bhavsar, Farah Siddiqui, Rabina Ayaz, Gillian O'Brady Henry, Thillagavathie Pillay (Tilly)

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引用次数: 0

Abstract

Introduction

Perinatal health inequalities, referring to disparities in maternal and neonatal outcomes among different ethnic groups, persist despite numerous calls to action. A quality improvement initiative, such as the perinatal health inequality dashboard, could serve as a tool to provide real-time data, highlight trends and patterns, and capture and analyse disparities in maternal and neonatal outcomes across various population groups.

Aim

To explore the development process of the perinatal health inequality dashboard and conduct a preliminary evaluation of the barriers and facilitators in effectively presenting data and highlighting disparities in maternal and neonatal outcomes on the dashboard in the Leicester, Leicestershire, and Rutland (LLR) region in the United Kingdom.

Method

A qualitative study was conducted at the University Hospital of Leicester (UHL) involving the dashboard development team and end users, who are clinicians specializing in obstetrics, neonatal care, and perinatal mental health from the Leicester, Leicestershire, and Rutland (LLR) region. Ten clinicians were interviewed using a semi-structured approach over a 3-month period. The data were analysed using thematic analysis following Braun and Clarke's method.

Results

The study findings are presented in two sections: the dashboard development process and dashboard evaluation. Key themes in the development process include data sourcing, integration, and accuracy in neonatal care. Evaluation themes focus on the potential impact of the dashboard, a user-friendly interface, balancing qualitative and quantitative data, sustainability through continuous oversight, and system integration and interoperability. These findings offer critical insights for the ongoing refinement and effective deployment of the dashboard.

Conclusion

The dashboard has the potential to improve health outcomes based on clinicians' insights. However, continuous refinement and modification of its functionality are necessary to address the challenges associated with its use.

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利用仪表板开发的定性见解，解决孕产妇、新生儿和围产期服务中的围产期保健不平等问题

尽管多次呼吁采取行动，围产期保健不平等现象仍然存在，它指的是不同族裔群体之间孕产妇和新生儿结局的差异。围产期健康不平等仪表板等质量改进倡议可作为一种工具，提供实时数据，突出趋势和模式，并捕捉和分析不同人口群体在孕产妇和新生儿结局方面的差异。目的探讨围产期健康不平等仪表板的发展过程，并对英国莱斯特、莱斯特郡和拉特兰（LLR）地区在仪表板上有效呈现数据和突出孕产妇和新生儿结局差异的障碍和促进因素进行初步评估。方法在莱斯特大学医院（UHL）进行了一项定性研究，涉及仪表板开发团队和最终用户，他们是来自莱斯特、莱斯特郡和拉特兰（LLR）地区的产科、新生儿护理和围产期心理健康方面的临床医生。10名临床医生在3个月的时间里采用半结构化的方法进行了访谈。采用Braun和Clarke的方法对数据进行主题分析。结果研究结果分为两部分：仪表板开发过程和仪表板评估。发展过程中的关键主题包括新生儿护理的数据来源、整合和准确性。评估主题侧重于仪表板的潜在影响、用户友好界面、平衡定性和定量数据、通过持续监督的可持续性以及系统集成和互操作性。这些发现为仪表板的持续改进和有效部署提供了关键的见解。结论基于临床医生的见解，仪表板具有改善健康结果的潜力。然而，不断改进和修改其功能是必要的，以解决与它的使用相关的挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.