Nishadi N Withanage, Sharon James, Jessica R Botfield, Kirsten I Black, Jeana Wong, Danielle Mazza
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Optimising the use of general practice medical records to support preconception care: A qualitative study.
Background and objectives: Preconception care (PCC) reduces preconception health risk factors and improves pregnancy outcomes. General practice electronic medical records (EMRs) contain valuable preconception health data. This study interviewed general practitioners (GPs) and practice nurses (PNs) to investigate their perceived acceptability and feasibility of using EMR data to identify, invite and improve PCC provision to reproductive-aged female patients at risk of adverse pregnancy outcomes.
Method: Twenty semi-structured qualitative interviews were conducted with GPs and PNs and analysed using inductive reflexive thematic analysis.
Results: Identifying patients with preconception health risk factors using EMRs was mostly acceptable and feasible. Recommendations included directing invitations towards women with reproductive intent, using generic language to avoid stigmatising individuals and raising awareness of the importance and availability of PCC.
Discussion: As perceived by GPs and PNs, improving EMR data quality, currency of preconception health risk factors and recording reproductive intent would enhance the feasibility and acceptability of sending PCC invitations based on EMR-generated risk profiles.
期刊介绍：
The Australian Journal of General Practice (AJGP) aims to provide relevant, evidence-based, clearly articulated information to Australian general practitioners (GPs) to assist them in providing the highest quality patient care, applicable to the varied geographic and social contexts in which GPs work and to all GP roles as clinician, researcher, educator, practice team member and opinion leader. All articles are subject to peer review before they are accepted for publication.
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