PDF(Pubmed)
Abstract：
UNASSIGNED: Digitalisation offers innovative solutions within maternity services; however, vulnerable groups risk being overlooked. University College London Hospital\'s (UCLH) successful implementation of a digital maternity app, MyCare, gives women access to test results, information about appointments, and enables communication with healthcare professionals (HCPs). Yet, little is known about access and engagement among vulnerable pregnant women.
UNASSIGNED: Research was conducted over a 3-month period (April-June 2022) in the Maternity Department at UCLH, UK. MyCare datasets were analysed, and anonymised surveys completed by vulnerable pregnant women and HCPs.
UNASSIGNED: Lower rates of utilisation and engagement with MyCare were seen in vulnerable pregnant women especially among refugee/asylum seekers, those with mental health issues, and those facing domestic violence. Non-users were also more likely to be individuals from ethnic minority backgrounds, with a lower average social-deprivation-index decile, whose first language was not English, and with a significant history of non-attendance to appointments. Patient and HCP surveys highlighted various barriers to MyCare engagement, including a lack of motivation, limited language options, low e-literacy levels, and complex app interfaces.
UNASSIGNED: The use of a single digital tool, without a formulated pathway to identify and assist those not accessing or engaging with it, risks unequal care provision which may exacerbate health inequalities. This research advances the idea that digital exclusion is not necessarily a matter of access to technology, but an issue of a lack of engagement with these tools. Therefore, vulnerable women and HCPs must be integral to the implementation of digital strategies, to ensure no one is left behind.
UNASSIGNED: Research was conducted over a 3-month period (April-June 2022) in the Maternity Department at UCLH, UK. MyCare datasets were analysed, and anonymised surveys completed by vulnerable pregnant women and HCPs.
UNASSIGNED: Lower rates of utilisation and engagement with MyCare were seen in vulnerable pregnant women especially among refugee/asylum seekers, those with mental health issues, and those facing domestic violence. Non-users were also more likely to be individuals from ethnic minority backgrounds, with a lower average social-deprivation-index decile, whose first language was not English, and with a significant history of non-attendance to appointments. Patient and HCP surveys highlighted various barriers to MyCare engagement, including a lack of motivation, limited language options, low e-literacy levels, and complex app interfaces.
UNASSIGNED: The use of a single digital tool, without a formulated pathway to identify and assist those not accessing or engaging with it, risks unequal care provision which may exacerbate health inequalities. This research advances the idea that digital exclusion is not necessarily a matter of access to technology, but an issue of a lack of engagement with these tools. Therefore, vulnerable women and HCPs must be integral to the implementation of digital strategies, to ensure no one is left behind.
摘要：
■数字化在产妇服务中提供创新的解决方案；然而，弱势群体有被忽视的风险。伦敦大学学院医院（UCLH）成功实施了数字产妇应用程序，MyCare,让女性获得测试结果，有关约会的信息，并实现与医疗保健专业人员（HCP）的沟通。然而，对弱势孕妇的接触和参与知之甚少。
■研究是在UCLH的产妇部门进行的，为期3个月（2022年4月至6月），英国。MyCare数据集进行了分析，以及由弱势孕妇和HCPs完成的匿名调查。
■在脆弱的孕妇中，特别是在难民/寻求庇护者中，MyCare的使用率和参与度较低，那些有心理健康问题的人，以及那些面临家庭暴力的人。非使用者也更可能是来自少数民族背景的个人，平均社会剥夺指数较低，他们的第一语言不是英语，并且有明显的不出席约会的历史。患者和HCP调查强调了MyCare参与的各种障碍，包括缺乏动力，语言选项有限，低电子素养水平，和复杂的应用程序界面。
■使用单个数字工具，没有明确的途径来识别和协助那些没有接触或参与其中的人，风险不平等的护理提供，这可能会加剧健康不平等。这项研究提出了这样一种观点，即数字排斥不一定是获得技术的问题，而是缺乏对这些工具的参与。因此,弱势妇女和HCPs必须是实施数字战略的组成部分，确保没有人掉队.
■研究是在UCLH的产妇部门进行的，为期3个月（2022年4月至6月），英国。MyCare数据集进行了分析，以及由弱势孕妇和HCPs完成的匿名调查。
■在脆弱的孕妇中，特别是在难民/寻求庇护者中，MyCare的使用率和参与度较低，那些有心理健康问题的人，以及那些面临家庭暴力的人。非使用者也更可能是来自少数民族背景的个人，平均社会剥夺指数较低，他们的第一语言不是英语，并且有明显的不出席约会的历史。患者和HCP调查强调了MyCare参与的各种障碍，包括缺乏动力，语言选项有限，低电子素养水平，和复杂的应用程序界面。
■使用单个数字工具，没有明确的途径来识别和协助那些没有接触或参与其中的人，风险不平等的护理提供，这可能会加剧健康不平等。这项研究提出了这样一种观点，即数字排斥不一定是获得技术的问题，而是缺乏对这些工具的参与。因此,弱势妇女和HCPs必须是实施数字战略的组成部分，确保没有人掉队.
