PDF(Pubmed)
Abstract：
BACKGROUND: Pregnancy acts as a cardiovascular stress test. Although many complications resolve following birth, women with hypertensive disorder of pregnancy have an increased risk of developing cardiovascular disease (CVD) long-term. Monitoring postnatal health can reduce this risk but requires better methods to identity high-risk women for timely interventions.
METHODS: Employing a qualitative descriptive study design, focus groups and/or interviews were conducted, separately engaging public contributors and clinical professionals. Diverse participants were recruited through social media convenience sampling. Semi-structured, facilitator-led discussions explored perspectives of current postnatal assessment and attitudes towards linking patient electronic healthcare data to develop digital tools for identifying postpartum women at risk of CVD. Participant perspectives were gathered using post-it notes or a facilitator scribe and analysed thematically.
RESULTS: From 27 public and seven clinical contributors, five themes regarding postnatal check expectations versus reality were developed, including \'limited resources\', \'low maternal health priority\', \'lack of knowledge\', \'ineffective systems\' and \'new mum syndrome\'. Despite some concerns, all supported data linkage to identify women postnatally, targeting intervention to those at greater risk of CVD. Participants outlined potential benefits of digitalisation and risk prediction, highlighting design and communication needs for diverse communities.
CONCLUSIONS: Current health system constraints in England contribute to suboptimal postnatal care. Integrating data linkage and improving education on data and digital tools for maternal healthcare shows promise for enhanced monitoring and improved future health. Recognised for streamlining processes and risk prediction, digital tools may enable more person-centred care plans, addressing the gaps in current postnatal care practice.
METHODS: Employing a qualitative descriptive study design, focus groups and/or interviews were conducted, separately engaging public contributors and clinical professionals. Diverse participants were recruited through social media convenience sampling. Semi-structured, facilitator-led discussions explored perspectives of current postnatal assessment and attitudes towards linking patient electronic healthcare data to develop digital tools for identifying postpartum women at risk of CVD. Participant perspectives were gathered using post-it notes or a facilitator scribe and analysed thematically.
RESULTS: From 27 public and seven clinical contributors, five themes regarding postnatal check expectations versus reality were developed, including \'limited resources\', \'low maternal health priority\', \'lack of knowledge\', \'ineffective systems\' and \'new mum syndrome\'. Despite some concerns, all supported data linkage to identify women postnatally, targeting intervention to those at greater risk of CVD. Participants outlined potential benefits of digitalisation and risk prediction, highlighting design and communication needs for diverse communities.
CONCLUSIONS: Current health system constraints in England contribute to suboptimal postnatal care. Integrating data linkage and improving education on data and digital tools for maternal healthcare shows promise for enhanced monitoring and improved future health. Recognised for streamlining processes and risk prediction, digital tools may enable more person-centred care plans, addressing the gaps in current postnatal care practice.
摘要：
背景：妊娠作为心血管压力测试。虽然许多并发症在出生后解决，妊娠合并高血压疾病的女性长期患心血管疾病(CVD)的风险增加.监测产后健康可以减少这种风险，但需要更好的方法来识别高风险妇女，以便及时进行干预。
方法：采用定性描述性研究设计，进行了焦点小组和/或访谈，分别聘请公共贡献者和临床专业人员。通过社交媒体便利抽样招募了不同的参与者。半结构化,主持人主导的讨论探讨了当前产后评估的观点,以及将患者电子医疗数据与开发识别有CVD风险的产后妇女的数字工具联系起来的态度.参与者的观点是使用便利贴或主持人抄写员收集的，并进行了主题分析。
结果：来自27个公共贡献者和7个临床贡献者，制定了关于产后检查期望与现实的五个主题，包括“有限资源”，\'低孕产妇健康优先级\'，\'缺乏知识\'，\“无效系统\”和\“新妈妈综合征\”。尽管有些担忧,所有支持数据链接，以识别产后妇女，针对心血管疾病风险较大的人群进行干预。与会者概述了数字化和风险预测的潜在好处。突出不同社区的设计和沟通需求。
结论：英国目前的卫生系统限制导致产后护理欠佳。整合数据链接并改善孕产妇保健数据和数字工具的教育，显示出加强监测和改善未来健康的希望。在简化流程和风险预测方面获得认可，数字工具可以实现更多以人为本的护理计划，解决当前产后护理实践中的差距。
方法：采用定性描述性研究设计，进行了焦点小组和/或访谈，分别聘请公共贡献者和临床专业人员。通过社交媒体便利抽样招募了不同的参与者。半结构化,主持人主导的讨论探讨了当前产后评估的观点,以及将患者电子医疗数据与开发识别有CVD风险的产后妇女的数字工具联系起来的态度.参与者的观点是使用便利贴或主持人抄写员收集的，并进行了主题分析。
结果：来自27个公共贡献者和7个临床贡献者，制定了关于产后检查期望与现实的五个主题，包括“有限资源”，\'低孕产妇健康优先级\'，\'缺乏知识\'，\“无效系统\”和\“新妈妈综合征\”。尽管有些担忧,所有支持数据链接，以识别产后妇女，针对心血管疾病风险较大的人群进行干预。与会者概述了数字化和风险预测的潜在好处。突出不同社区的设计和沟通需求。
结论：英国目前的卫生系统限制导致产后护理欠佳。整合数据链接并改善孕产妇保健数据和数字工具的教育，显示出加强监测和改善未来健康的希望。在简化流程和风险预测方面获得认可，数字工具可以实现更多以人为本的护理计划，解决当前产后护理实践中的差距。
