Assessing and referring adolescents' health-related social problems: qualitative evaluation of a novel web-based approach
Assessing and referring adolescents' health-related social problems: qualitative evaluation of a novel web-based approach
复制标题
评估和转介青少年与健康相关的社会问题：基于网络的新颖方法的定性评估
DOI：
10.1258/jtt.2012.120214
复制
发表时间：
2012
影响因子：
4.7
通讯作者：
E. Fleegler
中科院分区：
文献类型：
--
作者：
Sarah A Wylie;Areej Hassan;Emily G Krull;Aaron Pikcilingis;Heather L. Corliss;E. Woods;E. Fleegler
我们进行了一项定性研究，以调查用户对针对存在健康相关社会问题的年轻人的网络筛查和转诊系统的看法。首批使用该系统的 50 名患者还参加了半结构化访谈。其中15-17岁患者20例，18-25岁患者30例。完成基于网络的筛选过程平均需要 25 分钟。 90% 的参与者报告了至少一个与健康相关的重大社会问题，总共选择了 134 名转介者寻求进一步援助。 96% 的参与者表示他们会向朋友或同事推荐该系统，80% 的参与者支持将其用于年度筛查。该系统的感知优势包括新颖性、隐私性、易用性、相关性、动机、转诊的多样性和邻近性以及诊所工作人员的支持。感知到的缺点包括长度、敏感性、导航挑战和机构可用性。该系统补充了医疗服务提供者的就诊并保护了隐私，同时提高了对患者需求的关注。计算机化筛查和转诊工具有可能提高弱势年轻人的护理质量。
We conducted a qualitative study to examine users' perceptions of a web-based screening and referral system for young adults with health-related social problems. The first 50 patients who used the system also took part in semi-structured interviews. There were 20 patients aged 15–17 years and 30 aged 18–25 years. Completing the web-based screening process took an average of 25 min. Ninety percent of participants reported at least one major health-related social problem and a total of 134 referrals were selected for further assistance. Ninety-six percent of participants said they would recommend the system to a friend or peer, and 80% supported its use for annual screening. Perceived strengths of the system were novelty, privacy, ease of use, relevance, motivation, variety and proximity of referrals, and clinic staff support. Perceived shortcomings were length, sensitivity, navigation challenges and agency availability. The system complemented provider visits and preserved privacy while improving attention to patient needs. Computerized screening and referral tools have potential to improve the quality of care in vulnerable young adults.