Maternal serum screening in Newfoundland and Labrador: do attitude and knowledge affect physicians' practice?
Notice bibliographique
Résumé
OBJECTIVE: To examine family physicians' practice of, attitudes toward, and knowledge about maternal serum screening (MSS) and to compare the demographic and practice characteristics, attitudes, and knowledge of physicians who offer MSS to all their pregnant patients with those of physicians who offer MSS to some or none of their pregnant patients. DESIGN: Cross-sectional mailed survey. SETTING: Newfoundland and Labrador. PARTICIPANTS: One hundred eighty-two family physicians who provided prenatal care. MAIN OUTCOME MEASURES: Proportion of physicians offering MSS to their pregnant patients. Sociodemographic characteristics and attitudes toward and knowledge about MSS of physicians who offer MSS to all, some, or none of their pregnant patients. RESULTS: Just over half the physicians (52.2%) offered MSS to all their pregnant patients, 34.6% offered it to some patients, and 13.2% did not offer MSS at all. Almost two thirds of physicians (63.6%) had not changed their practice regarding MSS in the past 18 months, but 29.5% said they offered MSS more often. About 69.6% of physicians communicated positive results to patients within 48 hours; 60.8% communicated negative results at the next clinical appointment. Half (50.6%) believed that offering MSS did not affect their legal risk, 24.1% said it increased their risk, and 25.3% said it decreased their risk. Most physicians (83.4%) ordered MSS at the correct gestational age. A larger proportion of those who offered MSS to all patients were female, were between 30 and 39 years old, had graduated from Canadian medical schools, practised in urban centres, and were aware of the provincial MSS program. Physicians who offered MSS to all, some, or none of their patients were similar in terms of length of practice in Canada, whether they performed deliveries, number of pregnant women they cared for annually, beliefs about MSS and legal risk, and general knowledge of MSS detection rates. CONCLUSION: More than half the family physicians in Newfoundland and Labrador offered MSS to all their pregnant patients, and another third offered it to some patients. Physicians' practice was not related to their attitudes toward or knowledge about MSS.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,005 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».