Understanding Patient Perspectives on Specialized, Longitudinal, Postpartum, Cardiovascular Risk-Reduction Clinics
Notice bibliographique
Résumé
BackgroundFemales who experience a hypertensive disorders of pregnancy (HDP) have an increased lifelong risk of cardiovascular diseases. Thus, Canadian clinical practice guidelines recommend cardiovascular risk reduction follow-up after HDP. This study examined the experiences of patients with HDP who attended a specialized, longitudinal General Internal Medicine (GIM) postpartum cardiovascular risk reduction clinic called PreVASC. PreVASC focuses on comprehensive cardiovascular risk reduction through cardiovascular risk factor screening and management tailored specifically for females after HDP.MethodsThis multi-method study examined the experiences of females with HDP through: 1) quantitative survey (summarized with descriptive statistics); 2) semi-structured qualitative patient phone interviews (results grouped thematically); and 3) triangulation of qualitative themes with quantitative survey results.ResultsOverall, 37% (42 of 115) of eligible clinic patients participated, 79% (n=33) of participants reported being “very satisfied” with the PreVASC clinic’s specialized longitudinal model of care and 95% (n=40) reported making at least one preventive health behavior change after receiving individualized counselling on cardiovascular risk reduction. Qualitative results found improvements in patient-reported cardiovascular health knowledge, health behaviours and health-related anxiety. A preference for in-person vs. telephone clinic visits was reported by participants.ConclusionAn in-person, GIM specialist-led, longitudinal model of CVD preventive care focused specifically on cardiovascular risk reduction after HDP had positive impacts on patient experience, health knowledge and preventive health behaviours. This novel knowledge on patient preferences for a longitudinal, specialized model of care advances cardiovascular risk reduction tailored specifically for high-risk people after HDP. Females who experience a hypertensive disorders of pregnancy (HDP) have an increased lifelong risk of cardiovascular diseases. Thus, Canadian clinical practice guidelines recommend cardiovascular risk reduction follow-up after HDP. This study examined the experiences of patients with HDP who attended a specialized, longitudinal General Internal Medicine (GIM) postpartum cardiovascular risk reduction clinic called PreVASC. PreVASC focuses on comprehensive cardiovascular risk reduction through cardiovascular risk factor screening and management tailored specifically for females after HDP. This multi-method study examined the experiences of females with HDP through: 1) quantitative survey (summarized with descriptive statistics); 2) semi-structured qualitative patient phone interviews (results grouped thematically); and 3) triangulation of qualitative themes with quantitative survey results. Overall, 37% (42 of 115) of eligible clinic patients participated, 79% (n=33) of participants reported being “very satisfied” with the PreVASC clinic’s specialized longitudinal model of care and 95% (n=40) reported making at least one preventive health behavior change after receiving individualized counselling on cardiovascular risk reduction. Qualitative results found improvements in patient-reported cardiovascular health knowledge, health behaviours and health-related anxiety. A preference for in-person vs. telephone clinic visits was reported by participants. An in-person, GIM specialist-led, longitudinal model of CVD preventive care focused specifically on cardiovascular risk reduction after HDP had positive impacts on patient experience, health knowledge and preventive health behaviours. This novel knowledge on patient preferences for a longitudinal, specialized model of care advances cardiovascular risk reduction tailored specifically for high-risk people after HDP.
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 distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 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) | 0,000 | 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 tête enseignante, 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 ».