E-tool for improving vaginal health care Development and evaluation of
an electronic decision aid for self-diagnosis and treatment in General
Practice in the Netherlands.
Abstract
Rationale, Aims and objectives The management of vaginal health care in
general practice settings is performing suboptimal. Vaginal complaints
are of frequent and recurrent nature and often stay untreated or are
maltreated. eHealth and increased empowerment of patients offer
opportunities to improve vaginal health care offered by GPs. The aim is
to develop and evaluate an e-tool for women with vaginal complaints, for
improving vaginal health care. With this e-tool women can estimate the
necessity to schedule a GP consult, wait, or self-diagnose and
self-treat. Methods For this qualitative study, the setting is a large
general practitioners’ office in the Netherlands. After developing the
electronic decision aid, we used a purposive sample of 10 women of
different ages, to evaluate the e-tool. The data was collected through
semi-structured and cognitive interviews, encouraging the thinking aloud
method. The interviews were processed with thematic content analysis.
Information about (dis)satisfaction was obtained with comparing
expectations and perceptions of the subsets content, development process
and effectiveness of the e-tool. Results Besides providing information,
the e-tool enables women to self-structure their symptoms and prepare
them for consultation with their GP (if necessary) or self-diagnose and
self-treat (if appropriate). Although in general the women were
satisfied, we also got various tips for improvement and further
refinement of this electronic decision aid. Conclusions To the best of
our knowlegde, this is the first, scientifically developed, (prototype)
of an e-tool for self-diagnosis and treatment of vaginal complaints. In
the near future, implementing an e-tool for vaginal complaints in
general practice, seems promising in making vaginal health care more
effective and efficient.