School of Public Health, Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia.
School of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton, UK.
BMC Health Serv Res. 2024 Jan 17;24(1):93. doi: 10.1186/s12913-024-10559-2.
Australian preventive health strategy outlines the importance of preconception health in improving health in the community, across multiple generations and places primary and community healthcare services as a central pillar to effective preconception care. However, there is no national implementation plan to see preconception care proactively offered in healthcare settings in Australia. Instead, there is evidence that most women search the internet for information about pregnancy planning and preparation. In response, this study explores the availability and characteristics of health services found by searching for preconception care online in Australia.
Simulated Google searches were conducted using search terms 'preconception' and the name of a city/town with a population > 50,000. Related terms, 'fertility' and 'pregnancy' were also searched. Characteristics of the health services and the information available on relevant websites were extracted and reported descriptively.
The searches identified 831 website links, including 430 websites for health services. The health services were most often located in cities/towns with populations equal to or less than 200 000 (54.2%), and housing multiple health professionals (69.8%) including a specialist doctor (66.5%), nurse (20.9%), psychologist/counsellor (2.0%) and/or naturopath (13.0%). All the health services identified online explicitly mentioned women among their target populations, while 69.1% (n = 297) also referred to providing services for men or partners. More than one third of websites included blogs (36.9%) while external links were included in 10.8% of the online sites.
This study provides a preliminary examination of health services that may be found through internet-based searching by Australian consumers seeking health advice or support prior to becoming pregnant. Our descriptive results suggest couples may find a variety of health professionals when seeking health services for preconception care. Future research involving co-design of search terms with consumers, ongoing monitoring of health services and ensuring access to meaningful, and accurate information found through internet-searching are all necessary to ensure people of reproductive age are able to access the preconception health information and care they need.
澳大利亚预防保健策略强调了孕前保健在改善社区、多代人健康方面的重要性,并将初级和社区医疗保健服务作为提供有效孕前保健的核心支柱。然而,澳大利亚并没有全国性的实施计划,主动在医疗保健环境中提供孕前保健。相反,有证据表明,大多数女性在互联网上搜索有关怀孕计划和准备的信息。有鉴于此,本研究通过在澳大利亚网上搜索“孕前保健”和人口超过 50,000 的城市/城镇的名称,来探索在线搜索可获得的健康服务及其特征。
使用“孕前”和人口超过 50,000 的城市/城镇名称的搜索词以及“生育力”和“怀孕”的相关搜索词进行模拟谷歌搜索。提取并描述性报告健康服务的特征以及相关网站上提供的信息。
搜索共确定了 831 个网站链接,其中包括 430 个健康服务网站。这些健康服务最常位于人口等于或少于 200,000 的城市/城镇(54.2%),并容纳了多名医疗保健专业人员(69.8%),包括专科医生(66.5%)、护士(20.9%)、心理学家/顾问(2.0%)和/或自然疗法师(13.0%)。在线识别的所有健康服务都明确将女性作为其目标人群之一,而 69.1%(n=297)还提到为男性或伴侣提供服务。超过三分之一的网站包括博客(36.9%),而 10.8%的在线网站则包含外部链接。
本研究初步考察了澳大利亚消费者在怀孕前通过互联网搜索可能找到的健康服务。我们的描述性结果表明,夫妇在寻求孕前保健服务时可能会找到各种健康专业人员。未来的研究涉及与消费者共同设计搜索词、持续监测健康服务以及确保通过互联网搜索获得有意义和准确的信息,这些都是确保育龄人群能够获得他们所需的孕前健康信息和保健服务的必要条件。