The Usefulness of Electronic Health Records From Preventive Youth Healthcare in the Recognition of Child Mental Health Problems.

Autor:	Koning NR; Department of Public Health and Primary Care, Leiden University Medical Centre, Leiden, Netherlands., Büchner FL; Department of Public Health and Primary Care, Leiden University Medical Centre, Leiden, Netherlands., van den Berg AW; Department of Public Health and Primary Care, Leiden University Medical Centre, Leiden, Netherlands., Choi SYA; Department of Public Health and Primary Care, Leiden University Medical Centre, Leiden, Netherlands., Leeuwenburgh NA; GGD Hollands Midden, Leiden, Netherlands., Paijmans IJM; GGD Hollands Midden, Leiden, Netherlands., van Dijk-van Dijk DJA; GGD Hollands Midden, Leiden, Netherlands., Numans ME; Department of Public Health and Primary Care, Leiden University Medical Centre, Leiden, Netherlands., Crone MR; Department of Public Health and Primary Care, Leiden University Medical Centre, Leiden, Netherlands.
Jazyk:	angličtina
Zdroj:	Frontiers in public health [Front Public Health] 2021 May 31; Vol. 9, pp. 658240. Date of Electronic Publication: 2021 May 31 (Print Publication: 2021).
DOI:	10.3389/fpubh.2021.658240
Abstrakt:	Background and Objectives: Early identification of child mental health problems (MHPs) is important to provide adequate, timely treatment. Dutch preventive youth healthcare monitors all aspects of a child's healthy development. We explored the usefulness of their electronic health records (EHRs) in scientific research and aimed to develop prediction models for child MHPs. Methods: Population-based cohort study with anonymously extracted electronic healthcare data from preventive youth healthcare centers in the Leiden area, the Netherlands, from the period 2005-2015. Data was analyzed with respect to its continuity, percentage of cases and completeness. Logistic regression analyses were conducted to develop prediction models for the risk of a first recorded concern for MHPs in the next scheduled visit at age 3/4, 5/6, 10/11, and 13/14 years. Results: We included 26,492 children. The continuity of the data was low and the number of concerns for MHPs varied greatly. A large number of determinants had missing data for over 80% of the children. The discriminatory performance of the prediction models were poor. Conclusions: This is the first study exploring the usefulness of EHRs from Dutch preventive youth healthcare in research, especially in predicting child MHPs. We found the usefulness of the data to be limited and the performance of the developed prediction models was poor. When data quality can be improved, e.g., by facilitating accurate recording, or by data enrichment from other available sources, the analysis of EHRs might be helpful for better identification of child MHPs. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2021 Koning, Büchner, van den Berg, Choi, Leeuwenburgh, Paijmans, van Dijk-van Dijk, Numans and Crone.)
Databáze:	MEDLINE
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