From maternity paper hand-held records to electronic health records: What do women tell us about their use?

Hawley, Glenda, Hepworth, Julie, Wilkinson, Shelley A., & Jackson, Claire (2015) From maternity paper hand-held records to electronic health records: What do women tell us about their use? Australian Journal of Primary Health, 22(4), pp. 339-348.

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Abstract

The paper hand-held record (PHR) has been used extensively in general practice (GP) shared care management of pregnant women, and recently, the first Mater Shared Electronic Health Record (MSEHR) was introduced. The aim of this qualitative study was to examine women’s experiences using the records and the contribution of the records to integrate care. At the 36-week antenatal visit in a maternity tertiary centre clinic, women were identified as a user of either the PHR or the MSEHR and organised into Phase 1 and Phase 2 studies respectively. Fifteen women were interviewed in Phase 1 and 12 women in Phase 2. Semi-structured interviews were used for data collection, and analysed using qualitative content analysis. Four main themes were identified:

(1) purpose of the record;

(2) perceptions of the record;

(3) content of the record, and;

(4) sharing the record.

Findings indicate that the PHR is a well-liked maternity tool. The findings also indicate there is under-usage of the MSEHR due to health-care providers failing to follow up and discuss the option of using the electronic health record option or if a woman has completed the log-in process. This paper adds to an already favourable body of knowledge about the use of the PHR. It is recommended that continued implementation of the MSEHR be undertaken to facilitate its use.

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ID Code: 87544
Item Type: Journal Article
Refereed: Yes
Keywords: antenatal, general practitioner (GP), Mater Shared Electronic Health Record (MSEHR), maternity, qualitative research, shared care
DOI: 10.1071/PY14170
ISSN: 1448-7527
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Deposited On: 17 Sep 2015 22:13
Last Modified: 19 Sep 2016 00:44

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