In a maternity shared-care environment, what do we know about the paper hand-held and electronic health record: a systematic literature review
Open accessAbstract
BACKGROUND: The paper hand-held record (PHR) has been widely used as a tool to facilitate communication between health care providers and a pregnant woman. Since its inception in the 1950s, it has been described as a successful initiative, evolving to meet the needs of communities and their providers. Increasingly, the electronic health record (EHR) has dominated the healthcare arena and the maternity general practice shared-care arrangement seems to have adopted this initiative. A systematic review was conducted to determine perspectives of the PHR and the EHR with regards to data completeness; experiences of users and integration of care between women and health care providers. METHOD: A literature search was conducted that included papers from 1985 to 2012. Studies were chosen if they fulfilled the inclusion criteria, reporting on: data completeness; experiences of users and integration of care between women and health care providers. Papers were extracted by one reviewer in consultation with two reviewers with expertise in maternity e-health and independently assessed for quality. RESULTS: A total of 43 papers were identified for the review, from an initial 6,816 potentially relevant publications. No papers were found that reported on data completeness in a maternity PHR or a maternity EHR, in a shared-care setting. Women described the PHR as important to their antenatal care and had a generally positive perception of using an EHR. Hospital clinicians reported generally positive experiences using a PHR, while both positive and negative impressions were found using an EHR. The few papers describing the use of the PHR and EHR by community clinicians were also divergent and inconclusive with regards to their experiences. In a general practice shared-care model, the PHR is a valuable tool for integration between the woman and the health care provider. While the EHR is an ideal initiative in the maternity setting, facilitating referrals and communication, there are issues of fragmentation and continued paper use. CONCLUSIONS: There was a surprising gap in knowledge surrounding data completeness on maternity PHRs or EHRs. There is also a paucity of available impressions from community clinicians using both forms of the records.
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Record keeping in maternity care differs to other specialties as women are responsible for their paper records, with their care documented on the paper record at each visit to community or hospital-based healthcare.
“This particular setting was selected as record keeping in maternity care differs to other specialties as women are responsible for their paper records, with their care documented on the paper record at each visit to community or hospital-based healthcare [9].”
From Exploring the implementation of an electronic record into a maternity unit: a qualitative study using Normalisation Process Theory (2017) · cites this paper as [9]
A recent systematic review noted that clinicians working within the GP-maternity shared care environment had positive perceptions of the paper record; however the response to electronic records was more mixed.
“A recent systematic review noted that clinicians working within the GP-maternity shared care environment had positive perceptions of the paper record; however the response to electronic records was more mixed [9].”
From Exploring the implementation of an electronic record into a maternity unit: a qualitative study using Normalisation Process Theory (2017) · cites this paper as [9]
In support of this study's findings, health professionals largely accepted the electronic record and felt it increased the reliability and legibility of information, but they found it time consuming and reported issues with accessing computers.
“Additionally, and in support of our study’s findings, whilst health professionals largely accepted the electronic record and felt it increased the reliability and legibility of information they found it time consuming and reported issues with accessing computers [9].”
From Exploring the implementation of an electronic record into a maternity unit: a qualitative study using Normalisation Process Theory (2017) · cites this paper as [9]
A systematic review of paper and electronic health records within a maternity shared-care environment reported that whilst women and healthcare professionals generally spoke positively about paper records, they held mixed opinions towards electronic maternity records.
“This is consistent with a systematic review of paper and electronic health records within a maternity shared-care environment that reported that whilst women and healthcare professionals generally spoke positively about paper records, they held mixed opinions towards electronic maternity records [9].”
From Exploring the implementation of an electronic record into a maternity unit: a qualitative study using Normalisation Process Theory (2017) · cites this paper as [9]
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Hawley, G. (2015) · The University of Queensland · doi:10.14264/uql.2015.1007
Self-citationData analytics and health services quality: Implementing eHealth initiatives wisely
Ross, P., Kelly, T., Hiremath, S., & Wilkinson, A. J. (2019) · Edward Elgar Publishing eBooks · doi:10.4337/9781788112352.00013
Facilitating Better Postnatal Care with Women-Held Documents in The Gambia: A Mixed-Methods StudyPreprint
Gooden, T. E., Gustafsson, L., Lu, F., Rickard, F., Sitch, A. J., Cummins, C., Manneh, K., Wilson, A., MacArthur, C., & Manaseki‐Holland, S. (2020) · Research Square · doi:10.21203/rs.3.rs-114604/v1
Gooden, T., Gustafsson, L., Lu, F., Rickard, F., Sitch, A., Cummins, C., Manneh, K., Wilson, A., MacArthur, C., & Manaseki-Holland, S. (2021) · Figshare · doi:10.6084/m9.figshare.14904017
Gooden, T., Gustafsson, L., Lu, F., Rickard, F., Sitch, A., Cummins, C., Manneh, K., Wilson, A., MacArthur, C., & Manaseki-Holland, S. (2021) · Figshare · doi:10.6084/m9.figshare.14904002
Gooden, T., Gustafsson, L., Lu, F., Rickard, F., Sitch, A., Cummins, C., Manneh, K., Wilson, A., MacArthur, C., & Manaseki-Holland, S. (2021) · Figshare · doi:10.6084/m9.figshare.14904011
Gooden, T., Gustafsson, L., Lu, F., Rickard, F., Sitch, A., Cummins, C., Manneh, K., Wilson, A., MacArthur, C., & Manaseki-Holland, S. (2021) · Figshare · doi:10.6084/m9.figshare.14904023
Gooden, T., Gustafsson, L., Lu, F., Rickard, F., Sitch, A., Cummins, C., Manneh, K., Wilson, A., MacArthur, C., & Manaseki-Holland, S. (2021) · Figshare · doi:10.6084/m9.figshare.14904026
Gooden, T., Gustafsson, L., Lu, F., Rickard, F., Sitch, A., Cummins, C., Manneh, K., Wilson, A., MacArthur, C., & Manaseki-Holland, S. (2021) · Figshare · doi:10.6084/m9.figshare.14904020
Gooden, T., Gustafsson, L., Lu, F., Rickard, F., Sitch, A., Cummins, C., Manneh, K., Wilson, A., MacArthur, C., & Manaseki-Holland, S. (2021) · Figshare · doi:10.6084/m9.figshare.14904014
Gooden, T., Gustafsson, L., Lu, F., Rickard, F., Sitch, A., Cummins, C., Manneh, K., Wilson, A., MacArthur, C., & Manaseki-Holland, S. (2021) · Figshare · doi:10.6084/m9.figshare.14904005
Gooden, T., Gustafsson, L., Lu, F., Rickard, F., Sitch, A., Cummins, C., Manneh, K., Wilson, A., MacArthur, C., & Manaseki-Holland, S. (2021) · Figshare · doi:10.6084/m9.figshare.14904008
Gooden, T., Gustafsson, L., Lu, F., Rickard, F., Sitch, A., Cummins, C., Manneh, K., Wilson, A., MacArthur, C., & Manaseki-Holland, S. (2021) · Figshare · doi:10.6084/m9.figshare.14903999
- Authors
- Hawley, G., Janamian, T., Jackson, C., & Wilkinson, S. A.
- Affiliations
- The University of Queensland (AU)
- Mater Health Services (AU)
- Corresponding author
- Hawley, Glenda
- Venue
- BMC Pregnancy and Childbirth
- Published
- 2014-01-30
- Volume
- 14
- Issue
- 1
- Pages
- 52-52
- ISSN
- 1471-2393 (ISSN-L)
- PMC
- PMC3912922
- OpenAlex
- W2148534600
- Cited by
- 45
- References
- 67
- Citations by year
- 2025: 2 · 2023: 4 · 2022: 1 · 2021: 15 · 2020: 2 · 2019: 6 · 2018: 2 · 2017: 4 · 2016: 2 · 2015: 6 · 2014: 1
- FWCI
- 0.65
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Pregnancy and Childbirth (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- National Health and Medical Research Council
- Australian Primary Health Care Research Institute, Australian National University
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Nursing › Issues, ethics and legal aspects › Nursing Diagnosis and Documentation
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- electronic health records, prenatal care, data completeness, user experience, integrated care, community clinicians, hospital clinicians, care fragmentation
- MeSH terms
- Attitude of Health Personnel, Female, Humans, Maternal Health Services, Obstetrics, Information Dissemination, Pregnant People, Health Records, Personal, Electronic Health Records, General Practice
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