Skip to main content

Table 6 A summary of how the use of the PHR and EHR has facilitated integration of care in a shared-care model

From: In a maternity shared-care environment, what do we know about the paper hand-held and electronic health record: a systematic literature review

Components

PHR maternity record

EHR maternity record

Teamwork

• Differing views on shared-care model

• Current electronic systems are stand-alone and still use paper

 

• Challenges with operating as a team member with tertiary setting

• Fragmented electronic systems result in lack of communication between care providers

 

• GPs expressed inter-professional issues of role distinction, requiring more respect

• Focus of electronic record is to provide a woman centred approach

 

• PHR helped in model and motivated GPs to provide good antenatal care

• Woman want improved communication (email facility) between providers and self

Clinical input

• Provides opportunity to ensure necessary tests are performed and documented

• Has facilitated ease, timeliness of referrals, reminders and notifications

 

• Sections of pathology, ultrasound assessment, history, visit schedules important

• Some information seen as sensitive not appropriate for electronic format

 

• Good to prevent duplication

 
 

• Record should be personalised, provision for referrals and space to write notes

 
 

• Midwives used non-clinical parts of record more

 

Process deliverables

• Process to formalise framework of communication between woman and carers

• Electronic record ideal in maternity arena to integrate community, woman, obstetric unit, laboratory

 

• Can be used in changing or remote settings

• Structure based on guidelines and PHR

 

• PHR part of process in model of care, with continuing education and practice guidelines

• Used to link specialist services to GPs