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 |