1. Integrated care among healthcare providers in shared maternity care: what is the role of paper and electronic health records?
- Author
-
Glenda Hawley, Claire Jackson, Julie Hepworth, and Shelley A. Wilkinson
- Subjects
Male ,Paper ,Attitude of Health Personnel ,Health Personnel ,Interprofessional Relations ,Population health ,Midwifery ,Tertiary Care Centers ,03 medical and health sciences ,0302 clinical medicine ,Nursing ,General Practitioners ,Pregnancy ,Health care ,Electronic Health Records ,Humans ,Medicine ,Maternal Health Services ,030212 general & internal medicine ,030219 obstetrics & reproductive medicine ,Delivery of Health Care, Integrated ,Information Dissemination ,business.industry ,Health Policy ,Medical record ,Australia ,Public Health, Environmental and Occupational Health ,Focus Groups ,Hospital Records ,Focus group ,Integrated care ,Community health ,Female ,business ,Healthcare providers ,Qualitative research - Abstract
This study examines a paper hand-held record and a shared electronic health record in an Australian tertiary hospital healthcare maternity setting and the role that both types of records play in facilitating integrated care among healthcare providers. A qualitative research design was used where five focus groups were conducted in two phases with 69 hospital healthcare providers. In total, 32 interviews were also carried out with general practitioners. Transcripts were analysed using qualitative content analysis. Three key themes were identified: (1) selective use of records; (2) records as communication of care; and (3) negativity about the use of records. This study demonstrates that healthcare providers do not effectively share information using either a paper hand-held record or a shared electronic health record. Considering a national commitment to e-health innovation, a multi-professional input, organisational support and continuing education are identified as crucial to realising the potential of a maternity shared electronic health record to facilitate integrated care.
- Published
- 2017