Integrated care among healthcare providers in shared maternity care: what is the role of paper and electronic health records?
Glenda Hawley A C E , Julie Hepworth B , Claire Jackson A and Shelley A. Wilkinson A C D
+ Author Affiliations
- Author Affiliations
A Australian Primary Health Care Research Institute (APHCRI), Centre of Research Excellence in Primary Health Care Microsystems, School of Medicine, Discipline of General Practice, The University of Queensland, Level 8 Health Sciences Building, Building 16/910, Royal Brisbane & Women’s Hospital, Herston, Qld 4029, Australia.
B School of Public Health & Social Work, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Qld 4059, Australia.
C Mater Research, Mothers & Babies Theme, Mater Health Services, Raymond Terrace, South Brisbane, Qld 4101, Australia.
D Department of Nutrition and Dietetics, Mater Health Services, Raymond Terrace, South Brisbane, Qld 4101, Australia.
E Corresponding author. Email: glenda.hawley@uq.edu.au
Australian Journal of Primary Health 23(4) 397-406 https://doi.org/10.1071/PY16081
Submitted: 29 June 2016 Accepted: 6 February 2017 Published: 13 June 2017
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.
Additional keywords: allied health, GP, midwives, paper hand-held record.
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