C.T. Lamont Primary Health Care Research Centre, Bruyère Research Institute, Ottawa, Canada.
University of Ottawa, Ottawa, Canada.
PLoS One. 2018 Oct 4;13(10):e0204966. doi: 10.1371/journal.pone.0204966. eCollection 2018.
Mothers, caregivers, and healthcare providers in 163 countries have used paper and electronic home-based records (HBRs) to facilitate primary care visit. These standardized records have the potential to empower women, improve the quality of care for mothers and children and reduce health inequities. This review examines experiences of women, caregivers and providers with home-based records for maternal and child health and seeks to explore the feasibility, acceptability, affordability and equity of these interventions. We systematically searched MEDLINE, MEDLINE In-Process, MEDLINE Ahead of Print, Embase, CINAHL, ERIC, and PsycINFO for articles that were published between January 1992 and December 2017. We used the CASP checklist to assess study quality, a framework analysis to support synthesis, and GRADE-CERQual to assess the confidence in the key findings. Of 7,904 citations, 19 studies met our inclusion criteria. In these studies, mothers, caregivers and children shared HBR experiences in relation to maternal and child health which facilitated the monitoring of immunisations and child growth and development. Participants' reports of HBRs acting as a point of commonality between patient and provider offer an explanation for their perceptions of improved communication and patient-centered care, and enhanced engagement and empowerment during pregnancy and childcare. Healthcare providers and nurses reported that the home-based record increased their feeling of connection with their patients. Although there were concerns around electronic records and confidentiality, there were no specific concerns reported for paper records. Mothers and other caregivers see home based records as having a pivotal role in facilitating primary care visits and enhancing healthcare for their families. The records' potential could be limited by users concerns over confidentiality of electronic home-based records, or shortcomings in their design. Health systems should seize the opportunity HBRs provide in empowering women, especially in the contexts of lower literacy levels and weak health care delivery systems.
163 个国家的母亲、照料者和医疗保健提供者使用纸质和电子家庭为基础的记录（HBR）来促进初级保健就诊。这些标准化记录有可能增强妇女的能力，改善母婴保健质量，并减少卫生不公平现象。本综述考察了妇女、照料者和提供者使用家庭为基础的记录进行母婴健康的经验，并探讨了这些干预措施的可行性、可接受性、可负担性和公平性。我们系统地检索了 MEDLINE、MEDLINE In-Process、MEDLINE Ahead of Print、Embase、CINAHL、ERIC 和 PsycINFO，以获取 1992 年 1 月至 2017 年 12 月期间发表的文章。我们使用 CASP 清单评估研究质量，使用框架分析支持综合，使用 GRADE-CERQual 评估关键发现的可信度。在 7904 条引文中有 19 项研究符合纳入标准。在这些研究中，母亲、照料者和儿童分享了与母婴健康相关的 HBR 经验，这有助于监测免疫接种和儿童生长发育。参与者报告 HBR 作为患者和提供者之间的共同点，这解释了他们对改善沟通和以患者为中心的护理以及在怀孕和育儿期间增强参与和赋权的看法。医疗保健提供者和护士报告说，家庭为基础的记录增加了他们与患者的联系感。尽管对电子记录和保密性存在一些担忧，但对纸质记录没有具体的担忧报告。母亲和其他照料者认为家庭为基础的记录在促进初级保健就诊和增强家庭医疗保健方面具有关键作用。用户对电子家庭为基础记录的保密性的担忧，或记录设计上的缺陷，可能会限制这些记录的潜力。卫生系统应抓住 HBR 提供的机会，赋予妇女权力，特别是在低识字水平和薄弱的医疗保健提供系统的背景下。
