Elbourne D, Richardson M, Chalmers I, Waterhouse I, Holt E
Br J Obstet Gynaecol. 1987 Jul;94(7):612-9. doi: 10.1111/j.1471-0528.1987.tb03165.x.
To assess a policy of women holding and thus having constant access to their own obstetric records, 290 women attending a peripheral consultant clinic in Newbury, West Berkshire, were randomly allocated to hold either their full case notes, or the more usual co-operation card. Women holding their full records were significantly more likely to feel in control of their antenatal care (rate ratio 1.45; 95% confidence interval 1.08-1.95) and to feel it was easier to talk to doctors and midwives (rate ratio 1.73; 95% confidence interval 1.16-2.59). No other beneficial effects were detected. Asked about their preferences for any subsequent pregnancies, women holding their own records in the index pregnancy were more likely to say they would prefer to hold the same kind of record again in a subsequent pregnancy than were women holding a co-operation card (rate ratio 1.56; 95% confidence interval 1.34-1.81). There was no evidence of negative effects. In particular, women holding their case notes did not feel more anxious than co-operation card holders. The policy of women holding their notes resulted in savings in clerical time, without evidence of an increase in the rate of lost notes.
为评估一项让女性持有并能随时查阅自己产科记录的政策，290名前往西伯克郡纽伯里一家外围咨询诊所就诊的女性被随机分配，分别持有完整病历或更为常见的合作卡。持有完整病历的女性明显更有可能感觉能掌控自己的产前护理（率比1.45；95%置信区间1.08 - 1.95），并且感觉与医生和助产士交流更容易（率比1.73；95%置信区间1.16 - 2.59）。未检测到其他有益效果。当被问及对后续妊娠的偏好时，在本次妊娠中持有自己记录的女性比持有合作卡的女性更有可能表示，她们希望在后续妊娠中再次持有相同类型的记录（率比1.56；95%置信区间1.34 - 1.81）。没有负面影响的证据。特别是，持有病历的女性并不比持有合作卡的女性更焦虑。女性持有自己病历的政策节省了文书工作时间，且没有证据表明病历丢失率增加。
