Volkmer R E, Gouldstone M A, Ninnes C P
Child, Adolescent and Family Health Service, Adelaide, Australia.
J Paediatr Child Health. 1993 Apr;29(2):150-3. doi: 10.1111/j.1440-1754.1993.tb00470.x.
This study surveyed 313 parents to investigate how frequently parents used a parent-held child health record, and whether they saw the record as useful. Since 1981, The Child, Adolescent and Family Health Service has distributed a Personal Health Record (PHR) to the parents of all children in South Australia. The PHR has provided each family with an ongoing record that has been consistently used for immunization, child health checks and child health screening. However, little is known about how parents view the PHR, its usefulness, and how frequently the record is used. Previous studies, generally conducted prior to, or shortly after, a parent-held child health record was introduced, have shown a poor understanding of the uses of the PHR on the part of parents and a low level of use by health professionals such as general practitioners. In contrast, the results of this study show high levels of understanding of the health record on the part of parents, and an increase in the use of the health record by general practitioners over the 10 years since the record was introduced. Although moderated by the age of the child, the sections of the PHR seen as most useful (and the most frequently used) by parents were immunization, growth charts, progress notes and health checks.
本研究对313名家长进行了调查，以探究家长使用家长持有的儿童健康记录的频率，以及他们是否认为该记录有用。自1981年以来，儿童、青少年和家庭健康服务机构已向南澳大利亚州所有儿童的家长发放了一份个人健康记录（PHR）。这份PHR为每个家庭提供了一份持续记录，一直用于免疫接种、儿童健康检查和儿童健康筛查。然而，对于家长如何看待PHR、其有用性以及该记录的使用频率，人们了解甚少。之前的研究，通常是在引入家长持有的儿童健康记录之前或之后不久进行的，结果显示家长对PHR的用途了解不足，全科医生等医疗专业人员的使用水平也较低。相比之下，本研究的结果表明家长对健康记录的理解程度较高，并且自引入该记录后的10年里，全科医生对健康记录的使用有所增加。尽管受孩子年龄的影响，但家长认为最有用（也是最常使用）的PHR部分是免疫接种、生长图表、病程记录和健康检查。
