A systematic review of home-based records in maternal and child health for improving informational continuity, health outcomes, and perceived usefulness in low and middle-income countries.
A systematic review of home-based records in maternal and child health for improving informational continuity, health outcomes, and perceived usefulness in low and middle-income countries.
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DOI：
10.1371/journal.pone.0267192
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
Manaseki-Holland, Semira
中科院分区：
文献类型：
--
作者：
Joseph, Linju;Lavis, Anna;Greenfield, Sheila;Boban, Dona;Jose, Prinu;Jeemon, Panniyammakal;Manaseki-Holland, Semira
有证据表明，记录患者过去病史的空白会导致治疗中的错误或重复治疗，并对患者的安全构成威胁。在低收入和中等收入国家(LMIC)，以家庭为基础的或患者持有的记录(HBR)被广泛用于孕产妇和儿童保健。其目的是系统地审查以下方面的证据：(1)改善医疗服务提供者和妇女/家庭在各种医疗访问和设施中的信息连续性；(2)描述妇女/家庭和医疗保健提供者所感知的有用性；以及(3)将家庭医疗服务用于妇幼保健的妇幼健康结果。该方案已注册于PROSPERO(CRD42019139365)。我们在MEDLINE、EMBASE、CINAHL和Global Index Medicus数据库中搜索来自LMIC的基于家庭的记录的研究。搜索词与女性或父母拥有的记录和LMIC有关。两位评价者使用先验研究选择标准对纳入研究进行了评估，这些研究解释了母婴保健领域中使用HBR的情况。采用混合方法评价工具(MMAT)对纳入研究进行质量评价。所有研究设计的结果都以叙事性的方式总结。从4514篇潜在研究中，总共有41篇论文被纳入综述。包括代表不同研究设计和16个国家的研究。HBR的评价最低的功能是跨卫生保健机构的信息连续性(n=6)。总体而言，关于HBR对提供者和母亲/家庭的有用性的数据有限。在卫生保健访问期间，提供者大多可以获得以家庭为基础的记录。然而，《家庭责任报告》中的文件各不相同。使用HBR可能会改善产前检查和免疫接种情况，并在某些情况下进行熟练的分娩。母亲对母乳喂养做法和孕期危险征兆的了解随着HBR的使用而提高。一项随机试验发现，使用HBR降低了儿童认知发育延迟的风险，另一项试验报告降低了儿童体重过轻和发育迟缓的风险。LMICs关于家庭负担责任的有用性以及改善卫生保健机构之间的信息传输或妇女在家中使用的文献有限。目前来自LMIC的HBR是次优的文件，导致信息可获得性差，这使它们作为未来提供者的信息来源的观点不攻自破。
Evidence shows that a gap in the documentation of patients’ past medical history leads to errors in, or duplication of, treatment and is a threat to patient safety. Home-based or patient-held records (HBR) are widely used in low and middle-income countries (LMIC) in maternal and childcare. The aim is to systematically review the evidence on HBRs in LMICs for (1) improving informational continuity for providers and women/families across health care visits and facilities, (2) to describe the perceived usefulness by women/families and healthcare providers, and (3) maternal and child health outcomes of using HBRs for maternal and child health care. The protocol was registered in PROSPERO (CRD42019139365). We searched MEDLINE, EMBASE, CINAHL, and Global Index Medicus databases for studies with home-based records from LMICs. Search terms pertained to women or parent-held records and LMICs. Two reviewers assessed studies for inclusion using a priori study selection criteria- studies explaining the use of HBRs in LMIC for maternal and child health care. The included study quality was appraised using the Mixed Methods Appraisal Tool (MMAT). Results from all study designs were summarised narratively. In total, 41 papers were included in the review from 4514 potential studies. Included studies represented various study designs and 16 countries. The least evaluated function of HBR was information continuity across health care facilities (n = 6). Overall, there were limited data on the usefulness of HBRs to providers and mothers/families. Home-based records were mostly available for providers during health care visits. However, the documentation in HBRs varied. The use of HBRs is likely to lead to improved antenatal visits and immunisation uptake, and skilled birth delivery in some settings. Mothers’ knowledge of breastfeeding practices and danger signs in pregnancy improved with the use of HBRs. One randomised trial found the use of HBRs reduced the risk of cognitive development delay in children and another reported on trial lessened the risk of underweight and stunted growth in children. There is limited literature from LMICs on the usefulness of HBRs and for improving information transfer across healthcare facilities, or their use by women at home. Current HBRs from LMICs are sub-optimally documented leading to poor informational availability that defeats the point of them as a source of information for future providers.
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