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Continuum of care and the antenatal record in rural New South Wales.

OBJECTIVE: The aim of the study was to determine the effect of the woman held antenatal record card (PNC2) on the continuity of maternity care received when presenting to the acute rural setting for clinical assessment. DESIGN: Qualitative, open-ended questionnaires. SETTING: Rural New South Wales p...

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Published in:Australian Journal of Rural Health Vol. 11; no. 3; pp. 110 - 116
Main Authors: Patterson K, Logan-Sinclair P
Format: research tables/charts Journal Article
Published: Wiley-Blackwell Jun2003
Online Access:View this record in EBSCOhost
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      dt: Jun2003
      vid: 11
      iid: 3
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        106710839
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        10.1046/j.1440-1584.2003.00499.x
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        atl: Continuum of care and the antenatal record in rural New South Wales.
      aug:
        au:
          Patterson K
          Logan-Sinclair P
        affil: Dept of Nursing, Faculty of Health and Behavioural Sciences, University of Wollongong
      sug:
        subj:
          Continuity of Patient Care In Pregnancy
          Maternal-Child Care
          Medical Records Utilization
          Prenatal Care
          Access to Information
          Female
          Hospitals, Public
          Inpatients
          New South Wales
          Open-Ended Questionnaires
          Pregnancy
          Qualitative Studies
          Rural Areas New South Wales
          Self Report
          Adult
          Midwives
          Stratified Random Sample
          Human
          Adult: 19-44 years
          Female
      ab: OBJECTIVE: The aim of the study was to determine the effect of the woman held antenatal record card (PNC2) on the continuity of maternity care received when presenting to the acute rural setting for clinical assessment. DESIGN: Qualitative, open-ended questionnaires. SETTING: Rural New South Wales public hospital. SUBJECTS: Maternity consumers, 50 women who were inpatients receiving antenatal or postnatal care between August and October 1998. A stratified sample of healthcare professionals employed by the service, 12 midwives and 13 general practitioners. MAIN OUTCOME MEASURE: The self reported use of the antenatal card and the viewed effects of the card on the continuity of healthcare received. RESULTS: The study identified a significant difference between the responding professionals (93%) positive perception of the effect of the PNC2 on the women's pregnancy continuum of care and the maternity consumer (36%), who felt it bore little impact on their care. The study findings suggested a lack of compliance and standardisation in usage of the antenatal card negated any flow on effects for the women. CONCLUSIONS: The intended purposes of the PNC2 were compromised in this rural setting. The study recommends that stakeholders in rural maternity care be accountable for examining the benefits and barriers of their antenatal practices, that the rural community's expectations of 'continuity of maternity care' are sought and that there should be a review of the available models of rural antenatal care.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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