[Electronic parent-child health records--potentials, aims and international experience]

Abstract

Aim of the review: Against the background of a planned re-orientation of the Austrian maternity and child programme, which might include an electronic instead of paper-based realisation, this article aims to give an overview of international pilot projects of electronic parent-child preventive care initiatives (ePCPI) as well as their aims, potentials and constraints.

Methods: A literature search in databases and hand search for international (pilot) projects was undertaken.

Results: 9 of the 30 identified ePCPI can be treated as electronic parent and/or child health records, which have been realised within a comprehensive electronic health record, as an electronic version of a paper-based document or as a centre-based IT solution. Only a few ePCPI use the additional potential of health services planning and evaluation besides core components (e. g., administration of care) and facilitate systemic learning based on feedback and evaluation -cycles.

Conclusion: Based on experiences from international ePCPIs some core components of successful planning and implementation, like the definition of aims and their monitoring, the constitution of teams responsible for planning and conception and the early involvement of end-users and stakeholders, should be considered to minimise avoidable mistakes. Consequent technology assessments, including those of IT-based interventions, are required to allow a reflected approach.