The Influence of Knowledge and Perceptions of Doctors on the Quality of Medical Records

Overview

Journal J Public Health Res

Publisher Sage Publications

Specialty Public Health

Date 2021 Apr 15

PMID 33855413

Citations 1

Authors

Nining Dwi Suti Ismawati

Stefanus Supriyanto

Setya Haksama

Cholicul Hadi

Affiliations

Soon will be listed here.

Abstract

Background: Medical record reflects the quality of health services provided, which is influenced by existing resources, such as the doctors in charge. This study aims to determine whether doctors' knowledge and perceptions affect the quality of the medical record.

Design And Methods: This is a quantitative and cross-sectional study carried out at Dr. Soetomo's general and academic hospital Surabaya, Indonesia, in September and October 2020. Data were purposively obtained from a total of 45 doctors working at the hospital's inpatient service surgery ward using the questionnaire and checklist medical record quality. Furthermore, ethical clearance and doctors' informed consent were obtained, with the data statistically processed and analyzed by multiple linear regressions.

Results: The results and conclusion showed that doctors' knowledge and perceptions of the quality of medical records were influence to medical record quality (p<0.05).

Conclusions: Hospital management needs to regularly increase doctors' knowledge and perceptions by socializing and monitoring medical records.

Citing Articles

Factors affecting completeness of anaesthetic record: a cross-sectional study.

Limpoon S, Seangrung R, Nimmankiatkul A Ann Med Surg (Lond). 2023; 85(11):5433-5438.

PMID: 37915645 PMC: 10617818. DOI: 10.1097/MS9.0000000000001336.

References

Bikmoradi A, Brommels M, Shoghli A, Khorasani-Zavareh D, Masiello I . Identifying challenges for academic leadership in medical universities in Iran. Med Educ. 2010; 44(5):459-67. DOI: 10.1111/j.1365-2923.2009.03570.x. View

Vahedi H, Mirfakhrai M, Vahidi E, Saeedi M . Impact of an educational intervention on medical records documentation. World J Emerg Med. 2018; 9(2):136-140. PMC: 5847500. DOI: 10.5847/wjem.j.1920-8642.2018.02.009. View

Snowdon D, Leggat S, Taylor N . Does clinical supervision of healthcare professionals improve effectiveness of care and patient experience? A systematic review. BMC Health Serv Res. 2017; 17(1):786. PMC: 5706384. DOI: 10.1186/s12913-017-2739-5. View

Tubaishat A . Perceived usefulness and perceived ease of use of electronic health records among nurses: Application of Technology Acceptance Model. Inform Health Soc Care. 2017; 43(4):379-389. DOI: 10.1080/17538157.2017.1363761. View

Ghiasipour M, Mosadeghrad A, Arab M, Jaafaripooyan E . Leadership challenges in health care organizations: The case of Iranian hospitals. Med J Islam Repub Iran. 2018; 31:96. PMC: 6014751. DOI: 10.14196/mjiri.31.96. View

Nasiri A, Aryankhesal A, Khankeh H . Leadership in limbo: Characteristics of successful incident commanders in health sector of a disaster-prone country. Int J Health Plann Manage. 2019; 34(4):e1495-e1509. DOI: 10.1002/hpm.2816. View

Desta B, Beshir I, Tefera B, Argaw M, Demeke H, Kibret M . Does frequency of supportive supervisory visits influence health service delivery?-Dose and response study. PLoS One. 2020; 15(6):e0234819. PMC: 7297318. DOI: 10.1371/journal.pone.0234819. View

Ngo E, Patel N, Chandrasekaran K, Tajik A, E Paterick T . The Importance of the Medical Record: A Critical Professional Responsibility. J Med Pract Manage. 2016; 31(5):305-8. View

Sayyah-Melli M, Mofrad M, Amini A, Piri Z, Ghojazadeh M, Rahmani V . The Effect of Medical Recording Training on Quantity and Quality of Recording in Gynecology Residents of Tabriz University of Medical Sciences. J Caring Sci. 2017; 6(3):281-292. PMC: 5618952. DOI: 10.15171/jcs.2017.027. View

10.

Christino M, Matson A, Fischer S, Reinert S, DiGiovanni C, Fadale P . Paperwork versus patient care: a nationwide survey of residents' perceptions of clinical documentation requirements and patient care. J Grad Med Educ. 2014; 5(4):600-4. PMC: 3886458. DOI: 10.4300/JGME-D-12-00377.1. View

11.

Ajami S, Ketabi S, Sadeghian A, Saghaeinnejad-Isfahani S . Improving the medical records department processes by lean management. J Educ Health Promot. 2015; 4:48. PMC: 4456871. DOI: 10.4103/2277-9531.157244. View