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Measurement of Completeness of Medical Records in Family Health Centre in El Shorouk City.

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Last updated: 22 Jan 2023

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Abstract

Introduction: Medical records play a vital role in the planning, development and maintenance of health care services. A well designed family folder system provides useful summary data on the demographic profile of the family. Objectives: 1-To measure the completeness of the family folder in a family health center in EL-Shorouk city. 2-To identify main causes of record incompleteness including knowledge and attitude of physicians towards medical records. Methodology: The study was conducted in a family health centre in El-Shorouk city using a cross sectional study, a sample of 200 out of 1000 records was estimated to be reviewed. Study tool: 1- Medical record assessment check list. 2-Structured questionnaire. Results: Out of 200 records, 130 (65%) of records had been properly organized. Personal data was the most frequently recorded item (100%). The least recorded was general examination (51.5%). It was found that (88.5%) of records had completeness scores from 80-100% from standards, so they had passed the assessment as the minimal passing score is (80%). Conclusion: To improve the quality of Medical Record, regular auditing, training and good orientation of medical personnel for good record practices.

DOI

10.21608/ejcm.2016.857

Keywords

medical records, Health care services, and family folder

Volume

34

Article Issue

3

Related Issue

203

Issue Date

2016-07-01

Receive Date

2016-11-14

Publish Date

2016-07-01

Page Start

69

Page End

77

Print ISSN

1110-1865

Online ISSN

2090-2611

Link

https://ejcm.journals.ekb.eg/article_857.html

Detail API

https://ejcm.journals.ekb.eg/service?article_code=857

Order

6

Type

Original Article

Type Code

234

Publication Type

Journal

Publication Title

The Egyptian Journal of Community Medicine

Publication Link

https://ejcm.journals.ekb.eg/

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Article

Created At

22 Jan 2023