Evaluation of Unpreparedness When Issuing Copies of Medical Records in Tertiary Referral Hospitals / 대한의료정보학회지
Healthcare Informatics Research
;
: 120-132, 2010.
Article
Dans Anglais
| WPRIM
| ID: wpr-80815
ABSTRACT
OBJECTIVES:
As a baseline study to aid in the development of proper policy, we investigated the current condition of unpreparedness of documents required when issuing copies of medical records and related factors.METHODS:
The study was comprised of 7,203 cases in which copies of medical records were issued from July 1st, 2007 through June 30th, 2008 to 5 tertiary referral hospitals. Data from these hospitals was collected using their established electronic databases and included study variables such as unpreparedness of the required documents as a dependent variable and putative covariates.RESULTS:
The rate of unpreparedness of required documents was 14.9%. Multiple logistic regression analysis revealed the following factors as being related to the high rate of unpreparedness patient age (older patients had a higher rate), issuance channels (on admission > via out-patient clinic), type of applicant (others such as family members > for oneself > insurers), type of original medical record (utilization records on admission > other records), issuance purpose (for providing insurer > medical use), residential area of applicant (Seoul > Honam province and Jeju), and number of copied documents (more documents gave a lower rate). The rate of unpreparedness differed significantly among the hospitals; suggesting that they may have followed their own conventional protocols rather than legal procedures in some cases.CONCLUSIONS:
The study results showed that the level of compliance to the required legal procedure was high, but that problems occurred in assuring the safety of the medical information. A proper legislative approach is therefore required to balance the security of and access to medical information.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Patients en consultation externe
/
Modèles logistiques
/
Dossiers médicaux
/
Compliance
/
Complexe I de protéines de revêtement
/
Électronique
/
Électrons
/
Centres de soins tertiaires
/
Compagnies d'assurance
Type d'étude:
Guide de pratique
/
Étude pronostique
/
Facteurs de risque
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Healthcare Informatics Research
Année:
2010
Type:
Article
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