al Hayan S, el Ghamry A, Mokhtar S, Guirguis W, el Saleh K
High Institute of Public Health, Kuwait.
J Egypt Public Health Assoc. 1990;65(1-2):155-75.
The present study was undertaken with the aim of revealing the attitude of the medical staff towards the medical record departments in the six general hospitals of Kuwait. Results showed that only 39.1% of physicians who completed the study questionnaire had ever visited the MRD. In addition, only 19.4% perceived the MRD as a health information centre, while the greater proportion of physicians regarded the department as a file room. The attitude of the medical staff towards three aspects of the MRD, namely its staff, physical conditions and performance, was elicited by requesting the physicians to indicate whether they agreed or disagreed about positive descriptions of these three aspects. Attitude was most favourable towards the MRD staff. Unavailability of a satisfactory place for visitors appeared to be the main problem related to physical conditions, such a place being regarded as satisfactory by only 15.6% of physicians. Performance of the MRD was perceived as its weakest aspect, five of its six items being accorded negative responses by over 50% of physicians. The least favourable component of performance was availability of records, only 22.2% of physicians agreeing that requested records were always available. Regarding the overall opinion about the MRD, only 10.4% of physicians rated the department as good. Statistical analysis revealed a significant difference between hospitals regarding the extent of physicians' agreement about positive descriptions of the three aspects of the department studied. It also showed that a direct correlation exists between the attitude towards performance of the department and the overall opinion about the department.
本研究旨在揭示科威特六家综合医院医务人员对病历部门的态度。结果显示,完成调查问卷的医生中只有39.1%曾访问过病历部门。此外,只有19.4%的医生将病历部门视为健康信息中心,而大部分医生将该部门视为档案室。通过要求医生表明他们是否同意对病历部门三个方面(即其工作人员、物理条件和绩效)的正面描述,来了解医务人员对病历部门这三个方面的态度。对病历部门工作人员的态度最为积极。访客没有满意的场所似乎是与物理条件相关的主要问题,只有15.6%的医生认为这样的场所令人满意。病历部门的绩效被视为其最薄弱的方面,其六个项目中的五个得到了超过50%医生的负面评价。绩效中最不受欢迎的部分是病历的可获取性,只有22.2%的医生同意所要求的病历总是可以获取的。关于对病历部门的总体看法,只有10.4%的医生将该部门评为良好。统计分析显示,不同医院之间在医生对所研究部门三个方面正面描述的认同程度上存在显著差异。分析还表明,对部门绩效的态度与对该部门的总体看法之间存在直接关联。