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医生的知识和认知对病历质量的影响。

The influence of knowledge and perceptions of doctors on the quality of medical records.

作者信息

Suti Ismawati Nining Dwi, Supriyanto Stefanus, Haksama Setya, Hadi Cholicul

机构信息

Doctoral Program of Public Health, Faculty of Public Health, Universitas Airlangga, Surabaya .

Health Policy and Administration Department, Faculty of Public Health, Universitas Airlangga, Surabaya.

出版信息

J Public Health Res. 2021 Apr 14;10(2):2228. doi: 10.4081/jphr.2021.2228.

DOI:10.4081/jphr.2021.2228
PMID:33855413
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8129755/
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.

摘要

背景

病历反映了所提供的医疗服务质量,其受到现有资源的影响,比如主管医生。本研究旨在确定医生的知识和认知是否会影响病历质量。

设计与方法

这是一项于2020年9月和10月在印度尼西亚泗水苏托莫博士综合学术医院开展的定量横断面研究。通过使用问卷和病历质量检查表,有目的地从该医院住院服务外科病房工作的45名医生处获取数据。此外,获得了伦理批准和医生的知情同意,数据经统计处理并通过多元线性回归进行分析。

结果

结果和结论表明,医生对病历质量的知识和认知对病历质量有影响(p<0.05)。

结论

医院管理层需要通过宣传和监督病历,定期提高医生的知识和认知。

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PLoS One. 2020 Jun 16;15(6):e0234819. doi: 10.1371/journal.pone.0234819. eCollection 2020.
2
Leadership in limbo: Characteristics of successful incident commanders in health sector of a disaster-prone country.领导地位悬而未决:灾害多发国家卫生部门成功的事故指挥官的特征。
Int J Health Plann Manage. 2019 Oct;34(4):e1495-e1509. doi: 10.1002/hpm.2816. Epub 2019 Jul 15.
3
Leadership challenges in health care organizations: The case of Iranian hospitals.医疗保健机构中的领导挑战:以伊朗医院为例。
Med J Islam Repub Iran. 2017 Dec 17;31:96. doi: 10.14196/mjiri.31.96. eCollection 2017.
4
Impact of an educational intervention on medical records documentation.一项教育干预对病历记录的影响。
World J Emerg Med. 2018;9(2):136-140. doi: 10.5847/wjem.j.1920-8642.2018.02.009.
5
Does clinical supervision of healthcare professionals improve effectiveness of care and patient experience? A systematic review.医疗保健专业人员的临床监督能否提高护理效果和患者体验?一项系统综述。
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7
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8
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J Grad Med Educ. 2013 Dec;5(4):600-4. doi: 10.4300/JGME-D-12-00377.1.