Effect of Accreditation Policy Implementation on the Right Application of Medical Record at Out-Patient Community Health Center, South Konawe, South East Sulawesi


Sukono Ilham, Habarudin Lasaima, Asmayanti Asrum

 

Masters Program in Administration and Health Policy, School of Health Sciences Mandala Waluya, Kendari

 

ABSTRACT

Background: Being one of the most important elements in healthcare system, com­mu­nity health center has been promoted to improve its quality and capacity of services. Accreditation is a method that can be used to improve and measure the quality of health service. The im­ple­mentation on the right application of medical record in pri­ma­ry care is a key objective of many health care systems, including Indonesia. Docu­ment­ation in the medical record is expected to be com­plete, accurate, concise, and timed or dated. This study aimed to examine the effect of accre­di­tation policy imple­ment­­ation on the right application of medical record at in-patient com­mu­nity health center, South Konawe, South East Sulawesi.

Subjects and Method: This was a descriptive qualitative study conducted at several com­mu­nity health center, South Konawe, South East Sulawesi. A total of 16 community health centers was selected for this study. The key informants included health workers, medical doctors, and den­tists. The independent variable was accreditation policy im­ple­­­mentation. The dependent va­riable was application of medical record at out-patient service.  The data were collected by in-depth interview, direct observation, and docu­ment review. The data were analyzed by content analysis.

Results: Doctors and dentists were not fully aware of the benefits and usefulness of me­dical re­cords. Consequently the medical record became incomplete, unclear and not timely to provide a com­plete clinical or health picture of the patient. There was a need to conduct socialization related to the application of good and correct medical record contents to the doctors and dentists at health care centers as well as individual prac­tices.

Conclusion: Doctors and dentists are not fully aware of the benefits and usefulness of medical records. There is a need to conduct socialization related to the application of good and correct medical record.

Keywords: medical records, medical services, accreditation policies

Correspondence: Sukono Ilham. Masters Program in Public Health, School of Health Sciences Mandala Waluya. Jl. A.H.Nasution No. G 37, Kendari, South East Sulawesi Email: sukonoilham70@gmail.com.

DOI: https://doi.org/10.26911/theicph.2019.04.28

 

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