Journal of Health Policy and Management
Vol 3, No 1 (2018)

Factors Associated with the Completeness of Inpatient Medical Record Filling in Dr. R Sosodoro Djatikoesoemo, Bojonegoro, East Java

Pratama, Tegar Wahyu Yudha (Unknown)
Tamtomo, Didik (Unknown)
Sulaeman, Endang Sutisna (Unknown)



Article Info

Publish Date
10 Jul 2018

Abstract

Background: Medical records are central to all patient healthcare activities. Fundamentally, they form part of a doctors ethical and statutory duty in providing good patient care.Good quality medical records, including completeness of record filling, are essential to proper ongoing care of the patient and are paramount for effective communication between healthcare professionals and their patients. However, studies in Indonesia examining factors associated with the completeness of inpatient medical record filling is scanty. The purpose of this study was to examine factors associated with the completeness of inpatient medical record filling in a district hospital.Subjects and Method: This was a quantitative study using a cross-sectional design, conducted atDr. R. SosodoroDjatikoesomoBojonegoro hospital, East Java, in April 2018. A total of 213 nurses working at the inpatient service ward was selected for this study by proportional random sampling, composing of 115 nurses with graduate degree and 35 nurses with diploma degree. The dependent variable was completeness of inpatient medical record filling. The independent variables were education level, employment status, tenure, responsibility, and organization support. The data were collected by questionnaire and document review. The data were analyzed by a multiple logistic regression.Results: Completeness of inpatient medical record fillingwas positively associated with higher education (OR= 2.94; CI 95%= 1.08 to 8.00; p=0.034), civil servant status of employment (OR= 4.01; CI 95%= 1.71 to 9.40; p=0.001), ?3 year tenure (OR= 8.84; CI 95%= 2.78 to 28.16; p<0.001), higher knowledge (OR= 5.37; CI 95%= 1.40 to 20.55; p=0.014), stronger responsibility (OR= 3.13; CI 95%= 1.35 to 7.28; p=0.008), and stronger organizational support (OR= 4.08; CI 95%= 1.72 to 9.67; p=0.001).Conclusion: Completeness of inpatient medical record fillingis positively associated with higher education, civil servant status of employment, ?3 year tenure, higher knowledge, stronger responsibility, and stronger organizational support.Keywords: completeness, inpatient, medical record, fillingCorrespondence:Tegar Wahyu Yudha Pratama. School of Medical Records and Health, STIKES Muhammadiyah, Bojonegoro. Email: tegar.wahyu404@gmail.com. Mobile: +6285746085030.Journal of Health Policy and Management (2018), 3(1): 1-10https://doi.org/10.26911/thejhpm.2018.03.01.01

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Journal Info

Abbrev

thejhpm

Publisher

Subject

Medicine & Pharmacology Public Health

Description

Journal of Health Policy and Management (JHPM) is an electronic, open-access, double-blind and peer-reviewed international multidisciplinary and integrative journal, focusing on health policy, health system, and healthcare management. It began its publication on October 21, 2015. The journal is ...