ABSTRACT

It has long been acknowledged that current factors working against health institutions in Nigeria have an impact on medical record documentation. The State Specialist Hospital Asubiaro, Osogbo has a track record of competent Health Information officers who use various documentation methods. The methods in use are evaluated while also identifying the faults or variables that impede efficient documentation. A random sample technique was used, which is a sub-group of people chosen by chance in such a way that everyone has a chance of being chosen. 120 questionnaires were distributed and collected by hand. According to the data gathered, the most significant reason impeding successful MRD in State Specialist Hospital Asubiaro, Osogbo is a lack of resources and financing, as well as complaints about non-legibility of physicians’ handwriting and a shortage of qualified employees. Based on the findings of this study, it was determined that insufficient funds and resources are the primary impediment to effective MRD at the State Specialist Hospital in Asubiaro, Osogbo. To improve efficient MRD in State Specialist Hospital Asubiaro, Osogbo, the government should provide additional facilities and electronic medical record equipment, as well as make an effort to hire more Health Information experts.

CHAPTER ONE

INTRODUCTION

BACKGROUND OF THE STUDY

The process of satisfying the health care needs of people, institutions, resources, and other target groups is known as the health care delivery system. There are several health-care delivery systems in use around the world. Nations, on the other hand, build and develop health-care systems that are tailored to their own requirements and resources. Primary healthcare is a health system that consists of the planning and distribution of health care needs among market participants, while public health care is an effort by governments, trade unions, charities, religious organizations, or other coordinated bodies to deliver planned health care services targeted to the populations they serve. The design and distribution of health care is more evolutionary than revolutionary.

Health systems, according to the World Health Organization, are made up of all organizations, individuals, and actions aimed at promoting, restoring, or preserving health. This encompasses actions that improve health and initiatives that alter health determinants. A health system includes publicly owned facilities that provide personal health services, health insurance companies, a mother caring for a sick kid at home; vector-control initiatives, private health-care providers’ efforts; behavior modification programs, and workplace health and safety legislation. It also considers inter-sectoral activity by health professionals, such as boosting the ministry of education to promote female education, which, according to the World Health Organization, facilitates the growth of good health (2000).

The documentation of the health-care delivery system is crucial for providing the necessary information on the evaluation and treatment of health-care services, as well as transmitting such information to third-party payers. Many additional insurance plans use documentation criteria as a guideline. Documentation also contains essential clinical data. It is critical that the records, notes, and reports are clear, legible, and convey all of the necessary information for clinical management and reimbursement. The goal of this study is to assess the elements that work against good recordkeeping in the health-care system. A case study of the Asubiaro State Specialist Hospital in Osogbo.

STATEMENT OF THE PROBLEM

Inadequate skilled people, inefficient technology, a lack of financial resources to implement new technology that promotes good documentation, and a lack of information technology ability are among the challenges that documentation faces. As a result, the study’s problem is to assess the elements that work against good recordkeeping in the health-care system. A case study of the Asubiaro State Specialist Hospital in Osogbo.

OBJECTIVES OF THE STUDY

The study’s main goal is to assess the factors that work against good documentation in the health-care system. The following are the specific aims of the State Specialist Hospital Asubiaro in Osogbo:

i. Determine whether the State Specialist Hospital in Asubiaro, Osogbo has sufficient health-care paperwork.

ii. To evaluate the effects of effective health-care documentation in Asubiaro State Specialist Hospital in Osogbo.

iii. To determine the variables preventing effective documentation of the health-care delivery system in Asubiaro State Specialist Hospital in Osogbo.

RESEARCH QUESTIONS

i. Does the State Specialist Hospital in Asubiaro, Osogbo have sufficient health-care documentation?

ii. What are the implications of effective health-care documentation in Asubiaro State Specialist Hospital in Osogbo?

iii. What are the barriers to effective documentation of the health-care delivery system at Asubiaro State Specialist Hospital in Osogbo?

STATEMENT OF THE HYPOTHESIS

Ho1: There are no substantial barriers to good recordkeeping in the health-care system.

SIGNIFICANCE OF THE STUDY

The study examines the elements that work against good documentation in the health-care system. A case study of the Asubiaro State Specialist Hospital in Osogbo. It provides vital data for the effective creation and implementation of policies to help achieve the desired goal.

SCOPE OF THE STUDY

The study examines the elements that work against good documentation in the health-care system. A case study of the Asubiaro State Specialist Hospital in Osogbo.

LIMITATION OF THE STUDY

Logistics and geographical constraints posed challenges to the research.

 DEFINITION OF TERMS

Defined Health-Care Delivery System

Health systems, according to the World Health Organization, are made up of all organizations, individuals, and actions aimed at promoting, restoring, or preserving health. This encompasses actions that improve health and initiatives that alter health determinants. A health system includes government owned facilities that provide personal health services, health insurance companies, a mother’s at-home care for a sick child, vector-control programs, and private health-care providers’ efforts.

Defined: Health-Care Providers

Healthcare providers are individuals or institutions who provide healthcare services.

Defined Education

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