DOCTOR LAZINESS FILLING MEDICAL RECORD RESUME SHEETS IN PUBLIC HOSPITAL
Abstract
DOCTOR LAZINESS FILLING MEDICAL RESUME SHEETS IN PUBLIC HOSPITAL
Background: In order to improve the quality of service, and considering the importance of medical record document in hospital, it is necessary to control the filling of medical record documents. The writing of patient diagnosis is the responsibility of the treating physician and should not be represented. The phenomenon found in the initial survey of Regional Public Hospital obtained many incomplete resume forms. The purpose of this research is to know the doctor's behavior toward filling the data sheet of resume of inpatient in Public Hospital.
Method: This research is a qualitative research with case study approach. Respondents in this study were Specialist Doctor, Medical Record Officer and Hospital Director. Data obtained from interviews, FGDs, observations and documentation and collected and grouped based on existing indicators, as well as based on existing facts and also on critical thinking to obtain a weighted outcome.
Results and Discussion: Based on the doctor's observation through the medical resume sheet for 3 consecutive months which has been submitted to the medical record, medical resume filled by the doctor after the patient has finished the treatment is still low, from 217 files, there are incomplete resume 125 with a percentage of 41%. This is due to the lack of knowledge of physicians who relate the rules of filling the applicable medical resume sheets. In addition to the incomplete medical resume filling is caused by the not yet running Standard Operational Procedure (SOP) that regulates the filling of medical resume, the absence of sanctions for doctors who do not fill medical resume so doctors lazy to fill medical resume.