scholarly journals Management of Medical Record Unit to Preparing Accreditation at Primary Health Care

2020 ◽  
Vol 2 (4) ◽  
pp. 227-236
Author(s):  
Faizah Wardhina ◽  
Ermas Estiyana

Puskesmas as the spearhead of public health services are required to always improve the quality of service delivery, both in the administration of primary health care management, clinical services, and primary health care program services. Accreditation is one of the efforts to ensure the quality improvement of primary health care services. Primary health care must compile medical records in accordance with the standards and criteria set by the first level health facility accreditation commission. It becomes a problem if the Puskesmas does not yet have human resources in the field of medical records, included the Karang Intan 2 primary health care. For this reason, primary health care need to increase the knowledge of its officers about managing medical record units and health information. The purpose of this community service activity is to increase the knowledge and skills of officers in managing the medical record unit at the Karang Intan 2 primary health care. This method of community service activities is carried out by provided learning about medical records to three medical record officers, then continued with guidance and consultation as well as monitored and evaluation to ensure a change for the better in the management of the medical record unit at the Karang Intan 2 primary health care. The result of this activity was an increased in the knowledge and skills of the medical record unit officers.

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Oliveira Miranda ◽  
P Santos Luis ◽  
M Sarmento

Abstract Background Primary health care services are the cornerstone of all health systems. Having clear data on allocated human resources is essential for planning. This work intended to map and compare the primary health care human resources of the five administrative regions (ARS) of the Portuguese public health system, so that better human resources management can be implemented. Methods The chosen design was a descriptive cross sectional study. Each of the five ARS were divided into primary health care clusters, which included several primary health care units. All of these units periodically sign a “commitment letter”, where they stand their service commitments to the covered population. This includes allocated health professionals (doctors, nurses), and the information is publicly accessible at www.bicsp.min-saude.pt. Data was collected for 2017, the year for which more commitment letters were available. Several ratios were calculated: patients/health professional; patients/doctor (family medicine specialists and residents); patients/nurse and patients/family medicine specialist. Mean, standard deviation, minimum and maximum values were calculated. Results National patients/health professional ratio was 702 with the mean of the 5 ARS calculated at 674+-7.15% (min 619, max 734) whilst the national patients/doctor ratio was 1247 with the mean of the 5 ARS calculated at 1217+-7.17% (min 1074, max 1290). National patients/nurse ratio was 1607 with the mean of the 5 ARS calculated at 1529+-13.08% (min 1199, max 1701). Finally, national patients/family medicine specialist ratio was 1711 with the mean of the 5 ARS calculated at 1650+-6,36% (min 1551, max 1795). Conclusions Human resources were differently spread across Portugal, with variations between the five ARS in all ratios. The largest differences occur between nursing staff, and may translate into inequities of access, with impact on health results. A more homogeneous human resources allocation should be implemented. Key messages Human resources in the Portuguese primary health care services are not homogeneously allocated. A better and more homogeneous allocation of human resources should be implemented to reduce access health inequities.


2005 ◽  
Vol 15 (2) ◽  
pp. 137-155 ◽  
Author(s):  
Debra Rickwood

AbstractFor young people still at school, the school setting is vital to their mental health and wellbeing. Not only does the school environment have a direct and indirect impact on mental health, it provides an opportunistic setting in which to identify and respond to emerging mental health problems. To do this effectively, schools and school staff must work in collaboration with the young people themselves, their families, and other support services within the community, particularly primary health care services, including general practice. The importance of developing effective partnerships and care pathways between schools and the primary health care sector is being increasingly acknowledged, and initiatives such as MindMatters Plus GP have advanced our understanding in this area.


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