مطالعه اي در بخش هاي مدارك پزشكي در بيمارستان هاي تابعه دانشگاه علوم پزشكي ايران

A Study on Medical Records Departments in the hospitals affiliated to Iran University of Medical Sciences (IUMS)

Inroduction: Medical records departments using the modem systems and standards to keep the patientsʹ medical records, and make them available for the future services or collecting statistical data and conducting research . The collected statistics will be used in the advancement ofmedical education, and achieving its objectives. Object The purpose ofthis study was to find out the situation in medical records departments in the hospitals affiliated to (IUMS). Methods: This is a descriptive study; its data is collected by taking a census. All of the medical records departments in the IUMS hospitals and clinics have been reviewed by direct observation, interview and tilling out a questionnaire consisting of 334 open and closed questions in the year 2000. Results: Our results ofshow that 4.3% ofthe ofmedical records departments heads have an M.Sc.degree, 52.1%a B.Sc., 8.6% anA.S.(associateʹs degree), 30.4% a high school diploma, 4.3% have less than a high school diploma. And 82.6% are female and 17.4% are male. The survey on themethods ofgiving an appointment to the patients in the studied hospitals show that 52.1% give their appointments by admittance,8.6% by department secretary, 4.3% according to a calendar,13%according to the physicianʹs fixed time, and 21.7% give daily appointments. Considering the reference system and getting patient satisfaction, 44% of the centers adhere the internal regulations. Also regarding the patientʹs rights in admittance, medical emergencies, trauma and reference system, 5% ofthe centers consider the oral regulations. Conclusions: The findings show that there is no written policy and regulations concerning the day to day works ofthe medical records departments