The Problems of Patient Health Records as A Legal Document

 – The Problems of Patient Health Records as A Legal Document – 

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ABSTRACT

When a subpoeno is served, the patient’s health records have to be produced, the fact remains that “memory forgets but records always remember” in total, which therefore necessitates the act of proper keeping which brings the past to present and also it is a necessary prerequisite for the achievement of service continuity.

This research work has five chapters, chapter one introduces the background of the study, statement of the problem, the objective of the study, research questions, formulation of hypothesis and operational definition of terms.

Chapter two views related to literatures. Chapter three deals with research methodology, chapter four contains presentations of data analysis and findings while chapter five highlights summary, conclusion, recommendation and suggestion for further studies.

TABLE OF CONTENTS

Title Page        — –     i

Certification     –     ii

Dedication       —     —     iii

Acknowledgments    —     –     iv

Abstract — —     vi

Table of Contents         vii

List of Tables    —     x

CHAPTER ONE

1.0   Introduction     –     1

1.1   Background of the Study —   1

1.2   Statement of the Problem       –     4

1.3   Significance of the Study — —     4

1.4   The Scope of the Study    —     5

1.5   The limitation of the Study      –   —     5

1.6   Objectives of the Study   –  —     5

1.7   Research Questions —         6

1.8   Hypotheses Formulation  —   —     7

1.9   Operational Definition of Terms   —     8

CHAPTER TWO

2.1   The Maintenance of Patient Health Record as a Legal Document         10

2.2   Types of Cases Using Evidence from Health Records —       12

2.3  Legal Aspects of Health Information Management   –       14

2.4   Uses of Health Records    —    17

2.5   Policies for Release of Health Information        —     —        18

2.6   Problems Militating against Health Records as a Legal Document         20

CHAPTER THREE

3.0   Research Methodology     —     —     —     —     —     —        23

3.1   Introduction     —     —     —     —     —     —     —     —        23

3.2   Design of the Study —     —     —     —     —     —     —        23

3.3   Area of the Study    —     —     —     —     —     —     —        23

3.4   Population of the Study   —     —     —     —     —     —        24

3.5   Sample and Sampling Technique     —     —     —     —        24

3.6   Instrument for Data Collection        —     —     —     —        25

3.7   Procedures for Data Collection —     —     —     —     —        25

3.8   Validity of Instrument for Data Collection        —     —        25

3.9   Method of Data Analysis Techniques        —     —     —        26

CHAPTER FOUR

4.0   Data Presentation, Analysis, Discussion and

Interpretation of Results and Findings     —     —     —        27

4.1   Introduction     —     —     —     —     —     —     —     —        27

4.2   Data Presentation and Findings       —     —     —     —        27

CHAPTER FIVE

5.1   Summary —    —     —     —     —     —     —     —     —        47

5.2   Conclusion       —     —     —     —     —     —     —     —        48

5.3   Recommendation     —     —     —     —     —     —     —        49

REFERENCES

APPENDIX

INTRODUCTION

This chapter focuses on the following: Background of the study, the statement of the problem, significance of the study, general/specific objectives of the study, formulation of hypotheses of the study, research questions and operational definition of terms.

REFERENCES

Affiah, S. B. (2004). Health records and your health, Sambat Press Uyo.

Aremu, H. B. (2000). Introduction to Health Record Management II, Decency Printers and Stationeries Limited, Kwara State, Nigeria.

Dougherty, et al., (2002). Maintaining a legally sound Health record. Journal of AHIM 73 No.8

Osundina, K. S. (2008). Principle and Practice Health Records Management, Printed by Hosannah print Osun State, Nigeria

Stanstiled, S. (2005). Structuring Information and Incentives to Improve Health Bulletin of the World Health Organization.

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