The Factors Militating Against Effective Medical Record Documentation. A Case Study of Ekiti State University Teaching Hospital Ado Ekiti

Abstract

It has been recognized that effective medical record documentation is affected by prevailing factors militating against health institutions in Nigeria. The Ekiti State University teaching Hospital has track record of competent Health Information officers who utilize different documentation methods, the methods in use are assessed while also identifying the problems or factors militating effective documentation in the EKSUTH. . The sampling technique employed was a random sampling which is a sub-group of people chosen by chance in a way that everyone has the chance of being selected. Thirty questionnaires was distributed and retrieved personally. From the data collected it revealed that the Major factor militating against effective MRD in EKSUTH is inadequate resources, funding while also revealing complaints on non-legibility of physicians handwriting, lack of skilled personnel among others. Based on the findings of this research work, it was concluded that inadequate funding and resources is the main factor militating against effective MRD in EKSUTH. Government should make provision for more facilities and electronic medical record equipment to enhance efficient MRD while also making effort to employ more Health Information professionals to further boost effective MRD in EKSUTH.