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Table of Contents   
LETTER TO THE EDITOR  
Year : 2017  |  Volume : 10  |  Issue : 1  |  Page : 274-275
Completeness of doctor note in electronic health record system in primary health care unit


1 RVT Medical Center, Bangkok, Thailand
2 Dr. DY Patil Medical University, Pune, Maharashtra, India; Faculty of Medicine, University of Niš, Niš, Serbia; Hainan Medical University, Haikou, Hainan, China

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Date of Web Publication5-May-2017
 

How to cite this article:
Sriwijittala W, Wiwanitkit V. Completeness of doctor note in electronic health record system in primary health care unit. Ann Trop Med Public Health 2017;10:274-5

How to cite this URL:
Sriwijittala W, Wiwanitkit V. Completeness of doctor note in electronic health record system in primary health care unit. Ann Trop Med Public Health [serial online] 2017 [cited 2019 Oct 19];10:274-5. Available from: http://www.atmph.org/text.asp?2017/10/1/274/205566
The “electronic health record (EHR) systems” has become the new tool for medical care.[1],[2] Roshanov et al.[1] noted that “governments promote this adoption with financial incentives, some hinged on improvements in care.” Häyrinen et al.[2] mentioned that “the concept of EHR comprised a wide range of information systems, from files compiled in single departments to longitudinal collections of patient data.” The completeness of doctor note is an important concern for the success of using EHR. Burke et al.[3] noted that EHR could improve “clinical note quality.” Calman et al,[4] noted that EHR is an important way to strengthen “public health and primary care collaboration.” However, the important concern is on the completeness of doctor note recorded in EHR. The problem is widely mentioned and usually focused in a big hospital. However, the lack of awareness in the actual primary health care unit gets less concern. Here, the authors report the auditing of the completeness of doctor note in EHR of a primary health care unit in Bangkok, Thailand. The EHR is rarely used in several developing countries. On the basis of auditing, only 62.28% of the records in EHR are complete. This is a big concern since the primary care unit is usually located in isolated setting from hospital and there is a lack of quality control. EHR has become a new thing but the promotion of the system should be gotten. In addition, the problem of the completeness of record has to be focused.

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Conflicts of interest

There are no conflicts of interest.

 
   References Top

1.
Roshanov PS, Gerstein HC, Hunt DL, Sebaldt RJ, Haynes RB. Impact of a computerized system for evidence-based diabetes care on completeness of records: a before-after study. BMC Med Inform Decis Mak 2012;12:63.  Back to cited text no. 1
[PUBMED]    
2.
Häyrinen K, Saranto K, Nykänen P. Definition, structure, content, use and impacts of electronic health records: a review of the research literature. Int J Med Inform 2008;77:291-304.  Back to cited text no. 2
    
3.
Burke HB, Sessums LL, Hoang A, Becher DA, Fontelo P, Liu F. Electronic health records improve clinical note quality. J Am Med Inform Assoc 2015;22:199-205.  Back to cited text no. 3
    
4.
Calman N, Hauser D, Lurio J, Wu WY, Pichardo M. Strengthening public health and primary care collaboration through electronic health records. Am J Public Health 2012;102:e13-8.  Back to cited text no. 4
    

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Correspondence Address:
Dr. Won Sriwijittala
RVT Medical Center, Bangkok
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1755-6783.205566

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