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Barnhälsovårdsjourn...
Barnhälsovårdsjournalen som kunskapskälla : En analys av fullständighet, instruktionsenlighet och tillförlitlighet : [an analysis of completeness, reliability and accuracy of recording]
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- Hagelin, Elisabet (författare)
- Uppsala universitet,Institutionen för kvinnors och barns hälsa
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(creator_code:org_t)
- ISBN 915544332X
- Uppsala : Acta Universitatis Upsaliensis, 1998
- Svenska [3], 64 s.
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Serie: Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, 0282-7476 ; 799
- Relaterad länk:
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https://urn.kb.se/re...
Abstract
Ämnesord
Stäng
- Information contained in medical records is increasingly used for the evaluation of the process of care and to study the health status of individuals. Hence, if recorded information were accurate and reliable, records would be a valuable data source in quality assessment and research.The main objectives of this thesis were to determine (a) the extent to which information about preschool children's living conditions, health and development and provision of care was completely recorded in Child Health (CH) records; (b) whether information was recorded in accordance with recommendations; (c) whether information was in agreement with other sources and with the care actually provided; and (d) whether information could be reliably transferred to a structured protocol. Three sample records were reviewed and parent-child consultations were observed.The results demonstrated that different types of information were recorded with varying degrees of completeness and concordance. There was low agreement between record information and information from other sources. Moreover, the observations of health consultations indicated that the care actually provided was more extensive in relation to recorded care. Most types of information in CH records could be reliably transferred to coding protocols.To increase the quality of medical record data, the CHS staff need to be reminded of the importance of exhaustive documentation of central tasks in CHS. Finally, the arrangement of national instructions for record keeping and a classification system for children's health problems are recommended.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
Nyckelord
- Obstetrics and gynaecology
- Records
- Child Health Services
- preschool children
- data source
- completeness
- accuracy
- inter-rater reliability
- quality of care
- Obstetrik och kvinnosjukdomar
- Obstetrics and women's diseases
- Obstetrik och kvinnosjukdomar
- pediatrik
- Pediatrics
Publikations- och innehållstyp
- vet (ämneskategori)
- dok (ämneskategori)
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