INFLUENCE OF HEALTH RECORDS MANAGEMENT PRACTICES ON QUALITY HEALTH CARE SERVICE DELIVERY IN PUBLIC HEALTH FACILITIES IN RIVERS STATE, NIGERIA

Chinyere N. Ikonne (PhD), Prof. Gabriel O. Alegbeleye, Dike Isaruk Ikpoko-Ore-Ebirien

Abstract


Quality health care service delivery in the dimension of Responsiveness, Empathy, Tangibility, Assurance and Reliability (RETAR) in tandem with patients’ perception and satisfactions has been a challenge in most health facilities over the years in many countries of the world. This study sought to investigate the influence of health records management practices on quality health care service delivery in public health facilities in Rivers State, Nigeria. This study was a survey research design that utilized self-structured and scrutinized questionnaire to collect data. Mixed method (multistage & purposive) sampling technique was used to select 8 highly functioning public health facilities out of 352 existing public health facilities in Rivers State, Nigeria. The population and sample size of the study was 914 and 649 respectively. 604 questionnaires were retrieved out of 649 conveniently administered to respondents in the 8 public health facilities. The data gotten was analyzed using descriptive and inferential statistical tools. Participants agreed that health records management practices are prevalent in public health facilities in Rivers State, Nigeria (x̅=3.01). Participants strongly agreed that records use (x̅=3.29) and records creation (x̅=3.28) are the most prevalent health records management practices in public health facilities. While records disposal (x̅=2.55) is the least prevalent health records management practices in public health facilities. Health records management practices negatively significantly influenced quality healthcare service delivery in public health facilities in Rivers State, Nigeria (β= -0.193, t= -2.652, p<0.05). The model shows that health records management practices could explain 3.7% variation (R2=0.037) in quality healthcare service delivery in public health facilities in Rivers State, Nigeria. The study concluded that quality health care service delivery cannot be achieved without recourse to standard health records management practices being implemented in any health facility. Hence, recommends that Rivers State Government and her health partner agencies should always inculcate proactive improvement measures in ensuring standard functioning health records management practices in all health settings.


Keywords


Health Records Management Practices, Quality Health Care service Delivery, in public health facilities

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