Kegunaan Rekam Medis

This post was written by zakiakartikautami on April 16, 2011
Posted Under: Uncategorized

Kegunaan rekam medis dapat dilihat dari beberapa aspek, untuk mudah mengingatnya kita bisa menggunakan singkatan ALFRED, yaitu :

1. Administration

Suatu berkas rekam medis mempunyai nilai administrasi, karena isinya menyangkut tindakan berdasarkan wewenang dan tanggung jawab sebagai tenaga medis dan paramedic dalam mencapai tujuan pelayanan kesehatan.

2.   Legal

Suatu berkas rekam medis mempunyai nilai hukum, karena karena isinya dapat diperkuat dengan sumber hukum yang berlaku.

3.   Finance

Suatu berkas rekam medis mempunyai nilai keuangan karena isinya dapat dijadikan sebagai bahan untuk menetapkan biaya pembayaran layanan pada fasilitas pelayanan kesehatan. Tanpa adanya bukti catatan tindakan/pelayanan, maka pembayaran tidak dapat dipertanggungjawabkan.

4.   Riset

Suatu berkas rekam medis mempunyai nilai penelitian, karena isinya mengandung data/informasi yang dapat digunakan sebagai aspek penelitian dan pengembangan ilmu pengetahuan di bidang kesehatan.

5.   Education

Suatu berkas rekam medis mempunyai nilai pendidikan, karena isinya menyangkut data/informasi tentang pengembangan kronologis dari kegiatan pelayanan rekam medis yang diberikan kepada pasien. Infromasi tersebut dapat digunakan sebagai bahan pengajaran.

6.   Documentation

Suatu berkas rekam medis mempunyai nilai dokumentasi, karena isinya menjadi sumber ingatan yang harus didokumentasikan dan dipakai sebagai bahan pertanggungjawaban dan laporan rumah sakit.

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