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International Journal of Public Health and Clinical Sciences (IJPHCS)
Open Access e-journal ISSN : 2289-7577
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THE EFFECT OF DISCIPLINE AND WORKLOAD TOWARDS THE PERFORMANCE OF DOCTORS AND DENTISTS IN FILLING MEDICAL RECORD AT COMMUNITY HEALTH CENTRE OF SURABAYA

Annisa Nur Luhtifyah, Anon Wijayanti, Bintang Gumilang, Thinni Nurul Rochmah

Abstract


Background: Medical record is a written proof about healthcare given by doctors and dentists after treatment. The previous study conducted in thirteen community health centres of Surabaya found that 100% of medical records did not show the treatment schedule, 99.49% of them did not have doctors’ signatures, 85% did not show the given treatment, and 7.69% had incomplete patients’ identity on the status card. This study would analyse the effect of discipline and workload towards the performance of doctors and dentists in filling medical records at community health centres.

Materials and Methods: This research is located at Community Health Centres of Surabaya. This study is a cross sectional research. The population in this study involved all doctors and dentists amounted to 354 people. The sampling method is systematic random sampling. The sample amounted to 84 doctors and 46 dentists. Exclusion criteria is doctor who serve as head of community health centre. Independent variables are discipline and workload, while dependent variable is performance. Data were collected from questionnaires filled by respondents, observation towards the completeness of medical record, and Focus Group Discussion (FGD). Data were examined by using linear regression test in SPSS.

Result: Almost of respondents had high discipline (38.5%) in filling the medical records. Most of the respondents with high workload (62.3%) had greater number of patients than the standard number of patients per day. Out of 50 respondents who had high discipline, most of them (62%) showed low performance. Performance measured by observation of medical records. Most of respondents with high workload showed low performance amounted to 64.2%. The result of linear regression test showed the significant value was 0.002 for discipline and workload. The result of this study is discipline and workload proven to have an effect on performance doctor and dentist in filling medical records.

Conclusion: Discipline and workload were proved to become the influential factors towards the performance of doctors and dentists in filling medical records at community health centres of Surabaya.

Keywords: community health centre, doctor, dentist, medical record


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