THE FACTORS MILITATING AGAINST EFFECTIVE DOCUMENTATION IN HEALTH DELIVERY SYSTEM (A CASE STUDY OF LAGOS STATE TEACHING HOSPITAL


THE FACTORS MILITATING AGAINST EFFECTIVE DOCUMENTATION IN HEALTH DELIVERY SYSTEM (A CASE STUDY OF LAGOS STATE TEACHING HOSPITAL  

ABSTRACT

This study examinesThe Factors Militating Against Effective Documentation in Health Delivery System. Faced with the problem of inadequate manpower and financial resources to properly integrate modern technology into the healthcare systems in Nigeria has reduced productivity of personnel in the healthcare sector of Nigeria, the study was guided by the following objectives;to find out if there are proper documentations of health delivery system in Lagos State Teaching hospital; to investigate the impacts of effective documentation of health delivery system in Lagos State Teaching Hospital; to identify factors militating against effective documentation in the healthcare sector.

Concerning methodology, the study employed descriptive and explanatory design, questionnaires in addition to library research were applied in order to collect data. Primary and secondary data sources were used and data was analyzed using statistical package which was presented in frequency tables and percentage. The study findings revealed that there little or no proper documentation of health delivery system in Lagos State Teaching Hospital. This has reduced the efficiency of healthcare workers in the organization. Key recommendations from the study are; Information Technology should be integrated into the health delivery systems of every hospital in Nigeria. This will reduce wastages and improve efficiency in the health care sector of Nigeria.

Table of Contents

ABSTRACT 2

CHAPTER ONE 4

INTRODUCTION 4

1.1 BACKGROUND OF THE STUDY 4

1.2 STATEMENT OF THE PROBLEM 6

1.3 OBJECTIVES OF THE STUDY 6

1.4 RESEARCH QUESTIONS 7

1.5 STATEMENT OF THE HYPOTHESIS 7

1.6 SIGNIFICANCE OF THE STUDY 7

1.7 SCOPE OF THE STUDY 8

1.8 LIMITATION OF THE STUDY 8

CHAPTER TWO 12

LITERATURE REVIEW 12

2.1 INTRODUCTION 12

2.2 WHAT IS HEALTHCARE DOCUMENTATION? 14

2.3 Essential Principles of Healthcare Documentation 19

2.4 Effects of Patient Documentation on Health Care 24

2.5 The   factors militating  against   effective documentation in health delivery system 36

2.6 Interventions to enable access to health services 42

CHAPTER THREE 60

RESEARCH METHODOLOGY 60

3.1 Research Design 61

3.2     The Study Area 61

3.3    Population of the Study 61

3.4 Sample Size and Sampling Techniques 61

3.5 Sources of Data Collection 63

3.6 Instrument for Data Collection 64

3.7 Validity of Research Instrument 65

3.8 Reliability of the Instrument 65

3.9 Administration of the Instrument 66

3.10 Method of Data Analysis 66

3.11 Decision Rule 66

CHAPTER FOUR 67

PRESENTATION AND ANALYSIS OF RESULTS 67

4.1 Demographic Information of the Respondents 68

4.2 Answers to the Research Questions 72

4.3 Research Hypothesis 76

. 77

CHAPTER FIVE 78

SUMMARY, CONCLUSION AND RECOMMENDATIONS 78

5.1 Summary 78

5.2 Conclusion 79

5.3 Recommendations 81

References

CHAPTER ONE

INTRODUCTION

1.1 BACKGROUND OF THE STUDY

Health care delivery systemis the process of meeting the health care needs of people, institutions, and resources and other target populations. There are numerous health care delivery systems globally.However, nations design and develop the health delivery system which isin accordance with their needs and resources. The essential health systems consist of primary healthcare which is the health system which consist of planning and  distribution of health care needs  among market participants and public health care system which is the effort  of governments, trade unions, charities, religious organizations, or other co-ordinated bodies to deliver planned health care services targeted to the populations they serve. Health care planning and distribution is evolutionary rather than revolutionary.

The World Health Organization defines health systems as a system consisting of all organizations, people and actions directed at promoting, restoring or maintaininghealth. This includes efforts which influence health determinants and health-improving activities. A health system encompasses publicly owned facilities which delivers personal health services, health insurance organizations, a mothers care for a sick child at home; vector-control campaigns,efforts of private health care providers; behavior change programmes, occupational health and safety legislation. It also takes into consideration inter sectoral action by health staff, such as enhancing the ministry of education to promote female education which facilitate the growth of good health.World Health Organization (2000).

Documentation of health care delivery system plays a significant role in providing the needed information regarding the evaluation and treatment of health care services and communicating same to third-party payers. Documentation guidelines serve as the standard for many other insurance plans.Documentation also provides relevant clinical information. It is essential that the documents note and reports are clear, legible and that it efficiently conveys all of the essential information required for clinical management and reimbursement. The study seeks to proffer an appraisal of the factors militating against effective documentation in health delivery system. A case study of Lagos state teaching hospital.

1.2 STATEMENT OF THE PROBLEM

The challenge facing documentation relates   to certain factors inadequate skilled manpower, lack of efficient technology, lack of financial resources to adopt modern technology which promote effective documentation, lack of information technology skill among others . Consequently the problem confronting the study is to appraise the factors militating against effective documentation in health delivery system. A case study of Lagos state teaching hospital.

1.3 OBJECTIVES OF THE STUDY

The Main Objective of the study is to appraise the factors militating against effective documentation in health delivery system. A case study of Lagos state teaching hospital; The specific objectives include:

i. To find out if there are proper documentations of health delivery system in Lagos State Teaching hospital.

ii. To investigate the impacts of effective documentation of health delivery system in Lagos State Teaching Hospital.

iii. To identify the factors militating against effective documentation of health delivery system in Lagos state teaching hospital.

1.4 RESEARCH QUESTIONS

i. Are there proper documentations of health delivery system in Lagos State Teaching hospital?

ii. What are the impacts of effective documentation of health delivery system in Lagos State Teaching Hospital?

iii. What are the factors militating against effective documentation of health delivery system in Lagos state teaching hospital?

1.5 STATEMENT OF THE HYPOTHESIS

Ho1: There is no significant factor militating against effective documentation in health delivery system.

1.6 SIGNIFICANCE OF THE STUDY

The study proffers an appraisal of the factors militating against effective documentation in health delivery system. A case study of Lagos state teaching hospital. It provides relevant data for the effective formulation and implementation of policies to enhance the realization of envisaged objective.

1.7 SCOPE OF THE STUDY

The study proffers an appraisal of the factors militating against effective documentation in health delivery system. A case study of Lagos state teaching hospital.

1.8 LIMITATION OF THE STUDY

The study was confronted with logistics and geographical factors.

1.9 DEFINITION OF TERMS

HEALTH CARE DELIVERY SYSTEM DEFINED

World Health Organization defines health systems as a system consisting of all organizations, people and actions directed at promoting, restoring or maintaininghealth. This includes efforts which influence health determinants and health-improving activities. A health system encompasses publicly owned facilities which delivers personal health services, health insurance organizations,amother’scare for a sick child at home; vector-control campaigns, efforts of private health care providers.

HEALTH CARE PROVIDERS DEFINED

Healthcare providers consist of those institutions or individuals which provides healthcare services. 

EDUCATION DEFINED

Education is viewed as the process of inviting truth and possibility. It is the wise, hopeful and respectful cultivation of learning undertaken in the belief that all should have the chance to share in life.

REFERENCES

White F (2015). "Primary health care and public health: foundations of universal health systems". Med PrincPract. 24: 103–116. doi:10.1159/000370197.

World Health Organization. (2000). World Health Report 2000 – Health systems: improving performance. Geneva, WHO http://www.who.int/whr/2000/en/index.html

Johns Hopkins University President William Brody: "Health Care '08: What's Promised/What's Possible?" 7 September 2007

Cook, R. I.; Render, M.; Woods, D. (2000). "Gaps in the continuity of care and progress on patient safety". BMJ. 320 (7237): 791–794. doi:10.1136/bmj.320.7237.791. 

Frenk J (2010). "The global health system: strengthening national health systems as the next step for global progress". PLoS Med. 7: e1000089.

CHAPTER TWO

LITERATURE REVIEW

2.1 INTRODUCTION

High performing health systems are critical to address key health challenges faced by Member States in the European region, such as changes in disease burden and population dynamics, in governance and funding mechanisms, and in technology and clinical management practice. Against this background many countries have significantly invested in strengthening the primary care level including the development of home-based care programmes. At the same time, hospitals remain essential for the delivery of complex acute specialised care. Hospitals form an important part of health spending and play an important role in shaping public perception of the performance of countries’ health systems, and, thus, their political visibility. The World Health Organization (WHO) acknowledges that due attention must be given to all levels of care as well as the integration and coordination of functions and care mechanisms to meet the challenges of an ageing population, with increasing expectations of service quality and safety and with the ability to access these services nationally and through cross border care. Work in this field in the European context is closely linked to the global initiative started by WHO headquarters in identifying key questions to be addressed by the global hospital agenda within the wider context of coordinated care. Experiences from various countries and regions of the world can be used to initiate a review of the place, role and function of hospitals within changing health systems, to support all Member States in the challenging process to remodel their hospitals appropriately and to build capacity to support health care delivery reform. The workshop ‘Modern health care delivery systems and the role of hospitals’ aimed to contribute to moving a step further on the road to better integration and coordination of health care service delivery, through 

• Reviewing the current situation in relation to hospital and health system reforms across the region, including the patient choice perspective 

• Creating a shared understanding of current state of healthcare delivery systems and their capacity and willingness to address change 

• Sharing stakeholders experiences and best practice models, both theoretical and applied, in search of optimised solutions to increase health care delivery performance 

• Identifying unanswered questions, gaps in our knowledge and areas where further research is needed • Agreeing on priority areas for future work 

• Developing a roadmap for action led by WHO Europe with stakeholders to support Member States in these areas for the coming two years 

.

THE FACTORS MILITATING AGAINST EFFECTIVE DOCUMENTATION IN HEALTH DELIVERY SYSTEM (A CASE STUDY OF LAGOS STATE TEACHING HOSPITAL



TYPE IN YOUR TOPIC AND CLICK SEARCH.






RESEARCHWAP.ORG
Researchwap.org is an online repository for free project topics and research materials, articles and custom writing of research works. We’re an online resource centre that provides a vast database for students to access numerous research project topics and materials. Researchwap.org guides and assist Postgraduate, Undergraduate and Final Year Students with well researched and quality project topics, topic ideas, research guides and project materials. We’re reliable and trustworthy, and we really understand what is called “time factor”, that is why we’ve simplified the process so that students can get their research projects ready on time. Our platform provides more educational services, such as hiring a writer, research analysis, and software for computer science research and we also seriously adhere to a timely delivery.

TESTIMONIES FROM OUR CLIENTS


Please feel free to carefully review some written and captured responses from our satisfied clients.

  • "Exceptionally outstanding. Highly recommend for all who wish to have effective and excellent project defence. Easily Accessable, Affordable, Effective and effective."

    Debby Henry George, Massachusetts Institute of Technology (MIT), Cambridge, USA.
  • "I saw this website on facebook page and I did not even bother since I was in a hurry to complete my project. But I am totally amazed that when I visited the website and saw the topic I was looking for and I decided to give a try and now I have received it within an hour after ordering the material. Am grateful guys!"

    Hilary Yusuf, United States International University Africa, Nairobi, Kenya.
  • "Researchwap.org is a website I recommend to all student and researchers within and outside the country. The web owners are doing great job and I appreciate them for that. Once again, thank you very much "researchwap.org" and God bless you and your business! ."

    Debby Henry George, Massachusetts Institute of Technology (MIT), Cambridge, USA.
  • "Great User Experience, Nice flows and Superb functionalities.The app is indeed a great tech innovation for greasing the wheels of final year, research and other pedagogical related project works. A trial would definitely convince you."

    Lamilare Valentine, Kwame Nkrumah University, Kumasi, Ghana.
  • "I love what you guys are doing, your material guided me well through my research. Thank you for helping me achieve academic success."

    Sampson, University of Nigeria, Nsukka.
  • "researchwap.com is God-sent! I got good grades in my seminar and project with the help of your service, thank you soooooo much."

    Cynthia, Akwa Ibom State University .
  • "Sorry, it was in my spam folder all along, I should have looked it up properly first. Please keep up the good work, your team is quite commited. Am grateful...I will certainly refer my friends too."

    Elizabeth, Obafemi Awolowo University
  • "Am happy the defense went well, thanks to your articles. I may not be able to express how grateful I am for all your assistance, but on my honour, I owe you guys a good number of referrals. Thank you once again."

    Ali Olanrewaju, Lagos State University.
  • "My Dear Researchwap, initially I never believed one can actually do honest business transactions with Nigerians online until i stumbled into your website. You have broken a new legacy of record as far as am concerned. Keep up the good work!"

    Willie Ekereobong, University of Port Harcourt.
  • "WOW, SO IT'S TRUE??!! I can't believe I got this quality work for just 3k...I thought it was scam ooo. I wouldn't mind if it goes for over 5k, its worth it. Thank you!"

    Theressa, Igbinedion University.
  • "I did not see my project topic on your website so I decided to call your customer care number, the attention I got was epic! I got help from the beginning to the end of my project in just 3 days, they even taught me how to defend my project and I got a 'B' at the end. Thank you so much researchwap.com, infact, I owe my graduating well today to you guys...."

    Joseph, Abia state Polytechnic.
  • "My friend told me about ResearchWap website, I doubted her until I saw her receive her full project in less than 15 miniutes, I tried mine too and got it same, right now, am telling everyone in my school about researchwap.com, no one has to suffer any more writing their project. Thank you for making life easy for me and my fellow students... Keep up the good work"

    Christiana, Landmark University .
  • "I wish I knew you guys when I wrote my first degree project, it took so much time and effort then. Now, with just a click of a button, I got my complete project in less than 15 minutes. You guys are too amazing!."

    Musa, Federal University of Technology Minna
  • "I was scared at first when I saw your website but I decided to risk my last 3k and surprisingly I got my complete project in my email box instantly. This is so nice!!!."

    Ali Obafemi, Ibrahim Badamasi Babangida University, Niger State.
  • To contribute to our success story, send us a feedback or please kindly call 2348037664978.
    Then your comment and contact will be published here also with your consent.

    Thank you for choosing researchwap.com.