آگاهي پزشكان، پرستاران و كاركنان مدارك پزشكي از جنبه هاي قانوني مدارك پزشكي در بيمارستان هاي آموزشي وابسته به دانشگاه علوم پزشكي كاشان

Knowledge of Physicians, Nurses and Medical Record Personnel about Legal Aspects of Medical Records in Teaching Hospitals Affiliated to Kashan

Introduction: Obeying patient rights is dependent upon the knowledge of healthcare providers about ethical and legal aspects of healthcare. This study aimed to determine the knowledge of physicians, nurses and medical record personnel about legal aspects of medical records in teaching hospitals affiliated to Kashan University of Medical Sciences. Methods: In this cross-sectional study, 325 healthcare personnel including physicians, nurses and medical record personnel were surveyed by a valid questionnaire designed based on Iranian laws and referenced materials. The questions were related to legal aspects of informed consent, confidentiality, and issuing certificates. We analyzed the data through the mean score (± SD) of correct responses. Results: The knowledge level of participants was moderate about legal aspect of informed consent (3.78 ± 1.36 from 8 points), confidentiality (1.45 ± 0.97 from 4 points) and issuing certificates (3.27 ± 1.79 from 9 points). Totally, the knowledge level was moderate (8.51 ± 2.83 from 21 points). Physicians had more knowledge and nurses less. Conclusion: Educating legal aspects related to medical records including confidentiality, informed consent, and issuing certificates for all of healthcare providers especially for nurses seems necessary. Keywords: Awareness; Legal Aspects; Medical Records; Confidentiality; Patient Satisfaction. Type of article: Original Article Received: 23 Jun, 2009 Accepted: 27 Aug, 2009 Citation: Sheikhtaheri A, Kimiafar Kh, Barati Marnani A. Knowledge of Physicians, Nurses and Medical Record Personnel about Legal Aspects of Medical Records in Teaching Hospitals Affiliated to Kashan University of Medical Sciences. Health Information Management 2010; 7(2): 146.