A Presentation of Electronic System Pattern of Medical Records Management for Insurance Companies

Maryam  Nakhoda; Abbas  Sheikh Taheri; Madihe  Esfandiari pour

Journal of Clinical Research in Paramedical Sciences

The Official Journal of Paramedical School, KUMS

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A Presentation of Electronic System Pattern of Medical Records Management for Insurance Companies

Author(s):

Maryam Nakhoda¹,

Abbas Sheikh Taheri ²,

Madihe Esfandiari pour ^3,*

1Information Science and Knowledge Department, School of Information Science and Knowledge, Tehran University, Tehran, Iran

2Health Information Management Department, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran

3School of Information Science and Knowledge, Tehran University, Tehran, Iran

Journal of Clinical Research in Paramedical Sciences:Vol. 6, issue 2; e81351

Published online:May 09, 2017

Article type:Research Article

Received:Oct 14, 2016

Accepted:Mar 06, 2017

How to Cite:Maryam NakhodaAbbas Sheikh Taheri Madihe Esfandiari pour A Presentation of Electronic System Pattern of Medical Records Management for Insurance Companies.J Clin Res Paramed Sci.6(2):e81351.

Abstract

Introduction: Organizations must collect, process, and analyze the types of information they need. The aim of this study was to evaluate the needs of managers and employees and to present an electronic pattern of medical records management in insurance companies.

Methods: The research method was quantitative and qualitative. Twelve senior staff members of the medical records department were interviewed. Analysis of interview data was carried out using qualitative content analysis method. According to the findings of the interview, the primary model of the electronic medical records management system was presented. To determine the validity of the proposed model, all managers and staff of the unit were questioned about the capabilities obtained in the proposed model through a questionnaire. Descriptive statistics were used to analyze the data.

Results: Requirements of the mentioned system include: Data logging, classification, maintenance, security, electronic communications, display, access to various users, access to information resources - required knowledge, logging, user interface, speed, control, management and search. The results of the questionnaire was as follow: the highest percentage of positive answers about registration and data entry capabilities(%93/2), classification(%85/6), maintenance (%81/9), Security and Access(%91/2), telecommunications (%96/5), display(%92/3), different users access(%72/5), access to required information-knowledge (%84/6), reporting(%90/1), speed (%84/2), control and management(%97/4), search(%78/9), user interface(%94/7).

Conclusion: In this study, a model for the capabilities of the electronic system of medical records management for insurance companies was presented, which deals with the management of the work of the Medical Doctors Medical Insurance Company electronically.

Keywords

Document and medical records management

electronic system

pattern

insurance companies

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