Professional paper

New requirements of medical documentation in the area of chronic patients care in family medicine

Ines Zelić Baričević ; Ordinacija obiteljske medicine Bukovlje, Slavonski Brod
Marija Vrca Botica ; Medicinski fakultet Sveučilišta u Zagrebu, Škola narodnoga zdravlja "Andrija Štampar", Katedra obiteljske medicine
Linda Carkaxhiu ; Medicinski fakultet Sveučilišta u Prištini, Katedra obiteljske medicine

Abstract

The family physician must ensure the continuity of health care for his patients, which is possible only using adequate medical documentation where a physician can find and collect all the necessary data. The data about a patient in his electronic medical record must be divided into three areas: list of episodes of care,
list of patient's problems and other information on the patient. Collected data are used for management of chronic diseases according to structured model:-prevention and early detection of diseases, treatment, early detection of complications and analysis of quality of care. The data must be available to other levels of
health care and also be transferred automatically to national registers. The data thus collected make the work of the family physician with chronic patients easier, as well as the work of all other physicians who participate in the patient care process.

Keywords

family physician; medical documentation; chronic patients

Hrčak ID:

122386

URI

https://hrcak.srce.hr/122386

Publication date:

2.6.2014.

Article data in other languages: croatian

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