The study investigated the management of medical records in the Primary Health Care services
(PHCs) of Diepsloot. The study investigated the regulatory framework, records infrastructure,
records security, records management staff skills and the filing system. A qualitative design guided
by the interpretive paradigm was used to guide the case study. Interviews, focus groups, and
observations generated data from 50 participants.
The study revealed that the regulatory instruments used to manage records lack implementation and
compliance. There was a lack of security measures, a shortage of records management
infrastructure and inconsistency in the filing system. There is a low level of skill in the records
management staff. The study recommended the implementation of a regulatory policy that will
guide and ensure effective governance of records in PHCs. Records should be secure from misuse
by unscrupulous individuals. PHC records need to be managed by experienced professionals. The
filing system should be easily accessible.
Die studie het ondersoek ingestel na die bestuur van mediese rekords in die Primêre
Gesondheidsorgdienste (PHC's) van Diepsloot. Die studie het ondersoek ingestel na die
regulatoriese raamwerk, rekord van infrastruktuur, rekord sekuriteit, vaardighede vir
rekordbestuur en die liasseerstelsel. 'n Kwalitatiewe ontwerp gelei deur die interpretatiewe
paradigma is gebruik om die gevallestudie te lei. Onderhoude, fokusgroepe en waarnemings het
gegewens van 50 deelnemers gegenereer.
Die regulatoriese instrumente wat gebruik word om rekords te bestuur, het geen implementering en
nakoming nie. Die studie het aan die lig gebring dat daar 'n gebrek aan veiligheidsmaatreëls was,
'n tekort aan infrastruktuur vir rekordbestuur en teenstrydigheid in die liasseringstelsel. Die
personeel in rekordbestuur het 'n lae vlak van vaardigheid. Die studie het die implementering van
'n regulatoriese beleid aanbeveel wat die doeltreffende bestuur van rekords in PHC's sal lei en
verseker. Rekords moet beskerm word teen misbruik deur gewetenlose individue. PHC-rekords
moet deur ervare professionele persone uitgevoer word. Die liasseerstelsel moet maklik toeganklik
wees.
Lolu cwaningo luphenywe ngokuphathwa kwamarekhodi ezokwelashwa emnyangweni
Wezokunakekelwa kwempilo okuyisisekelo (i-PHCs) eDiepsloot. Ucwaningo luphenywe ngohlaka
lokulawula, ingqalasizinda yamarekhodi, ukuphepha kwamarekhodi, amakhono okuphathwa
kwamarekhodi nohlelo lokufayila. Umklamo olungaqanjwa uqondiswa yi-paradigm yokutolika
wasetshenziselwa ukuqondisa ucwaningo lwesigameko. Izingxoxo, amaqembu okugxila kanye
nokubukwa kukhiqize idatha evela kubahlanganyeli abangu 50.
Izinsizakusebenza zokulawula ezisetshenziselwa ukuphatha amarekhodi zingenakho ukusebenza
nokuhambisana. Ucwaningo luveze ukuthi bekukhona ukuntuleka kwezindlela zokuphepha,
ukushoda kwengqalasizinda yokuphathwa kwamarekhodi kanye nokungahambelani ohlelweni
lokugcwalisa. Kunezinga eliphansi lekhono kubasebenzi bokuphathwa kwamarekhodi. Ucwaningo
lincome ukusetshenziswa kwenqubomgomo yokulawula ezohola futhi iqinisekise ukuphathwa
kwamarekhodi kuma-PHCs ngendlela efanele. Amarekhodi kufanele avikeleke ekusetshenzisweni
kabi ngabantu abangathembekile. Amarekhodi we-PHC adinga ukuqhutshwa ngochwepheshe
abanolwazi. Uhlelo lokufayila kufanele lutholakale kalula.
