Abstract：
BACKGROUND:Absence of medical documents damages the quality of treatment and service. Despite the computerized medical folder, its use is still limited, and not all countries have a national health communications systems. That is why the patients are asked to bring with them the documents they hold. However, some patients lose the documents and others are uncooperative due to forgetfulness, and a lack of knowledge. OBJECTIVES:To examine how patients perceive, keep and manage medical documents. DESIGN:The research was conducted in the qualitative method. SETTINGS:A cardiology clinic, in a big medical center in Israel. PARTICIPANTS:A total of 28 patients suffering from ischemic heart disease and/or rhythm disorders. The sample was a convenience one, and were taken from the population visiting the Cardiology Clinic from May to October 2003. METHODS:Semi-structured interviews were held with the participants. The data were processed by means of content analysis. RESULTS:The findings indicate that, even though the participants expressed that it is the health system's responsibility to manage medical documents, most of them kept, and some even managed, their medical documents via a personal folder. By keeping documents and deciding to whom and when to show them the patient functions as a self-care manager. This made them more involved in their treatment and, they felt in control and empowered. CONCLUSION:Patient's attention to documents, as keeper and router, results in demonstrations of responsibility and involvement in treatment, consequently empowering the patient.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Rassin M,Zilcha L,Berger M,Silner Ddoi
10.1016/j.ijnurstu.2006.03.005subject
Has Abstractpub_date
2007-08-01 00:00:00pages
862-8issue
6eissn
0020-7489issn
1873-491Xpii
S0020-7489(06)00097-6journal_volume
44pub_type
杂志文章abstract：BACKGROUND:Studies have shown that in general patients are positive about cardiovascular prevention delivered by general practitioners. Further, it has been found that care by nurses for the chronically ill leads to even greater patient satisfaction. OBJECTIVE:The aim of this survey was to answer the following questio...
journal_title：International journal of nursing studies
pub_type： 杂志文章,多中心研究,随机对照试验
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pub_type： 杂志文章,多中心研究
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