Arquivo médico: uma análise sobre sua estrutura, função e seus usuários

Abstract

The financial and administrative stability of a company or business of any kind is only possible with the correct management of the whole system. The documental production is essential for this process. For this purpose, it is necessary the confection of many different types of documents. In this essay, a medical file is analyzed, as well as its users for the evaluation of different profiles of these users. With this, it is possible to indentify the importance given to the stored files by the users. For this purpose, the involved personnel submitted to the application of a questionnaire and interviews. It is important the satisfactory management of these files. Considering that such documents are confidential, a formal request to the hospital ethics commission was made, to ensure the academic aspect of the analysis, which justified the access to the system where these files are stored. As in a hospital there is a considerably wide range of professionals from different areas dealing with the same patient, all the information about them need to receive special treatment and organization, so it can be further analyzed for different professionals when necessary. The degree of confidentiality of this information restricts the number of people who will have access to them, once a consultation of these data is needed, whether required by the patient, a doctor or by an employee. The required information is accessed with the available resources and given to the requester after the due identification.