Comments on: Patient Held Medical Records and the Care Calendar http://practiceimprovement.com.au/2010/03/patient-held-medical-records-and-the-care-calendar/ TONY LEMBKE’S SITE FOR IMPROVEMENT, MEDICINE, TECHNOLOGY, PRODUCTIVITY Thu, 15 Mar 2012 03:39:59 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Estelle Laville http://practiceimprovement.com.au/2010/03/patient-held-medical-records-and-the-care-calendar/comment-page-1/#comment-215 Estelle Laville Thu, 30 Dec 2010 00:13:48 +0000 http://practiceimprovement.com.au/?p=448#comment-215 The Island of Dominica in the Caribbean has had reformation of it's health care sustem in the early 80's by PAHO. (Panamerican Health Organisation) The focaus is on primary care and the island is divided such that there is one nurse for every 600 patietnts and one doctor for 2000 patients. The medical notes are completely patient-held. Every person has a notebook for his medical notes nd is responsible for presenting his notes at each visit. If it is forgotten the notes are written on a loose sheet to be placed in the book. There are no government held medical notes. I was amazed when I first learnt of it but was rather impressed. Each clinic keeps registries of immunizations and chronic diseases etc and each household is visited by the nurse at least twice yearly if they don't come in. Dominica is known for it's great proportion of centenarians. Does this patient held note promote greater patient involvement in their health care? The Island of Dominica in the Caribbean has had reformation of it’s health care sustem in the early 80′s by PAHO. (Panamerican Health Organisation) The focaus is on primary care and the island is divided such that there is one nurse for every 600 patietnts and one doctor for 2000 patients.

The medical notes are completely patient-held. Every person
has a notebook for his medical notes nd is responsible for presenting his notes at each visit. If it is forgotten the notes are written on a loose sheet to be placed in the book. There are no government held medical notes.

I was amazed when I first learnt of it but was rather impressed. Each clinic keeps registries of immunizations and chronic diseases etc and each household is visited by the nurse at least twice yearly if they don’t come in.

Dominica is known for it’s great proportion of centenarians. Does this patient held note promote greater patient involvement in their health care?

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