Analysis of the Implementation of Medical Record Retention Based on Medical Record Officers' Perceptions: A Qualitative Case Study at Siti Rahmah Islamic Hospital Padang

Abstract

The implementation of medical record retention is an important activity in medical record management to ensure storage efficiency, ease of file retrieval, and compliance with applicable regulations. However, its implementation in hospitals still faces obstacles, such as limited human resources, storage facilities, and officers' understanding of retention procedures. This study aims to analyze the implementation of medical record retention based on the perceptions of medical record officers. Unlike previous studies that focused mainly on compliance with retention procedures, this study explores medical record officers' perceptions to identify organizational and operational barriers affecting retention implementation. This study employed a qualitative case study design at the Medical Record Installation of Siti Rahmah Islamic Hospital Padang involving five informants selected through purposive sampling. Data were collected through in-depth interviews, observations, and document analysis, and analyzed using the Miles and Huberman model. The findings indicate that retention procedures have been implemented but not consistently or according to schedule. The main barriers include varying levels of officers' understanding, limited facilities and storage space, and inadequate monitoring and evaluation. It was concluded that strengthening human resources, facilities, and supervision is essential to optimize medical record retention implementation.