EVALUATION OF HEALTH RECORD CONTROL IN PRIMARY HEALTH CARE

The study assessed health record Control in primary health care settings, with particular focus on Ikorodu Local Government Primary Health Care Centre, Lagos State. Effective health record Control is essential for ensuring continuity of care, supporting clinical decision-making, improving patient outcomes, and strengthening health system performance. Despite its importance, many primary health care facilities face challenges related to inadequate infrastructure, insufficient training, poor documentation practices, and limited adoption of electronic health record systems. The study adopted a descriptive survey research design. The population comprised patients attending Ikorodu Local Government Primary Health Care Centre, from which a sample of one hundred (100) respondents was selected using simple random sampling technique. Data were collected using a structured questionnaire designed by the researcher. The instrument was validated by the research supervisor to ensure face and content validity. Data collected were analyzed using frequency tables and simple percentages, while the stated hypothesis was tested using Chi-Square (χ²) statistical analysis at a 0.05 level of significance. Findings revealed that effective health record Control significantly influences patient care and service delivery in primary health care settings. The study identified key challenges including reliance on paper-based systems, incomplete documentation, inadequate training of health personnel, and limited digital infrastructure. The results further indicated that improved documentation practices and adoption of electronic systems can enhance efficiency, accuracy, and quality of care. The study concluded that strengthening health record Control systems is critical to improving patient outcomes and overall health service performance. It recommended investment in digital infrastructure, continuous training of health workers, implementation of standardized record-keeping protocols, and regular monitoring to ensure compliance and data quality.本研究评估了基层医疗卫生机构中的健康档案管控（Health Record Control）工作，重点聚焦于拉各斯州伊科罗杜地方政府基层医疗卫生中心。高效的健康档案管控对于保障诊疗连续性、支撑临床决策、改善患者预后以及提升卫生系统绩效均至关重要。尽管其重要性不言而喻，但众多基层医疗卫生机构仍面临诸多挑战，包括基础设施不足、人员培训匮乏、档案记录操作不规范以及电子健康档案系统（Electronic Health Record System）普及率偏低等。本研究采用描述性调查研究设计，研究总体为伊科罗杜地方政府基层医疗卫生中心的就诊患者，研究人员采用简单随机抽样法从中选取100名受访者作为研究样本。数据收集采用研究人员自行设计的结构化问卷，该研究工具由研究导师进行效度检验，以确保其表面效度与内容效度。研究采用频数表与简易百分比法对收集到的数据进行分析，并采用卡方（χ²）统计分析方法，在0.05的显著性水平下对预设假设进行检验。研究结果显示，高效的健康档案管控对基层医疗卫生机构的患者护理与服务供给具有显著影响。研究结果同时明确了当前面临的核心挑战，包括过度依赖纸质档案系统、档案记录不完整、卫生人员培训不足以及数字基础设施薄弱等。研究结果进一步表明，优化档案记录操作规范并推广电子系统应用，能够提升护理工作的效率、准确性与质量。本研究最终得出结论：强化健康档案管控体系，对于改善患者预后与整体卫生服务绩效具有关键意义。研究建议，应加大数字基础设施投入、持续开展卫生人员培训、落实标准化档案管理规程，并建立常态化监测机制以确保合规性与数据质量。