The lack of basic health data renders difficulties in formulating and applying a rational for the allocation of limited resources that are available for patient care and disease prevention. Despite the intensive effort at national and international level, the fundamental health care needs of the population of the developing countries are still unmet.
The management and preservation of the hospital records in Indian context present a very gloomy picture. They are likely to be far more reliable than memory. Medical records are often the only source of the truth. Record maintenance is the only way for the doctor to prove that the treatment was carried out properly. The key to dispensability of most of the medical negligence claim rest with the quality of the medical records. Medical record keeping has evolved into a science. It is very important for the treating doctor to properly document the management of the patient under his care. A good medical record serves the interest of the medical practitioner as well as his patients.
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