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Unit Record System – Essay Sample

Unit Record System – Essay Sample

A unit record system is an electronic record system for health care facilities that is used for management and supporting the nurses and the doctors in diagnostic measures and also patient treatment. NEC Corporation (2008) reported that a unit record requires advanced computer software that is well programmed to handle the medical information of a patient and also how to treat the patient. The unit record would include the following; the personal information of the patient, the signs and symptoms of the patients as seen by the doctor and then the various diagnostic tests that should be performed then lastly the treatment that is appropriate. The information is arranged in a way that the health care facility will be able to know how a patient is handled in the hospital and also how the hospital is making profits according to the services rendered and also by whom.

Disease process, diagnosis and treatment modalities

In disease process, there are a number of factors that show or reveal that a person has a certain disease. The disease will start with acute pain or symptoms which serve as a warning to a certain disease that is going to manifest. NEC Corporation (2008) reported that acute symptoms are often self limiting in the sense that they only last for a while then disappear to pave way for the real disease. The chronic symptoms are the disease it self so they are painful and last for a very long time. Most people often ignore the acute symptoms of a disease but go to the doctors when the real disease appears which can be very fatal. Diagnoses of acute diseases are often not very accurate because their symptoms are often similar in almost all the diseases but specialized computer software with the help of doctors can diagnose the diseases in good time.  Treatment modalities for diseases are often different because different diseases work best with certain treatments. The general description of treatment modalities are systemic medication, psychological modalities (relaxation training in cases of anxiety and behavior modification), physical modalities (physical rehabilitation), and various surgical techniques to treat the diseases.

Issues surrounding classification and reimbursement methods

The reimbursement is made right after the record has been clearly analyzed to see the kind of services given to the patient and also the effective health care a patient received. The payer will then pay the health care according to the services given. NEC Corporation (2008) reported that compensation of the money for the services and products given to the patients is made after the payer has carefully analyzed the treatment given to the patient, whether it was correct and if the surgical procedures were done with utmost care. The compensation will not be made if the patients acquired some infections in the hospital while undergoing treatment and also when wrong treatment or procedures are given to the patient. The doctors need to be careful while carrying out the diagnoses of the diseases and also when administering treatment to patients.

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