Influential Factors Affecting the Effective Delivery of Services by Health Records Professionals in Selected Tertiary Teaching Hospitals in Southwestern Nigeria

Omodele Serah Agbejimi; Samuel Omowale Okijiola; Joy Isioma  Oboh; Adebisi Mayowa G; Oladoyinbo Tunji  Oloyede; Famade Titilayo  Elizerbeth

Omodele Serah Agbejimi East Tennessee State University, Johnson City, Tennessee, US
Samuel Omowale Okijiola Department of Human Nutrition and Dietetics, Faculty of Public Health, University of Ibadan
Joy Isioma Oboh Faculty of Health Sciences, Department of Public Health National Open University of Nigeria, Edo State
Adebisi Mayowa G MPH Population and Reproduction, Health Nutrition, MSW Health Social Work, University of Ibadan
Oladoyinbo Tunji Oloyede Oyo State Primary Health Care Board
Famade Titilayo Elizerbeth University of Ibadan

Keywords: Health records management, service delivery, Tertiary Teaching Hospitals, Southwestern Nigeria, challenges, perceptions, recommendations, percentage figures

Abstract

Healthcare service delivery in Nigeria, particularly in the Southwestern region, faces significant challenges, including inadequate infrastructure and staffing shortages. Health records management practices are crucial for improving service delivery and health outcomes. This study examines influential factors affecting the effective delivery of services by health records professionals in selected Tertiary Teaching Hospitals in Southwestern Nigeria. The study aims to investigates factors such as staffing levels, technological infrastructure, training opportunities, and organizational barriers affecting service delivery. It also aim to assess the perceptions and challenges faced by health records professionals in delivering services effectively. A cross-sectional study design was employed, utilizing a stratified sampling technique to select 200 respondents from three Tertiary Teaching Hospitals in Southwestern Nigeria. Data were collected through a structured questionnaire and analyzed using descriptive statistics, including frequency tables, to present results. The study reveals positive perceptions among respondents regarding various services delivered by health records professionals. However, challenges such as inadequate staffing levels and resistance to change within organizational culture were identified. While some factors like standardized procedures (50.0% agreeing) and access to training opportunities (42.7% agreeing) were perceived positively, concerns about resource allocation equity (47.5% disagreeing) and technological infrastructure (42.5% agreeing) persisted. The findings underscore the importance of addressing systemic issues to improve health records management and service delivery. Recommendations include addressing staffing shortages, investing in technology, providing training opportunities, enforcing policies, and ensuring resource equity. Enhancing health records management practices can lead to improved patient care and healthcare service delivery in Tertiary Teaching Hospitals in Southwestern Nigeria.

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