Medical records management needs to be governed using a legal framework to avoid records being lost, modified, altered, misfiled and/or damaged, since that may result in a struggle to locate them and wasting time. Medical records management, like any other field, has to be guided by a sound legislative framework. The application of legislation in the management of medical records can help safeguard privacy and confidentiality and curb the loss, modification, alteration, damage and misfiling of records. The study sought to assess the extent to which public hospitals in the Limpopo Province, South Africa apply legislation in the management of medical records. Quantitative data were collected using questionnaires completed by records management staff members in the hospitals of Limpopo. This study applied a quantitative research methodology and a survey research design. The study revealed that legal prescripts were not appropriately followed in the healthcare institutions due to a lack of fundamental resources. The study recommended, among other things, the provision of adequate resources and the appointment of suitably qualified records managers and staff or the development of staff capacity to ensure that appropriate legal frameworks are implemented adequately.
AsogwaBE (2012) The challenge of managing electronic records in developing countries: implications for records managers in sub-Saharan Africa. Records Management Journal (22)3:198–211.
4.
BoonstraABroekhuisM (2010) Barriers to the acceptance of electronic medical records by physicians from systematic review to taxonomy and interventionsBMC Health Service Research: 1–17.
5.
ChachageBNgulubeP (2006) Management of business records in Tanzania: an exploratory case study of selected companies. South African Journal of Information Management8(3):1–18.
6.
ChatereraFNgulubePRodriguesA (2014) Records surveys in support of a framework for managing public records in Zimbabwe. Information Development (30)4: 366–377.
DecmanMVintarM (2013) A possible solution for digital preservation of e-government: A centralised repository within a cloud computing framework. Aslib Proceedings: New Information Perspectives (65)4: 406–424.
9.
ErasmusN (2013) Health dept fails to reach 56% of targets. Review Weekend24-25 October: 2.
10.
International Organization for Standardization (ISO) 15489 (2001) Information and Documentation – Records Management. Part 1. General. Geneva, ISO.
11.
IsmailAJamaludinA (2009) Towards establishing a framework for managing trusted records in the electronic environment. Records Management Journal (19)2:134–145.
12.
KatuuS (2016) Transforming South Africa’s health sector: The eHealth Strategy, the implementation of electronic document and records management systems (EDRMS) and the utility of maturity models. Journal of Science and Technology Policy Management (7)3: 330–345.
13.
KatuuSA (2015) Managing records in South African public health care institutions – a critical analysis, PhD thesis. University of South Africa, Pretoria.
14.
KatuuSVan der WaltT (2016) Assessing the legislative and regulatory framework supporting the management of records in South Africa’s public health sector. South African Journal of Information Management (18)1.
15.
KlugH (2012) Access to medicine and the transformation of the South African state. Transnational Legal Ordering and State Change. ShafferG. C.Cambridge, UK, Cambridge University Press: 148–179.
16.
LottL A (1997) The conundrum of patient records. International Journal of Health Care Quality Assurance incorporating Leadership in Health Services (10)2: iv–vi.
17.
MaponyaF (2013) No medical records, no treatment. Sowetan10 April: 6.
18.
MaruthaNS (2016) A framework to embed medical records management into the healthcare service delivery in Limpopo Province of South Africa, PhD Thesis, University of South Africa.
19.
MaruthaNS (2011) Records management in support of service delivery in the public health sector of the Limpopo province in South Africa, MINF Thesis, University of South Africa, Pretoria.
20.
MaruthaNSNgulubeP (2012) Electronic records management in the public health sector of the Limpopo province in South Africa. Journal of the South African Society of Archivists45:39–67.
21.
McLeod J, ChildsSHeafordS (2007) Records management capacity and compliance toolkits: a critical assessment. Records Management Journal (17) 3: 216–232.
22.
MonamaT (2013) Patients, staff spells it out to Madonsela: missing files, poor equipment still plague Mankweng. Sowetan, 29August: 5.
Ndenje-Sichalwe E, Ngulube P and Stilwell C (2011) Managing records as a strategic resource in the government ministries of Tanzania. Information Development27(4) 264–279.
25.
NengomashaC (2013) The past, present and future of records and archives management in sub-Saharan Africa. Journal of the South African Society of Archivists46: 2–11.
26.
NgoepeM (2017) Archival orthodoxy of post-custodial realities for digital records in South Africa. Archives and Manuscripts45(1): 31–44.
27.
NgoepeM (2016) Records management models in the public sector in South Africa: is there a flicker of light at the end of the dark tunnel?Information Development (32)3: 338–353.
28.
NgoepeM (2014) Records management models in the public sector in South Africa: is there a flicker of light at the end of the dark tunnel?Information Development. September:1–16.
29.
NgoepeMS (2012) Fostering a framework to embed the records management function into the auditing process. PhD Thesis, Pretoria, University of South Africa.
30.
NgoepeMMakhubelaS (2015) Justice delayed is justice denied. Records Management Journal25(3): 288–305.
31.
NgoepeMMakhuraM (2008) Assessing the level of compliance with regard to the Legal Deposit Act: implications on access to South Africa’s published heritage. Mousaion (26)2: 98–114.
32.
NgoepeMSaurombeA (2016) Provisions for managing and preserving records created in networked environments in the archival legislative frameworks of selected member states of the Southern African Development Community. Archives and Manuscripts (44)1: 24–41.
33.
NgoepeMVan der WaltT (2010) A framework for a records management programme: lessons from the Department of Cooperative Governance and Traditional Affairs in South Africa. Mousaion (28)2: 82–106.
34.
Republic of South Africa (1978) Copyright Act, Act No.98 of 1978.
35.
Republic of South Africa (1996) National Archives of South Africa Act, Act No. 43 of 1996.
36.
Republic of South Africa (1999) Public Finance Management Act, Act No.1 of 1999.
37.
Republic of South Africa (2000) Promotion of Access to Information Act, Act No. 2 of 2000.
38.
Republic of South Africa (2001) Limpopo Provincial Archives Act, Act No. 5 of 2001.
39.
Republic of South Africa (2002) Electronic Communication and Transaction Act, Act No. 25 of 2002.
40.
Republic of South Africa (2003) National Health Act, Act No. 61 of 2003.
41.
Republic of South Africa (2010) Protection of State Information Bill, B6-2010.
42.
Republic of South Africa (2013) Protection of Personal Information Act, Act No. 4 of 2013.
