Improving Access to Medical Records for IUD Replacement in Taiwan - Obstetrics and Gynecology

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The issue of medical record connectivity between the Chung Hsing Hospital and the Nantou Hospital?


I initially had an intrauterine device (IUD) inserted at the Chung Hsing Hospital branch, which typically needs to be replaced every 3 to 5 years.
However, due to changes in your hospital's service hours, I can only visit the Nantou branch for consultations on Saturdays.
I often encounter issues with accessing my medical records online, making it unclear when I need to replace my IUD.
I would like to suggest that the information department display reminders for patients regarding the replacement timeline in the electronic medical records for easier reference.
Thank you! Additionally, do I need to return to the Chung Hsing Hospital branch to find out when my IUD was inserted?

Debbie, 40~49 year old female. Ask Date: 2005/04/28

Dr. Jian Hongmou reply Obstetrics and Gynecology


Our medical record connection between Nantou and Chung Hsing Hospital started in March 2002.
After the connection, the time when patients had their intrauterine devices (IUDs) inserted can be checked through the electronic medical records.
For your inquiries, please call the Obstetrics and Gynecology outpatient department at Chung Hsing Hospital at (049) 233-9165 ext.
331, and provide your identification number for us to assist you with the inquiry.

Reply Date: 2005/04/28

More Info


Improving access to medical records, particularly for patients needing to manage their IUD (intrauterine device) replacement, is a significant concern in Taiwan's healthcare system. The situation you described highlights the challenges faced by patients who rely on multiple healthcare facilities, especially when there are issues with electronic medical record connectivity.
In Taiwan, the healthcare system has made strides in integrating electronic medical records across various hospitals and clinics. However, as you've experienced, there can still be gaps in accessibility, particularly when patients are required to visit different facilities for follow-up care. The need for timely reminders about IUD replacement is crucial, as the typical lifespan of an IUD is between 3 to 5 years, depending on the type.
To address your specific concerns, it is indeed advisable for healthcare facilities to implement a system where patients can easily access their medical history, including reminders for IUD replacement, through electronic medical records. This could be done by integrating a notification system within the electronic health record (EHR) that alerts both patients and healthcare providers about upcoming procedures or replacements. Such a system would not only enhance patient safety but also improve overall healthcare efficiency.

Regarding your question about whether you must return to the original hospital (中興院區) to find out when your IUD was inserted, the answer is not necessarily. As mentioned in the response you received, since the connection between the hospitals has been established, your IUD insertion date should be accessible through the electronic medical records system. You can contact the gynecology department at 中興院區 directly, providing your identification number, to retrieve this information. This process can save you time and ensure you have the necessary details for your healthcare management.

In addition to these suggestions, it may be beneficial for patients to advocate for better communication between healthcare facilities. This could involve requesting that hospitals enhance their electronic systems to allow for seamless sharing of medical records. Patients could also benefit from educational resources that inform them about their rights regarding access to medical records and the procedures for obtaining them.

Furthermore, it is essential for healthcare providers to ensure that patients are aware of the importance of regular follow-ups for IUD management. This includes not only knowing when to replace the device but also understanding the potential side effects and complications associated with IUD use. Regular check-ups can help identify any issues early on and provide patients with peace of mind regarding their reproductive health.

In conclusion, improving access to medical records for IUD replacement in Taiwan requires a multi-faceted approach that includes better integration of electronic health records, proactive communication between healthcare facilities, and patient education. By addressing these areas, the healthcare system can enhance patient care and ensure that individuals have the information they need to manage their reproductive health effectively.

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