Abstract
On the basis of return-visit patterns, a method is presented for determining which medical records should be kept in the active file and how long such records should be kept active for criteria of desired file size, desired probability of record use, desired percentage of successful file searches, and relative cost of storage in active and inactive files. The method is relevant to both physical and computerized medical record files and can incorporate any additional sets of variables that define patient groups with distinct return-visit patterns. Implementation of the system in the Lahey Clinic is described, and possibilities for further refinement of the method are discussed.
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