نشریه مدیریت سلامت
پیاپی 69 (پاییز 1396)

Despite the diffusion of information technology, especially in the health care domain, the development process and use of Electronic Health Record is still difficult; consequently, it is important to identify and eliminate barriers to implementing this system, and adopt effective implementation approaches. This study therefore aimed to determine the barriers to implementing Electronic Health Records in hospitals in Kerman.
In this descriptive, cross-sectional study, conducted in 2015, all IT administrators and managers of hospitals in Kerman were recruited. Data were collected using a researcher made questionnaire, the content and face validity of which was confirmed and its reliability was calculated using internal consistency (α=0.93). Data were analyzed by SPSS 19 using descriptive statistics and an independent samples T-Test.
The highest mean scores of barriers were related to technical and professional barriers (32), and attitude and behavioral barriers (25.1) and the lowest was related to standardization barriers (9.3). None of the barriers were significantly correlated with demographic information (p>0.05). There was a significant correlation between technical and professional, organizational, financial, attitude and behavioral barriers and the implementation of Electronic Health Records in different hospitals (p=0.05).
The most important barriers to implementing Electronic Health Records are technical and professional and attitude-behavioral barriers. In order to overcome these barriers the following strategies are recommended: to implement and use Electronic Health Records, establish an expert team evaluating the potential barriers, and educate senior managers, users and providers.

As for the main role of the back of the book index (BOB Index) in retrieving the concept of a book, the aim of this study is to evaluate the BOB indexes of Persian medical books published from 1389 to 1393 according to ISO 999-1996.
This study is a descriptive survey. The research population consisted of all first-published medical printed books in the mentioned period from which 227 titles were selected randomly by means of Cochran's sample size formula. The data collection tool was a checklist based on ISO 999-1996. Descriptive statistics was employed to analyze the data using SPSS tool.
It was showm that only 3.75 percent of the books has BOB index. The highest frequency belongs to simple (73.6%) and fundamental (93.8%) indexes. In terms of content and coverage, on the one hand, and index level, on the other, the highest proportion belongs to subject index (87.24%) and single-level indexes (73.56%), respectively. The maximum compliance with the criteria related to the content and organization belongs to those of singular and plural with frequency of 223 (98.23). Also the highest rate of compliance with the criteria related to presentation and entry setting is the alphabetic order with the frequency of 225 (99.11%) and the lowest compliance belongs to the observation of indentions (6.6%). The mean compliance with ISO in books under study is 49.3%.
It is necessary that publishers of medical books pay attention to BOB index and, in this regard, “Ministry of Culture and Islamic Guidance” and “National Library of Iran” should develop appropriate programs and policies.

International collaboration is beneficial for both researchers and institutions and enhances the quality of research output. The present study therefore sought to: 1- investigate the quality of scientific outputs of Tehran University of Medical Sciences produced through international collaboration, and 2- ascertain the most collaborative countries and institutions of the same university.
This applied study was conducted using scientometric indicators. A total of 17763 papers published by researchers affiliated with Tehran University of Medical Sciences and indexed in the Scopus database from 2011 to 2015 were selected. In addition to Scopus, SciVal was also utilized for the analysis and geographic visualization of data.
According to the findings only 16.9% of the total scientific output of Tehran University of Medical Sciences was co-authored with researchers from 1281 foreign institutions. However, multi-country publications on average, have received more citations per paper, have been viewed more, and published in top journals, in fact they have higher chance to get citations and become highly cited papers. These papers had higher field-weighted citation impact compared with other publications with the same subjects.
Considering the scientific position and research capabilities of Tehran University of Medical Sciences, the expansion of research collaboration with leading universities in the world would be effective in increasing the quality and impact of scientific output and promoting the status of the university in international university ranking systems.

In recent years, the number of Iranian medical journals has been growing rapidly. These journals must observe the required criteria in order to be indexed in international indices. The aim of this study was to determine the compliance level of Iranian medical journals with indexing criteria of Web of Science (WOS).
The bibliometric approach was used to conduct this descriptive-applied study. The study population included all 307 scientific journals approved by the Ministry of Health, but not indexed in WOS. The data collection tool was the inventory control extracted from WOS database. The collected data were analyzed by SPSS20 using descriptive statistics.
The lowest total score gained, by the journals surveyed, was 6 and the highest was 15. The most frequent journal (20/2 percent) gained 10. The average score in the journals surveyed was calculated 11/5 in terms of observing WOS criteria and the overall structural compliance of Iranian medical journals with structural indices of WOS was calculated 71/9 percent.
In terms of observing the structural indicators of WOS, Iranian medical journals are in a satisfactory level; however, in terms of following standards of the international editorial statements, observing the international diversity of authors, mentioning the identifier code of digital resources and publishers, they are not desirable. Observing these criteria by journals may increase the chance of being indexed in WOS.

One of the health information systems used in health care settings is Radiology Information System. This system can increase the quality and accuracy of work processes in the radiology department and can reduce the number of human resources required to archive images as well as the hospital costs, and, finally, can lower the retrieval time of archived images. Lack of usability of this system can affect the speed and accuracy of this task. The aim of this study was to evaluate the conformity rates of Radiology Information System with usability principles.
This cross-sectional descriptive study (2015) uses heuristic evaluation method to evaluate the usability of RIS used in the teaching hospitals of Kerman University of Medical Sciences. Usability of RISs was investigated based on the usability principles developed by Nielsen.
There were 53 usability problems. The lowest mismatch with usability principles was related to “Help and documentation” (n=1) and the highest was related to “Match with real world” (n=14) and "Aesthetic and minimalist design" (n=14).
Our findings showed that although the information systems such as RIS are often new, they are supposed to be designed based on the standards and the required users. In many cases, however, they have numerous problems. If they remain unsolved, these problems may increase errors, reduce care quality, and in general, threaten patients’ safety.

Integration of digital libraries is an important part of the consolidation process of information systems, emphasized by the Ministry of Health and Medical Education.The purpose of the present study was therefore to identify effective strategic factors and the degree to which they affect the integration of digital libraries.
In this descriptive survey, the strategic factors were gathered through review of literature; these factors were then assessed and ranked by the Delphi panel using Fuzzy TOPSIS technique. The members of the panel were selected through snowball sampling. The factors were also assessed by library managers through a questionnaire. Responses were analyzed using Amos software to obtain the factor analysis model of the effective strategic factors.
Resalts: Although library managers and the Delphi panel members had different ideas about the degree to which the strategic factors affect the integration, there was a positive relation between these two groups (r = 0.6).
For the Delphi panel members, planning with normalized weight of 0.150 and for library managers, the policy of parent organization with a load factor of 0.97% were the most effective factors.
Strategic factors affect the integration of digital libraries. These factors are as follows: policies, strategies, requirements, planning, targets and vision of the Ministry of Health and Medical Education and Medical Universities in Iran.

Inequity in access to health care facilities in one area could result in misdistribution of these resources. The aim of this study was to measure equity in distribution of physical and human resources in health sector among the cities of Loresta Province.
This survey is an analytical and descriptive study. Measuring inequity in distribution of resources and health care facilities was carried out by factors such as number of physicians (general, specialist), dentists, pharmacies, hospital beds, laboratories, radiation medicine centers, paramedics, and health houses. The Data were collected from the province’s statistical yearbook, and, to measure the distribution of health resources Gini coefficient, Gaswirth and dissimilarity indexes were used. Data were analyzed using DASP and Stata12 soft wares.
It was showed that the highest and the lowest Gini coefficients and Gaswirth indexes were related to hospital beds (0/51-3/02) and health houses (0/17-0/49), respectively. Also the highest value for Dissimilarity Index was related to specialist (2006, 2007) and hospital beds (Other periods of study) while the paramedics had the lowest value for Dissimilarity Index. Also distribution trends of resources showed that specialists, laboratories and health houses had a decreasing trend and other resources had an increasing trend during the period.
The findings revealed misdistribution of health resources in this province. Therefore, it is recommended that current situation be corrected with appropriate redistributive policies, and the first priority of resource allocation be given to less developed regions.