masood setoodefar

Electronic health records are critical for diagnosis and treatment, but their development can be challenging and time-consuming process. Personal health records provide a practical and accessible solution by empowering patients to take an active role in their care. This study presents a personalized electronic health record system for chronic kidney disease patients, highlighting its potential benefits on patient care.

In 2021, a practical study was conducted to develop and evaluate a personal health records software specifically for patients with chronic kidney disease. The analysis phase involved a literature review and validation process to review the dataset and key software functions. The study primarily focuses on the implementation process and exploratory usability evaluation results of the software. The development and evaluation process involved a health information management specialist and a medical informatics expert, and the software was evaluated by health information technology students using the Nielsen usability evaluation checklist.

In the evaluation of the produced software, 12 issues were identified, of which three were related to the principle of user freedom and mastery over the system, three were related to the principle of consistency and standards, one was related to the principle of aiding users in diagnosis, and five were related to error prevention.

This study emphasizes the importance of compliance with clinical standards and user experience in developing successful personal health record software. Previous failures in similar systems have been attributed to non-compliance and unmet user expectations. The study aims to identify obstacles and improve the personal health records production process.

The purpose of this study is to construct and validate a measurement model of women’s preferences in Obstetrician and Gynecologist (OB/GYN) selection in the private sector of non-clinical parameters. This methodological study included 462 respondents in OB/GYN’s offices to a researchermade questionnaire. The patients visited 57 offices of OB/GYNs in the city of Mashhad in Iran and completed women’s preferences in OB/GYN selection questionnaire over a 2-month period from January to February 2018. Exploratory Factor Analysis (EFA) was conducted to verify the instrument’s construct validity. Confirmatory Factor Analysis (CFA) was used to test whether the data fit our hypothesized model obtained from EFA model. The first draft of the questionnaire was prepared with 118 items based on literature review. The outcome of content validity assessment was a 51-item questionnaire. Scale-Content Validity Index (S-CVI) turned out to be 0.80. The results of EFA yielded an instrument with 33 items in six domains, which explained 52.657% of the total variance of the questionnaire. With performing CFA, the 6-factor model with 29 items demonstrated a good fit with the data (CFI=0.952, CMIN/DF=1.613, RMSEA=0.036). Availability and Accessibility, Communicational Skills, Office Environment, Recommendation by Others, Special Services, and Cost and Insurance were found to define the women’s preferences in OB/ GYN selection in private sector, Iran. The developed measurement model considers the patient’s preferences that influence decisionmaking process on OB/GYN selection. It can provide useful knowledge for OB/GYNs and policymakers to design appropriate and efficient marketing strategies according to the consumer preferences priority.