جستجوی مقالات مرتبط با کلیدواژه « فن آوری اطلاعات سلامت » در نشریات گروه « پزشکی »

Following the implementation of the transformation plan in the higher education of Ministry of Health and Medical Education (MOHME) and the moving toward Mission-Driven universities in medical sciences, the mission for "Development of health information technology (HIT) knowledge" was assigned to the Kashan University of Medical Sciences (KAUMS) in seven Land-use planning. Considering the focus of given mission on curriculum revisions and emphasis on the social accountable medical education, this study was conducted to identify the needs of the society (patients and health system) for developing a social accountable education in the field of HIT.

This study was conducted in three phases: 1) identifying and extracting the needs of the society by the members of the mission committee at KAUMS 2) holding a meeting with the members of the "examination, evaluation and planning board" of HIT at MOHME 3) implementing the Delphi technique among HIT professionals at the teaching hospitals. To collect research data, a questionnaire was used; the acceptance or rejection of each identified needs, was judged based on the frequency of HIT professionals' favorable opinions. Identified needs with less than 50% favorable opinions were removed, between 50% and 74% were revised and more than 75% were approved.

Of the five identified needs, including "management of information related to insurance and denial", "management of hospital statistics and information", "classification and reporting of hospital morbidity and mortality", "computer and its applications" and "information technology in "Healthcare system" the most favorable area based on the HIT professionals opinion was "Information management related to insurance and denial" (93.4). The two suggested needs by HIT professionals in the first phase, "health information management in prevention, aging and public health" and "ambulatory care information classification and coding" were removed since rated less than 50% agreement score.

According to the opinions of HIT professionals, the needs of the society in the field of HIT at the bachelor's degree should be focused on the needs of hospitals and acute care settings. Therefore, other identified social needs such as prevention and aging information management and health information management in ambulatory care should be considered in postgraduates’ degree in the field of HIT.

The purpose of this study was the comparing the organizational structure and job positions of health information technology of the United States, the United Kingdom and Iran to provide nan appropriate model for Iran.

The research was conducted by a descriptive-comparative and applied method in 1398. In the first phase, the job position and organizational structure of health information technology were studied in the selected countries. In the second phase, based on the first phase, the job position questionnaire was designed. The questionnaire completed by the health information management department of selected educational hospitals (Chamran, Beheshti, Al-Zahra, Feyz, Omid and Ayatollah Kashani) and the health information management academic members in Isfahan through Delphi technique. . Finally,   the data analyzed using descriptive statistics and SPSS software. The final model was provided more 50% than of the consensus.

In the United States, the United Kingdom and Iran, respectively, 18, 49 and one job position was obtained for the discipline of health information technology. By dividing these titles into 4 areas: technical, managerial, and coding area, were approved by the experts in health information technology.

The study shows that due to the emergence of health information technology in Iran, a transparent organizational structure and an appropriate job position for this field has not been considered.

Due to the importance of information in health care organizations, the problems of health information management departments can play an important role in managing these organizations. Therefore, we attempted to investigate health information management problems and their causes In Iran. This practical study was conducted in 2016, using qualitative approach and Delphi technique. First, the problems of health information management departments and their causes were identified via qualitative study using Corbin-Strauss methodology. Then, two rounds of Delphi technique was used to validate the findings. From the perspective of participants, organizational justice problems (89%), building and work environment (86%), and laws and processes (85%) were the main challenges of the health information management departments in hospitals. Lack of a guild system (95%), and finance problems (92%) were the main reasons behind these problems. Health information management departments in hospital are faced with a number of challenges. The main reason for these challenges are macro policies, lack of laws and regulations, and attitudes of hospital managers toward these departments.

Operational research as an evaluation strategy can be effectively used in the evaluation of health information technology. This study was conducted to evaluate the application of operational research technique in the assessment of health information technology.

This is a review article. In order to collect data, English-language studies on the use of operational research in the assessment of health information technology, which were published in Scopus, MEDLINE, and ScienceDirect databases between 2000 and 2018, were investigated. Of 251 retrieved studies, 14 studies met the inclusion criteria.

It was revealed that different techniques of operational research such as simulation, analytical hierarchy process, linear programming, and data envelopment analysis, were used in the health information technology assessment, among which simulation was the most widely used technique.

Operational research techniques prevent the trial and error in the selection process by providing detailed scientific approaches to decision-makers in different sections of health care, and provide proper situations for reducing the costs.

According to constant changes and the growing trend of information technology and its necessity, most of the organizations tend to outsource this part of their activities. According to health organization importance, in this study, risks of health information technology outsourcing and the causes which make them appear were identified and important risks were prioritized; so, by managing relative risk, we can take a step in performing health information technology service outsourcing successfully in health field in the country.
This was a cross-sectional practical study in term of purposive and a descriptive-analytical in term of research method using Fuzzy Analytical Hierarchy Process (FAHP) in 2017. The study population consisted of technology experts who had at least 2 years of experience of working with Shiraz University of Medical Sciences, Iran. This study was done in three main stages; first, we reviewed previous articles and health information technology outsourcing risks were extracted. Then, we used Delphi technique for identifying and selecting suitable factors; and in the last stage, we assessed and prioritized risk factors using FAHP.
FAHP showed that prioritization of main risk factors by their weight respectively consist of supplier (0.255), contract (0.235), technology (0.146), financial (0.144), security (0.090), and outsourcer (0.013).
Provider risks was the most important risk and after that contract risk, technological, financial, privacy, and outsourcer risk were important, respectively. Most of the experts expressed that provider risks could cause other risks.

Health information technology (HIT) experts can work in any position that requires knowledge related to HIT. The aim of this study was to identify current and future occupational opportunities for HIT graduates and appropriate strategies to increase it.
This was a descriptive and cross-sectional study. The study population consisted of graduates in medical records (109 people) and HIT (30 individuals) working in hospitals in Tabriz, Iran, and all managers of the related centers (40 individuals). Data were collected using two researcher-made questionnaires through interviews. The reliability of data was calculated using Cronbach’s alpha (α = 0.85(. Data were analyzed using descriptive statistics.
Most HIT experts were working in the medical records department of hospitals. The most preferred job positions among HIT graduates were in research centers (60.2%) and health insurance (66.6%). Non-hospital managers believed (40%) that the main reason for graduates’ lack of employment in organizations was the unfamiliarity of relevant organizations with graduates’ abilities.
Introducing HIT graduates’ scientific and practical abilities to society seems to be an essential measure. Accountability to the information needs of health and non-health environments requires a suitable balance between theoretical and practical courses.

Information technology has an important role in scientific, social, economic and health advancement. National health portals though an integrated access to resources, applications and databases, can provide access to a wide range of sources of information for patients and health-care providers. Therefore, the present study was conducted to review the structural and content features of national health portal in selected countries and make recommendations for developing such portals in Iran.
: In this descriptive and applied study, Denmark, Finland, Sweden, Norway, India, Australia and the Netherlands were selected for investigation. Using a checklist, we observed and compared the content and structural features of the health portals in the selected countries.
All the portals have common features such as patient's and physician's access to public health information, medical and health information, physician's access to patient's health data, capability of search and navigation, security mechanisms and possibility to send feedbacks to authorities and managers of the portal.
Conclusion Developing a national health portal with all the desired features and functionalities requires a strategy for development, updating and continuous user's needs assessments.

To manage traffic accidents information effectively, deploying electronic information systems have been recommended. However, the evaluation studies are necessary to identify the weaknesses and strengths of these systems. The aim of this study was to evaluate the usability of a traffic casualty’s information system from the perspectives of the users who worked in Iranian public hospitals. This was a quantitative study conducted in 2014. The participants consisted of 246 employees who worked in the medical records department and the accounting department of public hospitals which had a trauma center. Data were collected using a questionnaire. The validity of the questionnaire was determined using face and content validity methods and its reliability was calculated using the Cronbach’s coefficient alpha (α=0.81). According to the results, the attitude of most of the users (n=118, %59) towards the system was at a medium level. Most of the users believed that the system interface design (n=170, %85), system information and terminology (n=193, %96.5), and the system features (n=165, %82.5) were at a good level. The results also showed that there was a positive correlation between the perceived usefulness of the system and the time spent on using the system (P=0.01, r=0.521). Considering factors influencing the use of the traffic casualty’s information system, such as the perceived usefulness and the ease of use can encourage users to use the system more effectively. Such a system can provide managers with accurate, precise and timely information to avoid taking repetitive actions, to reduce financial and human damages, and to coordinate various resources to implement road safety rules.

Today, using modern information and communication to achieve development, because of high-speed production of knowledge is inevitable. Also, information technology has provided an opportunity to improve the quality of education in universities. Considering students as the main component of education, this study was conducted to evaluate student's awareness of concepts, computer software and using database in Shahid Sadoughi University of medical sciences. This descriptive study was conducted on 120 Master students of Shahid Sadoughi University of Medical Sciences through cluster sampling method in 2012. The data collection tool was a researcher-made questionnaire and its reliability and validity has been confirmed. Data were analyzed SPSS. The results showed that 83/3% of the students passed computer training courses and 38/3% of them had International Computer certificate. Allocated time to use computer during a day was as follow: 43.3% of students 1-2 hours per day, 45% more than 2 hours and 11.7% less than one hour. Also in using internet 40% between 1-2 hours and 35% more than 2 hours per day used Internet. All students have email and 41/7% checked their email daily. 86/7% was familiar with Google scholar, 60% with Iranian National Medical Digital Library (INLM) and 31/7% with Medline database. Also, 85% was familiar with search engines and 81/7% with search operators. Among microsoft office software, high and low familiarity ralated to power point (60%) and access (11.7%) respectively. Results showed that students had sufficient awareness of Information Technology (IT) skills. But teaching computer skills and using software such as Endnote and SPSS is essential in universities.

Nowadays, with the advent of electronic medical records (EMR), the need for information sharing has increased. As a result, more attention should be paid to the security and confidentiality of information systems. In this research, information security in hospital information systems was investigated considering three dimensions (administrative, technical and physical) in the hospitals affiliated to Tehran and Shahid Beheshti Universities of Medical Sciences. This was an applied research study completed in 2012. The study population composed of information technology managers working in the hospitals affiliated to Tehran and Shahid Beheshti Universities of Medical Sciences, and the representatives of software companies. Data were collected using a questionnaire. To check the face and content validity of the questionnaire, experts’ views were investigated and the reliability of the questionnaire was confirmed using Cronbach’s Coefficient Alpha (=α 0/75). Descriptive and inferential statistics, such as t-test were used to analyze data. The study results showed that most of the hospitals had addressed issues related to information security in hospital information systems, and all three dimensions had been taken into account. There was no significant difference between the level of information security in the teaching and the non-teaching hospitals. However, there was a significant difference between the views of the information technology managers and the perspectives of the software companies’ representatives about the technical dimension of information security. Although the information security in hospital information systems was evaluated at the acceptable level, planning and implementing more effective security policies are necessary to overcome weaknesses in different dimensions of information security.

Electronic health record contains a wide range of information systems that makes possibility of all information about nursing care plans، Prescription، physical evaluation، current complaint and immunization based on known standards، usability of this system by its users، particularly physicians is vital and important considering complexity of EHR. So، this study was conducted with aim to investigate the physicians'' expected factors result from implementation of EHR in Hormozgan University of Medical Sciences in 2012. This study was an applicable and descriptive- analytical research and was conducted in Hormozgan University of Medical Sciences in 2012. Research population was included 129 people composed of faculty physicians and residents according to Census Method. Research tool was a questionnaire from Morton'' PHD thesis in Drexel University. Validity of the questionnaire was measured by ideas of specialists and experts and its reliability through test-retest that was %78. Collected data from this questionnaire was analyzed using SPSS19 Software، descriptive statistics methods (frequency distribution and percentage tables، statistical indicators، mean and standard deviation)، statistical test، T-TEST and one way ANOVA. The most obtained scores were related to management support factor (3/65) and lowest ones were proper and adequate Training (3/17). Based on implementation barriers of HER the highest percentage was related to economic costs (84%) and the lowest one was personnel resistance against new technology (50%). The most important benefit of HER is including increased control over business activities (82/9%) from view point of physician. According obtained results from Hormozgan University of Sciences، physician faculty members and residents are agreed to implement HER in this university and there is ability and readiness to implement HER considering provided ideas.

Evaluation is a systematic process for collecting، analyzing and interpretation of the obtained information for the purpose of investigating how many the objectives in mind can be achieved. Education in an academic educational system means bringing about proper and increasing changes that affect the outcome of this system، that is affecting the students، and the aim of such evaluation was promotion of the quality of an education process. This study developed and reviewed the evaluation criteria of health information technology course at Master of Science level in Tehran، Shahid Beheshti، Isfahan، Shiraz and Kashan medical sciences universities in 2012 based on CIPP model. This was an applied and descriptive research with statistical population included faculty members، students، graduates and library staff of health information technology course at Master of Science level in Tehran، Shahid Beheshti، Isfahan، Shiraz and Kashan medical sciences universities in 2012 (130 people in total). In order to collect data four questionnaires were used based on Likert scale rating. Questionnaires'' validity was confirmed by consulting with experts and questionnaires'' reliability of directorates، faculty، students and library staff through the Coronbach''s Alpha coefficient formula calculated α= 0. 74، α= 0. 93، α= 0. 98، α= 0. 80، respectively. SPSS software for data analysis and descriptive statistics were used. 139 indicators were determined and then evaluated which associated with this course based on three factors of context، input، process in the areas of human recourses professional، academic services which are required for the society، students، directors، faculty، curriculum، budget، facilities، teaching- learning activities and scientific research activities of students and faculty، and the activities of the library staff. Results showed that in total the health information technology course at Master of Science level is relatively well، but trying to improve and correct it in some areas، and continuing of evaluation process seems necessary.

Intellectual capitals in an organization are assets that their value is increased over time and with sharing with others. Since hospitals are dominant in providing medical services، management of intangible assets could be very important for them. To avoid the waste of costs and efforts، it is necessary to identify the priority and importance of each dimension of intellectual capitals in hospitals، and then to develop and manage them. This was a descriptive survey which was conducted in three hospitals in Isfahan in 2010. Theoretical studies were based on library investigation and corresponding data were collected through pre-designed questionnaires. The validity of the questionnaire was confirmed by some specialists in management، and its reliability was tested using Cronbach''s alpha (α = 0. 89). The sample size was estimated to be 200 subjects. Some descriptive statistics were presented and the inference for evaluating the importance of intellectual capital dimensions in medical sector was based on student t-test. The web diagram was used for prioritizing the dimensions. Among the intellectual capital dimensions considered in medical sector، the importance of three dimensions of human capital، customer capital and process were higher than average level. Innovation dimension had a moderate significance in intellectual capital while the value of financial capital and information technology was low. Various dimensions of intellectual capitals in hospitals will exhibit different importance. Therefore، administrators of hospitals must provide good foundation for utilization of all assets and produce knowledge، wealth and innovation.

The development and the adoption of electronic health records may face a number of barriers. These barriers can be classified as technical، organizational، individual، financial and ethico-legal. This study aimed at determining the importance of each of the mentioned barriers in the development and adoption of the electronic health records from the perspectives of the experts in the Ministry of Health. This was a descriptive applied research completed in 2011. The study population were constituted the faculty members working in of the departments of health information technology، health information management، and medical informatics، and as well as those who were in charge of the development and adoption of the electronic health records in the Ministry of Health and Medical Education. In this study، no No sampling method was used due to the limited number of the study population. Data were collected using a Likert scale questionnaire and were analysed by means of descriptive statistics. The content and face validity of the questionnaire were established and the reliability was calculated using Cronbach’s alpha. In total، 32 participants (51. 6%) completed the questionnaire. The participants'' perspectives showed that the most important barriers in the development and adoption of electronic health records were the technical barriers (mean=71. 00). The financial barriers and the ethico-legal barriers with the mean values of 70. 05 and 68. 16 were in the second and third place، respectively. The individual and organisational barriers with the mean values of 64. 84 and 62. 67 were in the fourth and fifth places. It seems that employing a team of experts in different areas related to the development and adoption of EHR، training users، and addressing technical concerns along with allocating financial resources can help overcome barriers to the adoption of EHR.

Non-integrated health information has forced health sector to utilize information and communication technology (ICT). National health information infrastructure (NHII) integrates clinical and health information, decreases medical errors as well as costs, and increases patient’s safety. Thus, this article aimed to review the feasibility of NHII implementation in Iran from perspective of ICT experts in Ministry of Health and other health-related organizations in 2009. This survey was conducted after identifying the NHII. The study population consisted of ICT managers and experts, and sample size was equal to the sample population. The data were collected through interviewing and by means of questionnaire. The questionnaire was confirmed by health information management and ICT experts. The validity of the questionnaire was confirmed by content validity and its reliability by test-retest method (r = 0.84). Data were analyzed by descriptive statistics. Despite a relationship between Ministry of Health and other health-related organizations, only 14.28% of the organizations had fully integrated computerized information system and were ready to connect to the Ministry of Health. Cultural, economic, and infrastructural problems were 92.30% and lack of standards and legal issues with 84.61% were the most important barriers for implementing NHII in Iran. Due to the lack of required infrastructures, implementing NHII in Iran is impossible. Developing culture, privacy laws enactment and ICT in addition to governmental supervision for establishing required infrastructures should be implemented.