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

Changes caused by technological advancements in the health information management (HIM) departments of hospitals have increased the importance of this unit and created new educational needs for their staffs in this department. The current study aims to assess the educational needs of the HIM department staff of teaching hospitals in Ferdows, Iran.

This is a descriptive study conducted in 2021 in two teaching hospitals in Ferdows City. The study population consists of the staffs of the HIM department. Samples were selected using a census method. The data collection tool was Zarei et al.’s educational need assessment questionnaire in Persian. The collected data were reported using descriptive statistics in SPSS software, version 19.

Thirty HIM department staffs participated in this study. The need level for training in the fields of computer & information technology, data collection, health information classification, health statistical methods, and occupational safety and health were 65%, 70%, 70%, 65% and 60%, respectively. Results showed the high need for training (Mean: 2.1 to 3) in these five fields.

The educational needs of the HIM department staff in Ferdows City are high. The best way for improving their skills is holding training courses. Therefore, it is recommended that training courses be held according to their skill levels.

The electronic health record includes the health information of people, which is collected and organized from different sources, including information systems of different levels of care. Considering the importance of organizing the information of this file and the access to its information for authorized users, its implementation method is of the highest level. The present study was conducted with the aim of investigating its development process and providing development solutions for electronic health records

The present study is a combined review-descriptive-analytical type, the review part of which was conducted by searching the database of scientific articles using key words related to electronic health records. Also, this search was completed according to the free search results in common search engines and its study.

The review of articles and documents of 13 countries including England, America, Australia, Russia, Taiwan, France, Iceland, Uruguay, Austria, Turkey, Saudi Arabia, Norway and Brazil showed that based on the structure and formation of the service provision system and laws. Existing, top-down, bottom-down, and middle-of-the-road reviews were used to implement electronic health records.

Service delivery, coordination between decision sources, integration of different service delivery information systems, and existing laws related to integration and information sharing are factors that affect the implementation of electronic health programs.

 Identifying the strengths and weaknesses of curriculums and updating them in accordance with the future needs of students and the qualifications corresponding to their job positions is of particular importance. This study aims to identify the shortcomings of the current curriculum of Health Information Management for PhD students in Iran.

 This descriptive study was conducted in 2021. The study population included all professors in the department of health information technology & management and the department of medical informatics and all PhD students and graduates in health information management from medical universities in Iran who were selected for the study by a census sampling method. Data were collected by a researcher-made questionnaire, by which the relevance and applicability of the courses and amount of required revision in the courses were evaluated. Data were analyzed in SPSS software, version 19. The answers to the open-ended questions were analyzed using the qualitative content analysis approach.

 Out of 67 participants, 61.1% were faculty members. In terms of relevance, the courses “Clinical Governance Information Systems” and “Health Information Economy”, and in terms of applicability, the courses “Clinical Governance Information Systems”, “Health Information Economy”, and “Methods for Improving and Managing Information Quality” were identified as the courses required modifications. Regarding the amount of required revision, most of the courses, except for “Advanced Statistical Methods”, “Thesis”, “Research Seminar” and “Design and Development of Health Information Systems No. 1”, needed serious revision.

 It seems necessary to modify the curriculum of health information management for PhD students in Iran to improve the quality of education in this filed and respond to the needs of graduates based on the changes in the health field toward digital health and health information technologies.

The implementation of online medical system in the country requires that medical centers respect their patients' rights and satisfaction. Accordingly, the aim of the present study is to assess t he relationship between online search for health information and the improvement of patient services and staff commitment to medical instructions during different stages of treatment.

The present study is a descriptive and applied study. The statistical population of this study includes hospitalized patients and staff working in different wards of Imam Khomeini Hospital in Tehran . Totally, 297 individuals participated in this study . Based on Cochran's formula, a sample of 170 partic ipants was selected and were studied using a standard questionnaire with Cronbach's alpha reliability coefficient greater than 0.7. SPSS 20 software was used to analyze the data in two levels of descriptive and analytical statistics.

The analysis of hypotheses using structural equation modeling showed that online information search before the start of the treatment period, the nature of interactions during the treatment period , and upgrading the capabilities of the service provider to improve physi cian - patient communication through physician coordination and patient, as well as the quality of nurse - patient relationship play a significant role in the practice of physician s’ instructions by patients.

Based on the results of present researc h, it is suggested that sufficient facilities and infrastructure for us ing Internet and information technology should be made available to the public in order to use the benefits of the online medical system for different segments of society.

The international drug classification systems are very helpful tools in the managing process of drugs and drug related information. This narrative review study aims to survey and compare the characteristics and applications of these systems.

In order to identify the international drug classification systems, a search was done in 2019 and in various sources, including PubMed and Scopus databases, as well as Google Scholar search engine, drug databases, specialized websites and electronic files containing information about the system. The search strategy consists of the keywords Drug, Classification system, Coding system and International along with their synonyms. Systems were entered into the study for which information was available. These systems were examined and compared in terms of release date, classification domain, developer organization, basic framework, system structure, code structure and updating period. The main applications of these systems were also extracted.

The search resulted in 10 international drug classification systems, ATC/DDD, ATCvet, HerbalATC, AT-EphMRA, NFC, AHFS, PCNE, UNSPSC, ICPM and ICD-10. Forty percent of systems, classify certain groups of medicines or specific drug information such as herbal medicines, veterinary medicines, medication forms, and drug related problems. All of these systems have been developed by authoritative international organizations and have hierarchical structure. The most significant applications of these systems are to identify drug products, monitor and compare medication usage and study drug related problems.

The international drug classification systems have been developed to classify different drug groups and their information. However, none of them comprehensively cover all the drug information. Therefore, the development of a comprehensive international drug classification system can be a good way to use these systems more effectively in drug management.

Visualization of the science has a significant role in discovering the latent patterns of scientific fields, especially in interdisciplinary and new fields. This study aimed to identify major research approaches to health information technology (HIT) worldwide with the purpose of scientific mapping of new developments in health information technology based on WoS articles and helping the research and educational activities related to future studies.

Scientometrics was used in this descriptive study. For this purpose, worldwide HIT references were extracted from the WoS database between 2010 and 2017 (5301 articles). Then, articles were analyzed in HistCite 12.03.17.

Based on the extracted articles, six primary clusters of HIT were identified. The primary category concerned the cost-benefit of information systems, especially the Electronic Health Record (EHR). Secondary clusters included the following areas: acceptance and failure of information systems and implementation issues; HIT challenges in security and confidentiality along with the impacts on medical ethics; the role of HIT in improving the quality of health services; the interoperability of EHR and the future usability of HIT area such as Telemedicine & Telehealth.

Cost and benefit of information systems were the main area of research in the field of health information technology based on WoS articles. This issue has been closely related to the success and failure of information systems and attention to the usability of health information systems.

Objective (s):

 Health surveillance systems provide regular and continuous monitoring and analysis of health issues, coordination of information production collections and ensuring the use of information. Strategic guidance to the (2025) prospect requires precise, comprehensive and timely information. According to the rules of the fifth and sixth five-year development plans of the I.R. of Iran and the original features of the health policy system, it is necessary to design a health monitoring system. This study aimed to design a health observatory system in Iran.

This was a system design study. Initially, the principles for designing this system were formulated by reviewing the experiences of other countries, the history of the subject in the country, documents, analyzing the status of production and managing health information, and studying the platforms for deploying the observatory system. Then, prepared draft was reviewed and finalized in three stages by experts, and representatives of data and information producers using a written letter and a focused group discussion.

In this proposed model, principles of observatory system, observation functions, types of reporting methods, added outputs and value, observatory system products, main dimensions of observatory system, processes, procedures and standards, financial resources, information security and executive guarantee was considered that can be implemented and deployed in one of the organizational units.

The system designed with the approval of the High Council of Health and Food Security can lead to obtaining the budget line of national surveys in the parliament or the program organization and facilitate its establishment in one of the universities or the headquarters of the Ministry of Health.

Altmetrics (Alternative Indicators) are indicators which can be exploited alongside traditional scientometrics concepts based on citation analysis to examine the impact of scientific products on the Web 2 environment. The purpose of this study was to investigate the prevalence of international articles in the field of medical informatics and health information management in social media and to determine the researchers' use of these media and identify top articles based on Altmetrics scores.

The present study was conducted with a scientometrics approach, using Altmetric indicators. The research population is 64 journals in the field of health information management, medical informatics indexed at the SJR (Sciemgo) and Scopus databases. All the necessary information about the journals and articles, such as the name of the journal, the name of the article, the altimetric score, etc. was obtained by referring to Altmetric.com. Spearman correlation test was used to analyze the data.

Mendeley, Twitter, and Facebook, were among the social media that received the most mentions. The findings indicated that there was a significant relationship between altmetrics coverage (presence in social web environment) and three quality performances Indices (SJR, Snipe and the Site Score). The correlation coefficients obtained for these three indices were, 0.401, 0.248 and 0.285, respectively.

Social media can have a positive effect on the citation rate of scientific articles. Therefore, researchers in the field of medical informatics and health information management can increase the number of citations by sharing their works on social media. Due to the lack of strong correlation in this study, altmetrics can be used to complement scientometrics indices, but not as a alternative to evaluating scientific research.

The speed of service delivery in medical centers, especially emergencies, is of particular importance in reducing mortality and disability. Time management in providing vital and short-term health care services can endanger patients' lives. One of the most important indicators used in the evaluation of emergency centers is the waiting time for patients to receive diagnostic and treatment services. This study was conducted in 1397 in order to study the timing indicators and design of the management dashboard in a specialized heart center in Tehran.

This type of research is a section in which the emergency time indicators of the Ministry of Health were examined. All the relevant data in the emergency department was collected in a hospital in Tehran in 1397. Then, the design and creation of the dashboard was loaded based on the data of the indicators specified in the emergency department using QuickView software and the performance of this section was presented.

In the present study, six emergency timing indicators were examined. Then, according to the information obtained, the relevant dashboard was designed.

Reducing the length of stay in the emergency department leads to increased patient satisfaction and potentially cost savings. The main mission of the emergency is to providing high quality services in the shortest possible time. Prolonged emergency stops reduced the possibility of providing services to other patients in need of emergency medical care, which can lead to patient dissatisfaction and increased casualties.

Recognizing the current situation and comparing research activities on various topics has made it important today to evaluate research activities using scientometrics techniques. The purpose of this study was to conduct co-word and co-authorship analysis of the articles published in the Journal of Health Information Management (JHIM) from 2009 to 2018.

The data for this study were extracted from Islamic World Science Citation Center(ISC). The statistical population of the study consisted of 807 articles published in the JHIMin a ten-year period (2009-2018).

Isfahan University of Medical Sciences was the most prolific institution with the production of 236 articles. Over 94% of articles werepublished collaboratively. Mohammad Hossein Yarmohammadian had the highest scores in terms of centrality indicators. The keyword "hospitals" was the most frequently used keywords in the JHIM. Hierarchical clustering indicated seven clusters with the themesofhospital services and performance, knowledge management in universities, hospital information systems, quantitative measurement studies of health information, health Indicators, health information management and technology, and quality of health care in hospitals.

The scientific collaboration approach among authors has been relatively good at producing scientific works. However, there are several authors with a limited number of articles. There are also a small number of core institutions and universities in producing scientific worksin the field of health information management. With the exception of the knowledge management cluster at the universities, all the obtained clusters are aligned with the journal's thematic axes.

Quality information is essential for evidence-based decision-making and improving the performance of the healthcare system. Hence, health information management system should be continuously monitored. The aim of this study was to assess the quality of routine information on the care of patients with diabetes mellitus in rural health centers of Sari County, Iran.

This cross-sectional study was conducted in 2018. The statistical population included routine statistical reports of the patients with diabetes mellitus in all rural health centers of Sari County. The sample size was 30 rural health centers selected using census sampling method. Data were collected using a validated Performance of Routine Information Systems Management (PRISM) tool, which had four dimensions including timeliness, accuracy, completeness, and data processing. The gathered data were reported using descriptive statistics.

81.50 percent of data was timely. The accuracy of the data was between 39.99 and 53.33 percent, and the overall compliance was 16.67 percent. 94.90 percent of the quarterly reports of the patients with diabetes mellitus was complete. 86.66 percent of the units calculated the indicators for their own units, summarized the reports, and compared the performance of the service-provider units. However, the comparative indicators of the related activity were neglected.

According to the results of this study, the accuracy of data in rural health centers is not optimal. Logically, the existing weaknesses prevent the attainment of data collection purpose, which in turn makes its citation and use unattainable.

Implementation of in-service training programs is a set of needs-based and planned training activities designed to improve and enhance the knowledge, skills, attitudes, and behaviors of members of the organization to perform specific organizational tasks. The purpose of this study was to determine the effect of health technologies training program on knowledge of health information management personnel.

This quasi-experimental study was performed in Tabriz University of Medical Sciences. Data were collected through a questionnaire using pre-test and post-test. The study population consisted of health information management personnel of Alinasab Hospital in Tabriz with a sample size of 28 available. Data were analyzed by SPSS-19 and paired t-test.

The mean score of knowledge of health information management personnel at the pre-test was 1.05 and the post-test was 4.75 which is comparably increased. The results showed a significant difference in the mean and standard deviation of personnel scores before and after training sessions. (P <0.05).

According to the findings of the present study, it was found that the scores before and after the training were significantly different. Accordingly, training programs can have a positive impact on the knowledge of health information management personnel.

Considering the necessity of developing, retaining and promoting employees’ health as the most important organizational capital, this study was conducted to achieve a comprehensive occupational health management model to comprehensively observe the health status of employees in individual, occupational and organizational dimensions.

In terms of aim, the present study is applied while in terms of methodology, it is a qualitative survey – observational and evaluative study. This study is conducted between 2016 through 2018 in 300 workstations within 5 buildings of Police by snowball sampling technique. All data is collected as a field study by using technical devices and forms that finalized by focused group discussions.

Drawing a health management paradigm leads to the establishment of a database on police staff’s health as well as their workplace health and a managerial dashboard to observe organizational health status instantly. By using this model, one can evaluate and monitor police staff health and occupational health instantly.

By developing this professional health model, while jobs related to police are rated, a managerial technique is achieved that a clear, real and complete image of the target community's health status is generated at any moment. Also, strategies related to human health were adjusted according to the health status of the staff.

Inaccurate data and unqualified data can be misleading, and cause false decisions. Therefore, the quality of data can guarantee its usefulness. The aim of this study was to assess the quality of routine data related to diabetes caretakers of Health Houses (HHs) in Sari City, Iran.

This was a descriptive study carried out in 2018. The Statistical population of this study included monthly reports of all HHs in Sari. A sample of 72 HHs was selected randomly. Performance of Routine Information System Management (PRISM) tools at health facility level were used for data collection through interview and observation. The gathered data were analyzed using descriptive statistics.

 Data accuracy rate was between 90.96 and 18.05 percent. Moreover, according to patients interviewed, recorded information of 52 percent of them was not based on reality.

The routine data related to diabetes caretakers, which is one of the main requirements of continuous monitoring of the performance of service units and making appropriate decisions, were not accurate.

Abstract

The International Statistical Classification of Diseases and Related Health Problems has been created for various purposes by the World Health Organization which annually modifies it for a better classification of diseases and achievement of intended objectives. Therefore, this study aimed to determine the knowledge of coders in educational hospitals about the changes made in the10th version of the classification system.

This descriptive-analytic study was conducted in 2018. The research population included coders in educational hospitals situated in south east of Iran. The population of the study consisted of 83 people selected through convenience sampling method and Morgan table. Data were gathered through an electronic questionnaire the link of which was sent to the participants. The data were analyzed in SPSS22 software using Pearson and ANOVA tests.

The participants had a very low knowledge of the changes in ICD-10 (27.36 ± 15). There was a significant relationship between the  knowledge of the participants and their education, and working experience as coders (P = .001)

The findiongs indicated the coders’ low awareness of the changes in ICD-10; therefore, it is necessary to hold essential training workshops and create Persian sites to help them get familiar with the changes.

Today, the nature of data and information in health care organizations has led to a greater emphasis on health information security. Considering the role of the hospitals’ health information management staff in this issue, this study investigated their knowledge, attitude, and performance about health information security. This descriptive-analytic study was conducted on 367 employees of health information management in Iranian hospitals in 2018. After confirming its validity and reliability, a questionnaire was sent to the participants via social networks. In this study, Pearson coefficient, independent t, and ANOVA tests were used to assess the hypotheses. Scores for knowledge, attitude, and performance of participants regarding health information security were 0.67 ± 0.25, 3.35 ± 0.53, and 1.47 ± 0.41, respectively. Furthermore, the scores in each of these three dimensions had a direct and significant relationship with age, work history, academic achievement, and field of study (P = 0.001). Considering the state of knowledge, attitude, and performance of employees, it is possible to improve the status of health information security in hospitals by conducting training courses.

As science progress is the result of collective activity, the study of quality and quantity of coauthorship in countries, institutions, and journals is important. This research examined the scientific collaboration between disciplines, institutions, countries, and authors of the Journal of Health Information Management. This study was done using coauthorship analysis with scientometrics approach. All of the authors of articles from 2004 to 2017 were extracted with their affiliations. The coauthorship analysis, and calculating centrality indicators, and the frequencies of studied items including authors and their affiliations were done. Among the institutions, Medical Services Management, Isfahan University of Medical Sciences (102 articles), Medical Library and Information Science, Isfahan University of Medical Sciences (87 articles), and Medical Services Management, Tehran University of Medical Sciences (46 articles) had the most articles, respectively. Moreover, Medical Services Management, Isfahan University of Medical Sciences also had the highest level of collaboration with other institutions. There were international collaborations with the United States, Austria, Australia, the United Kingdom, Bosnia and Herzegovina, France, and Malaysia in this journal. Considering of the importance of inter-institutional and international collaborations in national and international evaluations of journal indexing databases, despite the appropriate level of internal and external scientific collaboration of this journal, it is necessary for this journal to consider the acceptance and recruitment of articles with the collaboration of authors outside the university, to improve its status regarding to these criteria.

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.

In the last three decades, national twins registries have been developed throughout the world with the aim of studying unique genetic characteristics and the possibility of determining the genotypic effects. This structured information can provide new vision in relation to the causes of diseases and psychological disorders. In this analytic review, all active twins registries around the world were identified and their properties were examined by researchers. Additionally, PubMed, Scopus, Web of Science, Science Direct and Google Scholar databases were searched based on our search strategy. Finally, 69 articles related to the aim of study were selected. Thirty founded national twins registries were analyzed in terms of the country, the goal and type of study, time of foundation, methods for information gathering, biobank samples, outcomes and unique characteristics. Considering the valuable results of twins registries in other countries, high potential of production of scientific documents and obtaining valid results and on the other hand, and the presence of more than 1,300,000 existing twins in Iran, developing a national Iranian twins registry and creating a biobank could be lead to creating one of the biggest national twins registries in the world. This, in turn, could be resulted in producing scientific publications in relation to the identification of cause of different diseases and mental disorders.

Health Information Management as a key department in hospitals has an important role in empowerment of health care services providing. The aim of this study is multidimensional evaluation of Health Information Management in two private military hospitals in 2018. This study is a qualitative study that was done in 2018. Data gathered through semi-structured interviews. Sampling was done through purposive sampling method with most diversity in Health Information Management department subclasses include medical coding, filling, statistics and admission. Data saturation created after 13 interviews, data gathering and data analyzing were done synchronously. Also we use of MAXQDA10 software for data analyzing and content analysis methods. Most important problems and problem solving in Health Information Management were assortment in five main classes and 24 subclasses that referred by participants include infrastructural and technical, knowledge, financial, organizational and human resources problems and problem solving. With regard to results of this study it’s suggested that policymakers do necessary action to empowerment the condition of parts of it in infrastructural and technical, knowledge, financial, organizational and human resources contexts. Also by allocate the appropriate budget create a good condition to employing professionals human resources in medical records and health information technology