جستجوی مقالات مرتبط با کلیدواژه « پرونده ی الکترونیک سلامت » در نشریات گروه « پزشکی »

Today, the implementation of electronic health records has caused great changes in the implementation of health industry services. Experts believe that use of electronic health records is the appropriate way to improve the quality of health services and reduce medical faults. Accordingly, this study endeavored to determine the role of electronic health records in quality of services of health centers in Najafabad City, Iran.

This observational study was cross-sectional in terms of time. The population included the recipients of Najafabad health network services. 400 individuals were selected via Morgan table, and the quality (accuracy) of services, speed of service delivery, waiting time, and service continuity (percentage of services provided) were recorded for them in paper and electronically. Data were analyzed using t and ANOVA tests.

The comparison of paper and electronic services revealed that with the implementation of electronic health records, there had been no change in the speed of service delivery and continuity; however, it reduced the quality (accuracy) of the services provided and increased the waiting time for receiving services.

The two factors of speed of service delivery and waiting time have fundamental role in the satisfaction of service recipients; the implementation of electronic health records has not changed speed of service delivery, but has increased waiting time. Plans should be made to reduce waiting time and increase recipient satisfaction.

High prevalence of Type 2 Diabetes Mellitus (T2DM) and its demand for regular care have resulted in a massive amount of electronic health records (EHRs). Hemoglobin A1c (HbA1c) and Fasting Blood Sugar (FBS) levels are two widely-used diagnostic measures for evaluation of diabetes care. This study aimed at assessing Family Medicine Plan (FMP) and exploring the trend of changes in FBS and HbA1c levels in patients attending a referral lab affiliated with Mazandaran University of Medical Sciences. 

This cross-sectional survey was carried out in 12761 EHRs of a registry database containing the results of blood sugar tests and demographic features selected from over 250 thousand EHRs from 2012-2018. The records were categorized according to normal and abnormal levels of HbA1c (cut-off at 7%). The bivariate logistic regression model was performed by R v.3.6.1 and ggplot2 for data visulazation.

Abnormal HbA1c levels were seen in 37.1% of women, 36.7% of men, and 36.7% of the general population. There were significant associations between HbA1c level and age, type of insurance, FMP, kind of care plan, and the year of testing (P<0.001), but, no significant relationship was found between HbA1c level and gender (P>0.05).

Despite the increasing prevalence of T2DM in Iran, the trend of blood sugar changes during these years showed that changes in HbA1c level was lower than 7% in studied citizens. Considerable attention to self-management in recent years indicates improvements in diagnosis and care of citizens at-risk of diabetes.

Acceptance of EHRs by service providers is serious challenge to its proper completion. Therefore, it is important to identify the factors that affect the acceptance of this system. Therefore, our goal is to investigate the acceptance of the integrated health system (SIB) by rural family physicians and health workers.

This descriptive-analytical study was conducted in the spring of 2020. The research population included all rural family physicians and health workers who were selected by census method. The data collection tool was a researcher-made questionnaire whose validity and reliability were confirmed. In this study, one sample T-test, two independent T-test, analysis of variance and Pearson and Spearman correlation coefficient were used in SPSS software.

The study involved 276 people, of whom 36 (13%) were physicians and 138 (50%) were women. The average level of satisfaction of the health team was moderate. There was a significant difference between the type of job, the city of service and the satisfaction with the SIB system (P = 0.034), (p value = 0.001). There is also a significant direct relationship between the level of interest in the rural family physician program and satisfaction with the SIB system (r = 0.343, p value = 0.001).

The results showed that technical infrastructure is one of the most important challenges in implementing EHRs. It is suggested that the infrastructure related to the SIB system be upgraded to solve the problem of system availability (no disconnection and connection) during working hours.

 Access to patient’s complete information is critical in improving clinical care and reducing medical errors. Electronic Health Record is a collection of individuals' health information, from prenatal to posthumous, which is stored electronically, is available at any center and at any time, and is an integral part of an integrated health information system. The purpose of the present study was bibliometric and text-mining analyze of scientific products in the field of Electronic Health Records in PubMed database.

This present study was carried out using bibliometric method and text mining. The study was conducted in the academic year of 2019 in PubMed database on the period of 2009-2019, and 6863 articles were selected for review. Excel, VOSviewer and Voyant were used for data analysis.

In the studied field, issues of electronic health records, health, health care, information, health care systems were of great importance in PubMed. Developing articles in this field had been on the rise for ten years, and the United States was the most productive country in the field. David Bates, Dean Sittig, and Hardeep Singh had the most articles in the field of study

Each item of co-occurring vocabulary map can represent a concept or research area in health. The findings can provide a clear insight to scientific policymaking of this field to influence the allocation and distribution of resources for scientific and technical activities. It can also help researchers in selecting the state-of-the-art topics and having a comprehensive insight into the academic context of the field.

In order to reach the electronic health record's (EHRs) goals and also for the users to employ it with confidence, integrated standards in the field of structure, content, data exchange, information production, architecture and system security must be formulated. Before establishment of EHR, we should accept current standards or change them due to meet the needs of society and/or patterns from organization standards. American Society for Testing and Materials (ASTM), Health Level 7th (HL7) and International Standard Organization (ISO) have started doing spread EHR-related activities and standardizations from years ago. Therefore, these organizations would be pioneers and good patterns in expanding EHR.Considering the wide range of EHR-related activities, international acceptance and accessible information offered by ASTM, HL7 and ISO, the present applied comparative study reviewed the features (including structure, content, exchange, vocabulary, confidentiality, data types, clinical documents, infrastructure, financial, messaging, auditing and quality), activities and standards of EHR in these selected organizations. Data was collected from printed texts, periodicals, the Internet and reliable databases. Finally, data comparison was made in comparative tables.Studying the features of these non-governmental organizations revealed that HL7 is the newest. In addition, ISO has the broadest scope of activities including report making, data recording, structure and content standardization. ASTM was the only organization that makes special standards. All three have a comprehensive definition for EHR, but ASTM pays more attention to the needs of users, HL7 takes a structured data set, features, communication and messaging into consideration, whereas ISO gives more priority to computerized processing capabilities. Although ISO has the aspects of confidentiality, infrastructure and different data, is offers the lowest diversity and accuracy.