نشریه مدیریت اطلاعات سلامت
سال نوزدهم شماره 2 (پیاپی 84، خرداد و تیر 1401)

After the establishment of the Integrated Health System (SIB) with the aim of collecting people's health information and creating an electronic health record for the general public, the necessity of evaluating users' views on its function, goals and characteristics doubled and the present study was carried out.

It was a descriptive research that was conducted on 30 experts of electronic health records (leaders) of medical sciences universities across the country. A cluster method was used for sampling. The data collection tool was a questionnaire made by the researcher, whose validity (reliability) was estimated to the extent of... and its index... It was measured through content validation and with...

Participants in the study were 46.7% women and 53.3% men.The results of the present study in the Application section ("has applications and full implemented " 65.1%, has applications and incomplete performance 27.08%,has applications and not implemented 1.56% and"not application" 2.07%),Objectives("infrastructure" and full implementation 43.7%,Incomplete implementation 42.3%, not implemented 2.7% and "no infrastructure" 9.01%)and Characteristics ("has characteristics "and full implementation 48.55%,has characteristics and incomplete implementation 35.24%,has characteristics not implemented 2.37% and "no characteristics" 13.81%).

From the point of view of the users, the system needs further development in terms of goals and features, so that by expanding it and creating the necessary infrastructure, the electronic health record can be formed for the general public. In the application section, this system was at a relatively acceptable level. Also, the educational field and work experience of the apple system experts are very important; Because the lack of familiarity of employees with international standards and inappropriate training of personnel leads to incorrect use of information, which as a result affects managerial and clinical decisions.

Enterprise architecture plays an important role in aligning the required changes in the organization's business capabilities with the complex IT landscape. In the current research, the capability planning model is presented based on the Cobit 2019 organizational architecture process, which is the reference model for the governance of information technology organizational processes.

This study method was qualitative and used from Design Science Research (DSR) method, which is a structural problem solving framework. The statistical sample was made up of 47 university experts and architectural experts, knowledgeable in the field of business capabilities. The data collection method was semi-structured interview and Google form questionnaire. Data analysis was done using descriptive statistical methods and was evaluated according to the opinion of experts.

Using the implementation of the capability planning model based on the Cobit organizational architecture management process in the ICT unit of Isfahan University of Medical Sciences, the capability perspective, level two and level three capabilities, the plan to create and develop the identified capabilities, work projects to identify and develop the capability and Additional services were extracted.

The results of this research showed that the use of organizational architecture in the planning of information technology capabilities led to the identification and development of a new capability plan for "data management" and the development of a capability improvement plan in other departments, including "software systems management", "infrastructure and network management". "Management of statistics" became the second level of ICT unit.

Blockchain technology has emerged as the fourth industrial revolution in recent years, which can facilitate the management and exchange of patient records by developing a new infrastructure. A review of the literature indicates the lack of studies and the need for further study of the factors affecting the adoption of this technology in the healthcare industry. Therefore, the aim of the present study is to prioritize the factors related to the adoption of blockchain technology in the Electronic Health Record (EHR) systems.

In this descriptive study, 15 factors related to blockchain adoption in EHR systems were identified by reviewing the scientific literature. Then, these factors were validated by 17 experts who were selected by targeted sampling method and divided into five categories: technological, legal, financial, environmental and organizational. Finally, the weight of each criterion was determined by the fuzzy best-worst method and the consistency of experts’ opinions was evaluated.

According to the judgments of experts, the legal criterion with 32 percent was identified as the most important factor in the adoption of blockchain technology in EHR systems. In addition, security and privacy (16.66 percent), compliance with legal requirements (13.10 percent), compliance with changes in laws (12.22 percent), incentives and rewards (7.01 percent) and standardization (6.87 percent) were identified as five most important sub-criteria in the adoption of the technology, respectively.

With the help of the factors identified in this study and the weights determined for each of them, a method can be developed to assess the level of readiness of healthcare providers in adopting blockchain technology in EHR systems.

Today, Iran's health tourism supply chain has faced many disturbances, which highlights its resilience. This study endeavored to identify the critical factors of health tourism supply chain resilience, classifying them based on resilience stages, and presenting their conceptual model.

This qualitative study was done in 2 stages. Initially, the critical factors of supply chain resilience have been identified based on the four stages of resilience. In the second stage, a model for them has been presented. The participants in both stages are experts. The method of sampling is purposive, followed by the snowball method. The number of participants in first and second stages are 18 and 10, respectively. The method of data collection is semi-structured interviews and interactive management approach. The method of data analysis is thematic analysis and fuzzy cognitive map, respectively.

Based on the interviews, 67 critical success factors for resilience were identified, which were categorized into 20 categories. The results revealed that training, information management and coordination and cooperation have the most out degree. Market management, supplier relationship management and supply chain design have the most in degree. Supplier relationship management, coordination, and cooperation as well as planning ability have the highest degree of centrality..

Providing appropriate training, especially in the areas of problem-solving and decision-making skills, reducing uncertainty in government decisions and approaches, upgrading information infrastructure and software, are important ways to enhance the resilience of the health tourism supply chain.

With the leap in the development of information technology and social media, seeking health information online has become popular. This study endeavors to provide an analysis of users 'health-seeking information behavior in the web environment, based on Bates' developed model.

This applied study has been done by an analytical survey method. The data collection instrument was an online researcher-made questionnaire (sensitive to the differentiation of respondents) developed with inspiration from the research by Dow and her colleagues, which was enacted by 10 Faculty members of Iranian universities of medical sciences. The sample consisted of 72 individuals with bachelor's degrees and higher who were selected by volunteer sampling method. Non-parametric Kruskal-Wallis and Spearman tests were used.

Approximately, 48% of the members of the research sample had a "scrutinizing" approach to their health question and 31% had a "direct and active (searching)" approach according to Bates' developed information model. These two information-seeking approaches were more prevalent (compared to "engineering" and "basic sciences" disciplines) among those who had worked or studied in the field of "social sciences and humanities" for at least one year .There was a significant difference between "occupation" and "online health information-seeking behavior based on the Bates' model". However, there was no significant difference between "age" and "level of education" and their health information-seeking behavior (March 2022).

Dow's model (based on the Bates developed seeking information model) can be used and be efficient in the health research to analyze the information seeking behavior of different groups.

covid 19 has had an undeniable impact on various sectors of the economy and the tourism sector, including health tourism. Health tourism has had a significant impact on the prevalence of corona due to its direct relationship with people's health. The purpose of this study is was to identify related factors of health tourism on covid-19. he current research is a qualitative research and was done with the theme analysis method. Data collection has been done using semi-structured interviews with health tourism experts and health tourists. Targeted sampling continued until theoretical saturation was reached, and a total of 14 samples were selected. The results showed that related factors of health tourism on covid 19 epidemic was in both micro and macro levvels. In the micro domain, three categories of factors, including factors related to health tourism services, factors related to tourism ancillary services, and factors related to health tourists, have been affected by covid 19. In the macro sector, the related factors of health tourism on covid 19 epidemic has been in 4 sectors: economic, technological, political-legal and cultural-social. Based on the results of the research, things like the lack of equipment due to its allocation to the corona sectors, the expansion of online services, and the lack of specialized human resources have affected health tourism. In the factors related to ancillary services, unused capacities have increased and this discussion has led to the closure of some sectors. This issue will reduce the capacity of ancillary services in the post-corona period and will be a threat to the development of health tourism. In the tourist sector, Corona has led to an increase in the general awareness of tourists as well as an increase in health concerns, and price sensitivity has decreased in relation to health issues.

The level of health literacy of clerics is important due to their position and verbal influence on citizens. This study endeavored to investigate health literacy among the clergy of Birjand.

This descriptive-analytical study was performed on 184 clerics of Birjand through convenience sampling using the Iranian Health Literacy Questionnaire (National Health Literacy Research Plan) and the data were analyzed using Statistical tests t-test and analysis of variance at the significance level of = 0.05.

The mean score of health literacy of the participants was 122.09 ± 15.09 (average) and in terms of examining the dimensions of literacy the two dimensions of access health and information acquisition (16.83 ± 53.3) as well as judgment and evaluation (18.09 ± 3.44) obtained a poor score. In the study of sources of information in the clergy, the major source of health information was the Internet (59.2%), followed by radio and television (49.3%) and booklets, pamphlets, educational brochures, and propaganda (44%).Discussion and

The level of health literacy of clerics in Birjand is not favorable, and considering the role and position of clerics in society, policymakers' attention to planning and development of health literacy of this reference group seems indispensable.

Nowadays, Access to information in order to strengthening teaching and learning and individual capability development is one of the fundamental needs of all people. And there is no exception to this rule. Although there are numerous facilities in universities, some aspects to providing excellent services to disable students are ignored but if following policies and rules are done correctly, it is possible to act like some successful countries like England in this field. Proposal for (scientific assistant as a facilitator for disable students) is running in Isfahan university of Medical Sciences (MUI) , for a blind student as student with special needs. In this plan, people who are interested in helping disable people are identified , and in this way they will be cause of self confidence in disable students, and a pattern for other universities . This plan also can be an introduction to the formation of the center for providing services to students with special needs. This plan requires financial and spiritual supports and appropriate policy and planning in universities