نشریه مدیریت اطلاعات سلامت
سال بیستم شماره 3 (پیاپی 89، پاییز 1402)

Disruptive digital innovations are innovations that include the use of digital technologies in an innovative and new way and can affect the performance of hospitals. This research was conducted with the aim of analyzing the mutual effect of enablers of digital innovation in the field of health. The present study is analytical-descriptive and was conducted with the participation of 16 experts from Kerman hospitals. Experts were selected purposefully by snowball method. In order to collect and analyze data, structured interviews and structural analysis methods were used. Based on the research literature and expert opinions, 20 enablers related to disruptive digital innovation were identified. The results showed that the factors of management style and strategic orientation have a high impact on other enablers. By identifying the effective and efficient factors in destructive digital innovation, the officials of Kerman hospitals can, considering the effective factors, create a context for setting up clinical information systems, remote monitoring of the patient, management of medical imaging registration and conversion. and learning to create knowledge.

The establishment of an integrated and standard metadata system tailored to the local needs in health information management, which aims to improve the current conditions, will lead to optimal data protection, increase accessibility, and improve information retrieval and user satisfaction. Therefore, this study intends to study the elements of the HISO 10040.4 schema for organizing clinical information from the perspective of health information specialists.

This applied research was conducted in 1401 winter, and to collect data, documentary study and survey research were used. The statistical population of this study included 24 faculty members from Tehran University Medical Sciences in the field of health information management. An online researcher created a questionnaire with 23 questions that was used to collect data, and its face validity was confirmed by 3 experts. Finally, the results were reported using descriptive statistics.

To organize health information, 22 metadata elements of the HISO 10040.4 schema were scored and evaluated by experts. Based on the results, the mean and standard deviation of the measured metadata elements were approved by the research community, indicating the extent of their agreement regarding the importance of these elements in describing data in health information centers worksheets.

The proposed metadata elements of this research are based on the standard schema of organizing health information and approved by the research community; therefore, they can meet the needs of health information centers.

Advances in information technology have caused fundamental changes in life and work environments. As digital technologies such as smartphones become more ubiquitous, individuals can engage in self-monitoring and self-care and gain more control over their health trajectories across the life course. Education and gender are two important components in the use of mobile health applications. Education is effective in the amount and manner of using mobile applications, and gender plays a major role in virtual setting, especially in mobile applications, in contrast to physical presence in hospitals and clinics

This applied study was carried out with a descriptive-quantitative method in the form of a case study among users of the Snap Doctor mobile application. To collect data, a researcher-made questionnaire based on available random sampling and inferential statistics methods, including tests of significance and especially correlation based on confirmatory structural equationswere used.

Inadequate information communication technology infrastructure was the major obstacle for telemedicine, followed by cultural resistance in using technology to provide healthcare services. Other significant barriers are like this: the high cost of setting up prerequisite (initial) skills among patients, limited skills among physicians, inadequate funding to support telemedicine services, weak legal/policy framework, and lack of dedicated time for telemedicine services.

The results showed that the existence of appropriate communication infrastructure and efforts to promote the infrastructure and increase the investment of companies and organizations in the field of telemedicine can increase the participation of users in the use of telemedicine services.

Competency approach is one of the practical approaches in various fields of education and jobs, which by accurately determining the required competencies of people in order to achieve multiple educational and professional goals, and identifying the behavioral indicators that determine the competencies of employees in different professions are one of the necessary processes in this matter, and the present research was conducted with the aim of Identifying the competency indicators of administrative staff of medical centers. The current research is practical in terms of purpose; In terms of approach, it was done qualitatively and by thematic analysis method.The participants were employees of the administrative department of medical centers, which reached theoretical saturation with 16 people using the purposeful sampling method. The research instrument was semi-structured interview and the collected data was analyzed by coding and identifying the network of themes. The validity of the research results was confirmed with the criteria recommended by Lincoln and Guba. In the current research, the findings were identified and classified in two dimensions: general competencies (with 4 components and 28 indicators) and professional competencies (with 3 components and 21 indicators). General competencies include (administrative skills, scientific skills, interpersonal competencies, personal and individual competencies) and professional competencies including (primary medical specialties, job competencies; knowing of standards and guidelines). Managers and heads of different departments of medical centers can use the findings of this research in order to increase the productivity of administrative department employees in the field of recruiting, retaining and assessing employees' competencies.

Observational articles, as basic studies, in nursing-midwifery are of great importance; however, the quality of these articles has not been investigated, especially from the methodological view. This study endeavored to compare the quality of observational articles of nursing-midwifery journals indexed in Scopus database between the years 2017 and 2021.

In this comparative cross-sectional study, 479 observational articles on nursing and midwifery journals indexed in the Scopus database between the years 2017 and 2021 were reviewed. The data collection instrument was the STROBE checklist methodology section, which recorded the methodological characteristics of the articles reviewed.

The average score of the methodology report of all observational studies was 15.10±2.46. The lowest percentage of reports were related to the management of possible bias cases (2.7%) and the method of dealing with incomplete data (5.6%). The average score of the methodology report in the year 2021 is similar to the year 2020 but significantly higher than in the year 2017 to the year 2019; the year 2020 is similar to the year 2019 and higher than the years 2017 and 2018; 2019 was similar to 2018 but higher than 2017 (p < .05).

The findings the study can help the editors and reviewers of Iranian nursing and midwifery journals to obtain more knowledge about the favorable characteristics and weaknesses of their journals, which can lead to a change in the policy of accepting articles for publication and improve the quality of their journals. It will also help researchers to report their research results accurately and with higher quality.

The impact of research is any type of output of research activities that has a positive return for the scientific community, health systems, patients, and peoples. The impact of research can include various aspects, including impact on health, economy, and policy making in society. Therefore, the aim of the present study is to determine the policy impact of research in the field of health management and policy making of Iran University of Medical Sciences in 2014-2019.

This applied research was carried out by means of a survey and citation analysis of records published in 2014 to 2019. At first, the return on investment questionnaire was completed by the first or corresponding authors. The findings of the questionnaire were analyzed by citation analysis and checking the number of citations in studies. The data analysis was done using SPSS software version 22.

Overall, 459 research in health management and policy-making of Iran University of Medical Sciences were identified. These studies have been used in 768 systematic reviews, seven educational content productions, 129 upstream documents, policy briefs, and instructions; three clinical guidelines, six health technology assessments, and six non-health decision-making.

The policy impact of research in the field of health management and policy-making was mostly through systematic reviews, upstream documents, policy briefs, and instructions. Therefore, it needs to provide further application of these studies in decision-making outside the health field, clinical decision-making, training contents, on-demand research, health technology assessment.

The great interest in cosmetic surgeries and the possible risks of these types of surgeries make it necessary to pay attention to health literacy for the applicants of these types of surgeries in order to evaluate and make correct decisions. Therefore, the purpose of this study is to evaluate the level of health literacy of cosmetic surgery applicants The research method is cross-sectional. The research sample includes 189 applicants for cosmetic surgery referring to Hazrat Fatemeh Teaching Hospital in Tehran, and the Iranian Adult Health Literacy Questionnaire (HELIA) was used to collect the data. Descriptive statistics and U-Mann-Whitney and Kruskal-Wallis statistical tests were used for data analysis. The average health literacy of the participants was higher than the average of the questionnaire. The highest average is related to the understanding component (85.65) and the lowest average is related to access (76.60). There is a significant relationship between the average level of health literacy of women and men in the dimension of understanding and the average of health literacy. Also, there is a significant relationship between the level of health literacy and the level of education. Applicants with a higher education degree also have a higher level of health literacy. Also, the most sources of obtaining health information for applicants is the Internet (40.74 percent). Although according to the results of the research, the health literacy level of the cosmetic surgery applicants was above average, but it is necessary to provide the necessary training on promoting health literacy among different groups, especially people with low literacy levels. Also, it is necessary to provide valid educational and advertising brochures in health and treatment centers for applicants