مجله اطلاع رسانی پزشکی نوین
سال دهم شماره 1 (پیاپی 27، بهار 1403)

The advantages of telemedicine for the elderly are well known, but there are scattered studies on how to better prepare, implement, and evaluate it for older people in the world. It seems necessary to conduct a study to identify the managerial requirements for providing telemedicine to older people. Therefore, the present study aims to review the managerial requirements for providing telemedicine services to the elderly.

This review study was conducted based on the 5-step approach of Arksey & O’Malley. Related studies were identified by searching in three databases of Scopus, Web of Science, and PubMed as well as searching for gray literature in Google Scholar. This search was limited to articles published from 2010 to 2022. Inclusion criteria were the study of the managerial requirements of telemedicine in three stages of preparation, implementation and evaluation, publishing from 2010 to 2022, written in English or Persian language or having English abstracts with sufficient evidence for extraction, and availability of full texts. There were no restrictions regarding the country of study. The studies with no access to their full texts were excluded. 

In total, 209 primary concepts, 55 unique concepts, 21 primary themes and 7 main themes regarding the preparation, implementation and evaluation stages were extracted. Out of 38 reviewed studies, 34 were related to the preparation stage, 32 related to the implementation stage, and 13 related to the evaluation stage. The need for organizing resources and manpower in the preparation stage, the need for monitoring, preservation and maintenance in the implementation stage, and the need for evaluation of long-term outcome and scalability of technology in the evaluation stage had the highest level of importance compared to other requirements.

The number of studies on managerial requirements of telemedicine in the implementation and evaluation stages is lower than the studies on the requirements in the preparation stage. It is necessary to identify these requirements in all stages. This study provides valuable information about managerial requirements for providing telemedicine services to the elderly, which can help managers and policy makers in the health system in promoting the quality and accessibility of telemedicine services for older adults.

Morality has a main role of the survival of societies. Paying attention to this important principle and trying to educate and institutionalize it in societies seems necessary. This study aimed to evaluate the graduate students' moral literacy in the social networks at Iran University of Medical Sciences.

This is a descriptive survey study with a cross-sectional design. The study population of the study included all MSc. and PhD. students of the Iran University Medical Sciences in all disciplines during the academic year of 2019-2020. We used Krejcie’s and Morgan’s sampling methods to calculate the sample size, and the calculated sample size was 327. The data collected was a researcher-mad questionnaire that validity of the questionnaire was assessed by the professors of the Department of Library and Medical Information Sciences (n=5), and its reliability was estimated using Cronbach’s α test (0.818). data analysis using SPSS sofware, version 24, through descriptive statistics methods such as mean, frequency percentage, frequency distribution, and standard deviation Furthermore, we used the one-sample t-test in the inferential statistics.

The findings indicated mean of moral literacy (3.58) was above hypothetical average as well as the mean of its investigatesd components, moral sensitivity (3.75), moral reasoning (3.64) and moral imagination (3.36) was above average.

Graduate students tend to acquire moral literacy and becoming more awareness of ethical principles in social networks and this itself facilitates the process of learning.

Stands for electronic health record system in Persian (SEPAS) is one of the important health information technology projects in Iran. This study aims to investigate the strengths and weaknesses of this system based on the perceptions of its users from hospitals affiliated to Ardabil University of Medical Sciences (AUMS).

This qualitative study was conducted in hospitals affiliated to AUMS in 2019. Data collection was done through semi-structured face-to-face interviews of 14 participants.

The factors were categorized in seven groups: strategic management & supervision, education & culturalization, standards & laws, development & establishment, research, technical infrastructure, and project development in medical universities. The field of education & culturalization was the most important category.

The implemented programs for SEPAS are far from the defined plans. Monitoring by the Ministry of Health and Medical Education and medical universities, as well as culturalization and training for managers and employees are among the priorities.

Knowledge of the current state of oral health behaviors is essential for making oral health related decisions. The present study aims to assess the relationship between oral health literacy and attitude towards oral health, as factors affecting oral health behaviors, among the students of Ahvaz Jundishapur University of Medical Sciences (AJUMS).

This is a descriptive cross-sectional survey. The study population consists of all students of AJUMS in all educational levels (bachelor’s, master’s, professional doctorate and specialized doctorate) in the academic year of 2021-2022 (n=6851). Of these, 363 were selected using a simple random sampling method. Data were collected using a researcher-made questionnaire with 42 items and four sections of demographic information (3 items), oral health literacy (23 items answered as correct with 1 point or incorrect with 0 points), attitude towards oral health (7 items ted on a five-point Likert scale from 1 to 5) and oral health behaviors (9 items answered by yes or no). Data analysis was done in SPSS software, version 26 using descriptive statistics, correlation test, Kolmogorov-Smirnov test, and Mann Whitney U test

Findings showed that 81% of students had high oral health literacy. Demographic factors of gender, age, and educational level had no significant effect on the oral health literacy, attitude, and behaviors of the students. The relationship between oral health literacy and attitude was negative and significant; students who had negative attitudes towards oral health had lower oral health literacy. No significant difference in attitudes was reported in terms of oral health behaviors, but the difference in oral health literacy was significant in terms of oral health behavior. 

Oral health literacy of medical students is inversely related to their attitude towards oral health, and directly related to their oral health behaviors.

Due to the lack of medical resources and the asymmetric growth of demand-supply mismatch in Iran, the costs of health services are high. Mobile value-added services can compensate for the lack of medical resources and promote justice in the distribution of health services. This study aims to provide a model for using mobile value-added services in the field of health for the Social Security Organization in Iran.

In this descriptive cross-sectional study in 2022, experts in health information technology from the Social Security Organization in Tehran province participated. A questionnaire with 62 items was designed to collect data whose validity was confirmed based on the opinion of five experts and the reliability was confirmed with a Cronbach’s α of 0.944. Exploratory factor analysis method and SPSS software, version 25, were used for data analysis and modeling.

The participants were 64 experts, 29% female and 70% male. The model consisted of 16 factors including perceived benefit, perceived well-being, user values, customer results, society results, organization results, financial and business effects, quality effects, technology infrastructure, reduced fear of technology, learning and empowerment, job-related factors, supports and incentives, attitude, dependability, and risk reduction.

The social security organization of Iran can use mobile value-added services in health to increase the satisfaction of the insured people including retirees and improve its processes according to the dimensions of the model presented in this study.

Augmented reality (AR) is one of the new technologies that is used in education, especially medical education. This study aims to determine the requirements for developing an educational application based on AR for teaching clinical coding.

In this descriptive-comparative study conducted in 2022, we first investigated the user interface (UI) and functionality of the AR-based educational applications. The UI features were extracted from 12 similar applications in Persian and English available in Google Play and Cafe Bazaar. To determine the functionality features, the opinions of a panel of experts including professors of clinical coding from Isfahan University of Medical Sciences in Iran were used. 

The UI features included search (found in 3 applications), scanners (found in 11 applications), educational content classification (found in 9 applications), audio/text guides (found in 9 applications), and about us (found in 8 applications) sections. The functionality features included testing of knowledge and using images (2D, 3D).

Due to the theoretical and practical nature of the clinical coding course, a section to solve clinical coding scenarios is an important feature of AR-based educational applications for clinical coding. Also, the use of images (2D, 3D) in these applications can create a deeper impact on students’ learning.

The increase in repetition of destructive behaviors of leaders and the important effects of these behaviors on individual and organizational outcomes in the workplace can indicate the dark side of leadership. The present study aims to determine the effect of narcissistic leadership style on employee cynicism with the mediating role of employee silence and workplace gossip among the hospital staff.

This is a descriptive cross-sectional study. The study population consists of all headquarters staff of Dr. Gharazi Hospital in Isfahan, Iran, in 2022. Of these, 108 were selected. To collect data, we used a demographic form, the narcissism scale by Hochwarter and Thompson (2012), the employee silence scale by Tangirala and Ramanujam (2008), the organizational cynicism scale by Dean et al. (2009), and the workplace gossip scale by Kuo et al. (2015). The data were analyzed by using Structural Equation Modeling method in SPSS software version 25 and SmartPLS software, version 4.

The results showed that the narcissistic leadership style had an effect on employee cynicism with the mediating role of employee silence, which a t value of 4.445 and a standardized path coefficient of 0.147 (p<0.001). Also, the narcissistic leadership style had an effect on employee cynicism with the mediating role of workplace gossip, with a t value of 3.950 and a standardized path coefficient of 0.135 (P<0.001).

Based on the findings of the present study, gossiping in the workplace in organizations reduces the motivation to serve and as a result reduces productivity in these organizations. This culture has also been transferred inside the organizations and it leads to a decrease in job satisfaction, organizational commitment, performance and organizational pessimism.

Medical consumable supply chain is one of the main supply chains in the health care domain. Accordingly, the present study aims to investigate the factors affecting information sharing and information quality in pharmaceutical and medical consumable supply chain management (SCM) in Iran.

This is analytical survey study. Participants were 78 people involved in pharmaceutical and medical consumable supply SCM from the teaching hospitals affiliated to Isfahan University of Medical Sciences (IUMS), Iran, in 2017. The data were collected using a researcher-made questionnaire whose face and content validity were confirmed by some professors from the Department of Health Information Technology of IUMS and the reliability was confirmed using Cronbach’s α coefficient (α=0.93). Finally, data were analyzed using factor analysis in SmartPLS software, version 23. 

Environmental uncertainty and inter-organizational facilitators had no significant impact on information sharing and information quality, while the factor of interdepartmental relationships was found to be effective. Among the components of environmental uncertainty, the supplier uncertainty with a weight of 0.905 had the highest impact. Among the components of inter-organizational facilitators, the top management support with a weight of 0.997 had the highest impact. Among the interdepartmental relationships, the commitment of supply chain partners with a weight of 0.865 had the highest impact.

For an effective pharmaceutical and medical consumable SCM, there is need to establish proper relationships between different supply chain partners. Honesty, commitment, and common vision between the supply chain partners can improve the information sharing and information quality in pharmaceutical and medical consumable SCM.