Mohammadhiwa Abdekhoda; Maryam Ahmadi; Alireza Noruzi; Mohmoudreza Gohari
Volume 13, Issue 1 , May 2016, , Pages 3-10
Abstract
Introduction: Physicians’ resistance to accepting and adopting Electronic Health Care Record (EHCR) is still a serious challenge to the nationwide adoption of EHCR. As a result, identification of the factors that contribute to this challenge is valuable. Thus, this study was performed ...
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Introduction: Physicians’ resistance to accepting and adopting Electronic Health Care Record (EHCR) is still a serious challenge to the nationwide adoption of EHCR. As a result, identification of the factors that contribute to this challenge is valuable. Thus, this study was performed to survey the effect of physicians' characteristics on adoption of EHCR. Methods: A Descriptive-analytical survey was applied in this study. The study population consisted of physicians who worked in 26 hospitals affiliated to Tehran University of Medical Sciences, Iran. From among them, 270 physicians were selected to participate in this research. The data gathering tool was a questionnaire the validity and reliability of which were confirmed. The data were collected, and then, analyzed using path analysis in structural equation modeling (SEM) in SPSS and AMOS software. Results: The results showed that there is no significant correlation between physicians’ characteristics, such as age, work experience, computer familiarity, and EHCR familiarity, and perceived usefulness (PU) and perceived ease of use (PEOU). In addition, no significant correlation was observed between physicians’ characteristics and the technology acceptance model (TAM) variables. Conclusion: Physicians’ characteristics did not have any significant effect on accepting and adopting EHCR. Therefore, it is suggested that policymakers and managers focus on other factors that affect EHCR acceptance and implementation.
Fatemeh Rangraz Jeddi; Maryam Ahmadi; Farahnaz Sadoughi; Mahmoudreza Gohari
Volume 9, Issue 2 , May and June 2012
Abstract
Personal health record (PHR) enables patients to access their health information and improves care quality by supporting self-care. The purpose of this study was to provide a comparative analysis of the concepts and applications of PHRs in selected countries.Methods: This study was carried out in 2009 ...
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Personal health record (PHR) enables patients to access their health information and improves care quality by supporting self-care. The purpose of this study was to provide a comparative analysis of the concepts and applications of PHRs in selected countries.Methods: This study was carried out in 2009 using a descriptive, comparative method. It compared Australia, the United States, England, and Iran. Data was gathered from articles, books, journals, and reputed websites in English and Persian published between 1995 and September 2009. After collecting the data, both advantages and disadvantages of PHRs in each country were analyzed.Results: In Australia, the United States, and England the patient/person was recognized as the owner of the PHR, information was disclosed only to those authorized by the patient, and the PHR was created upon request and involved consent of the individual. The aims of these records in the three countries were to provide access to health information for the patient, to offer a secure and confident place for sending message and communication, and to enable the person to use databases.Conclusion: In most countries, PHR has been developed to provide access to health information. It is thus necessary for Iran to benefit from experiences in other countries.Keywords: Health Records, Personal; Electronic Health Records; Medical Records
Amir Ashkan Nasiripour; Anis Abbasi; Shahram Tofighi; Naser Behnampour; Mahmoud Reza Gohari
Volume 8, Issue 2 , May and June 2011
Abstract
Introduction: To promote the processes of providing medical services, patient's rights and establishing uniformity in treatment policy, the evaluation quality indexes were communicated to all general hospitals in 2002. This study evaluates the implementation of managed care guideline before their communication ...
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Introduction: To promote the processes of providing medical services, patient's rights and establishing uniformity in treatment policy, the evaluation quality indexes were communicated to all general hospitals in 2002. This study evaluates the implementation of managed care guideline before their communication as evaluation quality indexes of hospitals and their relationship with communication and quality degree of conducted services. Methods: This study was an analytical study based on information in the records of patients, before and after the communication of managed care guideline. The statistical population including the records of patients who underwent surgery or had delivered in the pilot hospitals affiliated to Golestan University of Medical Sciences in 2002 and 2007, Iran. The sample included 792 cases which were selected by stratified method. Data collected using three types of checklists and a standard information form communicated by the Ministry of Health. Obtained data analyzed by SPSS16 software and χ2 test.Results: The preoperative assessment guideline was performed in 5.1% and 32.1% of evaluated documents in 2002 and 2007, respectively (P < 0.001). The prophylactic antibiotic guideline was performed in 31.6% and 44.9% of documents in 2002 and 2007, respectively (P < 0.001). The pain relief guideline was fully performed in 77.8% and 85.1% of documents in 2002 and 2007, respectively (P = 0.001). Cesarean section ratio to total deliveries in investigated hospitals were 49% in 2002 and decreased significantly to 42% in 2007 (P < 0.001). Most cesarean indication belongs to repeated cesarean section indication. Generally, in all investigated indexes there were positive and significant relation between establishing of Evaluation quality indexes and services quality.Conclusion: Implementation of managed care guideline led to improvement of quality in medical services. Establishing of guarantees and continuous rechecking regarding the quality assessment communications, could improve the quality of services in the future.Key words: Indicators; Quality of Healthcare; Evaluation; Hospitals.
Fatemeh Rangraz Jeddi; Maryam Ahmadi; Farahnaz Sadoughi; Mahmoodreza Gohari
Volume 7, Issue 2 , June 2010
Abstract
Introduction: Mortality data are a cornerstone of epidemiological research and health plan. Unfortunately they dose not completed coincident to international standards; so due to important of issue and had not any research for precision and accuracy of death certification data in this region, this study ...
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Introduction: Mortality data are a cornerstone of epidemiological research and health plan. Unfortunately they dose not completed coincident to international standards; so due to important of issue and had not any research for precision and accuracy of death certification data in this region, this study was done in death certification data in inpatient Kashan Shahid Beheshti hospital.Methods: An applied cross-sectional research on death certification data in inpatient Kashan Shahid Beheshti hospital with 4 checklist (face and content validity) included precision and accuracy of general identification data and precision and accuracy of causes of death data was done, after that data were grouped in table and analyzed with descriptive statistics.Results: 301 death certification (60%) and 389 (77.5%) had precision and accuracy in view of general identification and 291 (62.3%) adults and 18 (51.4%) prenatal had precision and 328 (70.3%) adult and 19 (54.3%) prenatal had accuracy. 88 (17.5%) of general identification and 83 (17.8%) adult and 15 (42.9%) prenatal did not have completed, 309 (66.2%) adult and 21 (60%) prenatal had a correct sequence.Conclusion: More education for physicians for produce higher quality data and more emphasis for enough knowledge of illness and study of the medical record carefully, perform autopsy for necessary cases establishment of Medical Legal Department in hospital were recommended.Keywords: Hospital Mortality; Form and Records Control; Hospitals.
