Mahdi Yousefi; Gholamreza Moradi; Marjan Ghazisaeidi; Somayeh Fazaeli
Volume 8, Issue 2 , May and June 2011
Abstract
Introduction: Efficient use of information systems in provision of health services is very important for achieving efficiency, effectiveness and service quality. In this study the various aspects of clinical information systems implementation and estimate of one of main users' knowledge about these systems ...
Read More
Introduction: Efficient use of information systems in provision of health services is very important for achieving efficiency, effectiveness and service quality. In this study the various aspects of clinical information systems implementation and estimate of one of main users' knowledge about these systems in hospitals was investigated.Methods: This study was conducted in two-stages: in the first step using available information resources during 1997-2008, different aspects of clinical information systems implementation have been studied. In the second step, the knowledge of medical record department's administrators of Tehran University of Medical Sciences affiliated hospitals has been determined. Validity of questionnaire was confirmed by expert panel and a reliability of 78% with test-retest coefficient was confirmed. Obtained data was analyzed with Excel 2007 software.Results: Clinical information system with improve quality and quantity of health care provided mission, is including components such as clinical documentation systems, medication management, pathology and etc. Studies indicated that there are some obstacles such as financial, behavioral and technical problems in implementation of these systems. The results of second part showed that the mean of knowledge of medical record department administrators from various aspects of clinical information systems was 53 percent.Conclusion: For effective clinical information system, review of effective factors and risk factors in the clinical information system implementation are important for prevention of repeated mistakes and neglect in cases that threat successful implementation of the project. Emphasize on education can be a key factor to promote awareness of the main users of clinical information systems about various aspects of these systems.Keywords: Hospital Information Systems; Hospitals; Medical Record Administrators.
Reza Safdary; Shahram Tofighi; Marjan Ghazisaeedi; Azadeh Goodini
Volume 8, Issue 2 , May and June 2011
Abstract
With increasing technology in providing health care services and specialization, health care organization requires application of costing methods for calculating income and expenses to improve the health care services and compensate the costs. For this purpose, most hospitals in the developed countries, ...
Read More
With increasing technology in providing health care services and specialization, health care organization requires application of costing methods for calculating income and expenses to improve the health care services and compensate the costs. For this purpose, most hospitals in the developed countries, estimated system costs based on affiliated diagnostic related groups. According to this new method, hospitals were calculated costs and cost of services in return for services performed for the patient. In this review article, the data has been collected using print and electronic documents related to the topic. Considering that the diagnostic related groups known as disease classification system to facilitate medical reimbursement, so, hospitals must calculate their costs based on this method. In this article, we try to select the most appropriate method to make the necessary actions in the country with the matching process performed in this field and use the pre-eminent world experiences.Keywords: Diagnosis- Related Groups; Costs and Cost Analysis; Hospitals.
