Mohtaram Nematolahi; Mahbubeh Amuzgar; Roksana Sharifian; Hosein Monem; Sahar Zare
Volume 14, Issue 1 , May 2017, , Pages 3-8
Abstract
Introduction: Picture Archiving and communication system (PACS) has caused a revolution in radiology performance and has increased efficiency in medicine and radiology. Identifying the important factors influencing the success and failure of PACS is necessary to ensure its successful implementation. ...
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Introduction: Picture Archiving and communication system (PACS) has caused a revolution in radiology performance and has increased efficiency in medicine and radiology. Identifying the important factors influencing the success and failure of PACS is necessary to ensure its successful implementation. This study aimed to determine the success factors of PACS using structural equation modeling approach in educational hospitals of Shiraz University of Medical Sciences, Shiraz, Iran.Methods: This cross-sectional, descriptive-correlational study was conducted in 2014. The study population consisted of PACS users (general practitioners, specialists, residents, and radiology experts) in Faghihi and Nemazi Hospitals of Shiraz. The subjects consisted of 250 PACS users, who were selected using stratified random sampling. A questionnaire was used to collect data; its validity was confirmed using confirmatory factor analysis and its reliability was measured using Cronbach's alpha (α = 0.84). Data were analyzed using descriptive statistical methods in SPSS and structural equations modeling technique in LISREL software.Results: Findings showed that the proposed conceptual model for success of PACS in Shiraz University of Medical Sciences has an appropriate fitness in terms of analysis of the constitutive factors. Hypothesis analysis using structural equation modeling showed that 11 hypotheses out of 16 were confirmed and 5 hypotheses w refuted. Factors of individual performance, organizational performance, and perceived usefulness of the system had the greatest impact on the dependence on PACS, respectively.Conclusion: Designing and evaluating health information systems based on standard and well-known models is necessary in order to have quality information, quality systems, and satisfied users. Findings of this study can be a good reference for health care institutions, companies which provide information system services, and information system developers in order to evaluate and promote the quality, usability, and effectiveness of these systems.
Mohtaram Nematollahi; Hussein Monem; Ali Garavand
Volume 13, Issue 2 , April 2016, , Pages 65-70
Abstract
Introduction: To successfully implement new information systems in health care, especially electronic medical records, it is important to understand the factors that influence the adoption of these systems ...
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Introduction: To successfully implement new information systems in health care, especially electronic medical records, it is important to understand the factors that influence the adoption of these systems in the opinions of users, particularly managers. Therefore, the purpose of this study was to determine the factors affecting the adoption of electronic medical records using the technology acceptance model (TAM). Methods: This descriptive-analytical survey was conducted in 2015. The study population consisted of 235 top and middle managers of teaching hospitals in Shiraz, Iran. The subjects were selected through census method without the use of sampling. Data were collected using the standard TAM questionnaire and analyzed in SPSS and LISREL software using regression analysis, independent t-test, and ANOVA. Results: The findings of this study showed a positive direct relationship between perceived ease of use and attitude of the users (r = 0.46) (P < 0.05). There was also a positive, direct relationship between perceived usefulness and attitude toward use (r = 0.42) (P < 0.05). In addition, there was a positive, direct relationship between attitude toward use and actual use (r = 0.36) (P < 0.03). Conclusion: In evaluations and plans, through the consideration of factors of perceived usefulness and perceived ease of use, which affect the attitude toward use, the adoption of the electronic medical records system among top and middle managers in hospitals can be improved.
Mohtaram Nematollahi; Farzaneh Shacheraghi; Roksana Sharifian
Volume 11, Issue 4 , November 2014, , Pages 400-411
Abstract
Introduction: Today, liver disease is one of cause of morbidity, mortality and cost in word and global efforts to fight the liver diseases are undertaken. One of these attempts is to develop scientific methods and to initiate appropriate surveillance systems intended for the appreciation of the difficulties ...
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Introduction: Today, liver disease is one of cause of morbidity, mortality and cost in word and global efforts to fight the liver diseases are undertaken. One of these attempts is to develop scientific methods and to initiate appropriate surveillance systems intended for the appreciation of the difficulties and the use of the most available data and models to present timely and practical information to make the appropriate decisions. This article has been performed with the aim of the comparative study of liver diseases surveillance system in selected countries. Method: In this descriptive study of applied kind, we initially investigated the existing Circumstances governing Iran's liver diseases information system referring to the "Disease Management Center" based in the Ministry of Health, Shiraz Namazi hospital, Tehran Imam Khomeini hospital and Esfahan Alzahra hospital, holding interviews, reviewing the associated forms, the existing documentation and checklist. Subsequently, the liver diseases surveillance systems of the selected countries are studied. Data analysis was conducted based on a comparison of the attributes of the liver diseases surveillance system in the countries under consideration using a descriptive and theorical analysis. Results: liver diseases surveillance system undertaken based study and experience existing in USA, Canada and Malaysia and country's requirement and incorporated along three axes: general specifications of the system, data source, the governing the collection and report of data and data processing. Conclusion: By considering to high prevalence of liver diseases in Iran and absence of comprehensive liver diseases surveillance systems, design and implementation of liver disease surveillance systems for disease management that quality control and cost control – as both high goal of health system the following is recommended
Mohtarm Nematollahi; Akram Sakhdari
Volume 11, Issue 6 , November 2014, , Pages 689-698
Abstract
Introduction :Patient rights tasks in a treatment center is responsible for the patient and informed consent, freely revocable consent of qualified person (patient) based on participation in decision making followed knowledge about the nature, purpose and consequences of belief the effect of participation ...
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Introduction :Patient rights tasks in a treatment center is responsible for the patient and informed consent, freely revocable consent of qualified person (patient) based on participation in decision making followed knowledge about the nature, purpose and consequences of belief the effect of participation in the selection of treatment is effective and useful., this study aims to investigate the extent of informed consent obtained from the patients admitted to selected hospitals in Shiraz city in 1392 was solar. Methods: The study was cross-sectional analysis that has been done. Method of data collection for the study, library, electronic resources and Internet and based Made questionnaire was developed. To determine the scientific validity of the questionnaire was used content validity for this purpose, a questionnaire among a number of scholars and experts specializing in the field of health information management and statistics distribution were enjoying their comments and guidance, the content of the questionnaire was the ambiguities were resolved to confirm its validity. To calculate the trustworthiness, or reliability of Cronbach's alpha for the questionnaire was used. Therefore the initial questionnaire before the main phase of the study, 20 patients were randomly distributed and collected data using a questionnaire to determine the level of reliability of software SPSS, assessed and evaluated. Analytics data Analysis descriptive statistics (percentage, frequency, mean and standard deviation) was performed. Results: Findings from this study indicate that the low level of knowledge about the patient's knowledge of the advantages and disadvantages of other methods of treatment, as in private hospitals is in average 38/2 SD 659/1and the public hospital averages 65/2, SD 363/1 and The highest level related to ensures the confidence patient to their doctor , so private hospital an average of 78/4 and SD 519/0 and the public hospital an average of 42/4 and SD 037/1. well as patient satisfaction scores by age, education level and type of hospitalized in all hospital(namazi and private hospitals) showed significant differences. Conclusion :The results represent the average state of being conscious consent obtained from patients at selected hospitals in Shiraz city. It also became clear that the process of informed consent should be based on the condition of time, location and changes must be based on education level the patient . Keywords: Patient Rights; Informed Consent; Patients.
Mohtaram Nematollahi; Nahid Hatam
Volume 8, Issue 4 , September and October 2011
Abstract
Introduction: Voluntary counseling and testing (VCT) for HIV infection is a confidential service offered to individuals in the community. This study intended to present a pattern for regional surveillance of VCT services in Iran.Methods: This was an applied descriptive study. At first, the existing regional ...
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Introduction: Voluntary counseling and testing (VCT) for HIV infection is a confidential service offered to individuals in the community. This study intended to present a pattern for regional surveillance of VCT services in Iran.Methods: This was an applied descriptive study. At first, the existing regional VCT surveillance in 2009 was investigated through visiting the Clinical Deputy of Medical Sciences Universities, interviewing, considering the available forms and documents, and application of checklists. Then, the regional VCT surveillance of some selected countries including the USA, the UK, and Australia were studied. The next step was to design and poll a pattern (using Delphi method) based on Iran's requirements. The validity and reliability of the related tools were confirmed using the content validity method and test-retest method, respectively. The descriptive theoretical analysis of data was performed via a comparison between the studied countries.Results: Considering the current situation of Iran and lack of a comprehensive system, the investigators used the guidelines of the WHO and experiences in the US, the UK, and Australia to present a pattern for regional VCT surveillance. The pattern consisted of four aspects including data collection and reporting, data clarification, data analysis, and data distribution. Delphi method showed an agreement rate of 38.1 out of 44 (86.6%) and therefore confirmed the pattern.Conclusion: Since the VCT centers collect most HIV-related data, a comprehensive knowledge about their services and outcomes can have a significant role in designing and improving HIV/AIDS interventions and strategies. Considering the fact that the prevalence of the disease differs in various provinces and regions of the country, clarification, analysis and publication of regional data are highly important.Keywords: Information Management System; Information Management; Counseling; Iran.
