Nooshin Mohebbi; Susan Bahrami; Mohammad Hossein Yarmohammadian; Narjes Mirabootalebi; Sedigheh Karami
Volume 12, Issue 1 , May 2015, , Pages 38-47
Abstract
Introduction: Medical Records services as one of the indicators of Allied Health Sciences in order to demonstrate the work efficiency and quality of healthcare work is a valuable benchmark. Medical records department play an important role in assessment and planning of prioritization quantity and quality ...
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Introduction: Medical Records services as one of the indicators of Allied Health Sciences in order to demonstrate the work efficiency and quality of healthcare work is a valuable benchmark. Medical records department play an important role in assessment and planning of prioritization quantity and quality of healthcare and its staff from legal and ethical perspective should be held accountable for the quality of information registry and this fact have direct connection with services quality so their perspective in determining the quality of services in health institutions has a special position. This study evaluates the quality of medical records department services from the perspectives of medical records personnel in teaching hospitals of Isfahan.Methods: This was an applied and descriptive- survey research with statistical population of medical records personnel employed in teaching hospitals of Isfahan in 2013 (96 people, all the research population). In order to collect data Servqual standard questionnaire based on the five dimensions of assurance, responsiveness, empathy, reliability and tangibles were used based on likert scale rating. Since in preparing the questionnaire, qualitative perspective of Parasurman - Zeithamel was observed, and with attention to consulting with experts, questionnaire’ validity was confirmed. The reliability of the questionnaire calculated by Cronbach's alpha coefficients and was obtained 0.83 for the expectation and 0.88 for perceptions. SPSS software for data analysis and descriptive and inferential statistics were used.Results: Two-way analysis showing the relationship among the gap between expectations and perceptions of the medical records department personnel in services' quality. The results show a significant difference between expectations and perceptions of medical records departments’ personnel in teaching hospital of service quality. The gap between expectations and perceptions were equal to: assurance (0.98), responsiveness (1.82), empathy (1.94), reliability (0.60) and tangibles (1.53). The biggest gap was related to empathy (1.94) and the smallest gap was related to reliability (0.60).Conclusions: In general, the largest quality gap in this research is the empathy dimension of staff. Efforts and planning of hospital management and heads of medical records departments to create the circumstances in which number of personnel to be determined by using the standard method, based on the sheer size and number of patients; can lead to raising the quality of the services.
Nooshin Mohebbi; Mohammad Hossein Yarmohammadian
Volume 10, Issue 4 , November 2013, , Pages 558-570
Abstract
Introduction: Evaluation is a systematic process for collecting, analyzing and interpretation of the obtained information for the purpose of investigating how many the objectives in mind can be achieved. Education in an academic educational system means bringing about proper and increasing changes that ...
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Introduction: Evaluation is a systematic process for collecting, analyzing and interpretation of the obtained information for the purpose of investigating how many the objectives in mind can be achieved. Education in an academic educational system means bringing about proper and increasing changes that affect the outcome of this system, that is affecting the students, and the aim of such evaluation was promotion of the quality of an education process. This study developed and reviewed the evaluation criteria of health information technology course at Master of Science level in Tehran, Shahid Beheshti, Isfahan, Shiraz and Kashan medical sciences universities in 2012 based on CIPP model. Methods: This was an applied and descriptive research with statistical population included faculty members, students, graduates and library staff of health information technology course at Master of Science level in Tehran, Shahid Beheshti, Isfahan, Shiraz and Kashan medical sciences universities in 2012 (130 people in total). In order to collect data four questionnaires were used based on Likert scale rating. Questionnaires' validity was confirmed by consulting with experts and questionnaires' reliability of directorates, faculty, students and library staff through the Coronbach's Alpha coefficient formula calculated α= 0.74, α= 0.93, α= 0.98, α= 0.80, respectively. SPSS software for data analysis and descriptive statistics were used. Results: 139 indicators were determined and then evaluated which associated with this course based on three factors of context, input, process in the areas of human recourses professional, academic services which are required for the society, students, directors, faculty, curriculum, budget, facilities, teaching- learning activities and scientific research activities of students and faculty, and the activities of the library staff. Conclusion: Results showed that in total the health information technology course at Master of Science level is relatively well, but trying to improve and correct it in some areas, and continuing of evaluation process seems necessary. Keywords: Indicators; Evaluation; Health Information Technology
Narjes Mirabootalebi; Hosein Mobaraki; Raziyeh Dehghan; Nooshin Mohebbi Mohebbi
Volume 10, Issue 5 , October 2013, , Pages 665-674
Abstract
Introduction: Electronic health record contains a wide range of information systems that makes possibility of all information about nursing care plans, Prescription, physical evaluation, current complaint and immunization based on known standards, usability of this system by its users, particularly physicians ...
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Introduction: Electronic health record contains a wide range of information systems that makes possibility of all information about nursing care plans, Prescription, physical evaluation, current complaint and immunization based on known standards, usability of this system by its users, particularly physicians is vital and important considering complexity of EHR. So, this study was conducted with aim to investigate the physicians' expected factors result from implementation of EHR in Hormozgan University of Medical Sciences in 2012. Methods: This study was an applicable and descriptive- analytical research and was conducted in Hormozgan University of Medical Sciences in 2012. Research population was included 129 people composed of faculty physicians and residents according to Census Method. Research tool was a questionnaire from Morton' PHD thesis in Drexel University. Validity of the questionnaire was measured by ideas of specialists and experts and its reliability through test-retest that was %78. Collected data from this questionnaire was analyzed using SPSS19 Software, descriptive statistics methods (frequency distribution and percentage tables, statistical indicators, mean and standard deviation), statistical test, T-TEST and one way ANOVA. Finding: The most obtained scores were related to management support factor (3/65) and lowest ones were proper and adequate Training (3/17). Based on implementation barriers of HER the highest percentage was related to economic costs (84%) and the lowest one was personnel resistance against new technology (50%). The most important benefit of HER is including increased control over business activities (82/9%) from view point of physician. Conclusion: According obtained results from Hormozgan University of Sciences, physician faculty members and residents are agreed to implement HER in this university and there is ability and readiness to implement HER considering provided ideas. Keywords: Electronic Health Records; Health Information Technology; Physicians
Narjes Mirabootalebi; Maryam Ahmadi; Hosein Mobaraki; Saeid Hoseini; Nooshin Mohebbi
Volume 9, Issue 6 , March 2012, , Pages 769-779
Abstract
Introduction: Recording the reasons of death especially its underlying causes are considered to be themost important data in modifying health-care programs of countries. Therefore, a comprehensivecomputer system, related databases is necessary in analyzing and understanding the main processes inhealth-care. ...
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Introduction: Recording the reasons of death especially its underlying causes are considered to be themost important data in modifying health-care programs of countries. Therefore, a comprehensivecomputer system, related databases is necessary in analyzing and understanding the main processes inhealth-care. The aim of this study was to evaluate the electronic death registration system in Iran based onits requirements.Methods: This was a descriptive-analytical study conducted in 2011 in 12 medical universities of Iran.The study population consisted of two groups of users and officials of the electronic death registrationsystem in medical sciences universities of our country (n = 50). The data collection Tools of this study is aresearcher-constructed questionnaire based on the Likert scale, and a checklist. The questionnaire wasbased on 3 requirements (user requirements, general requirements, and security requirements). Thechecklist was designed to assess technical requirements. The validity of the questionnaire was approvedby the content validity method (opinions of teachers and scholars of health information management andcomputer sciences). Its reliability was approved using Cronbach’s alpha. Data analysis was conducted bySPSS statistical software version 20 and descriptive statistics.Results: 84.6%, 75.7%, 40.9% of users and experts of medical sciences universities, type 1, respectivelyapproved the existence of user, general, and security requirements. 34.8%, 66.7%, and 22.7% in type 2,and 35.7%, 33.3%, and 20.7% in type 3 universities, respectively, approved the existence of user, general,and security requirements. Moreover, technical requirements are approved by 64.7% of software experts.According to these results, with a mean of 51.7% in user requirements, 58.5% general requirements, and64.7% technical requirements the electronic death registration system is at an acceptable level. However,it is at a weak level in terms of security requirements (28.1%).Conclusion: Weak results of the security requirements show the inefficiency of this system’s software.Therefore, the Ministry of Health and Medical Education should plan to improve the performance of thissoftware in terms of security requirements.
Faezeh Akhlaghi; Mohammad Hossein Yarmohammadian; Masumeh Khoshgam; Nooshin Mohebbi
Volume 8, Issue 5 , November and December 2011
Abstract
Introduction: Quality in higher education requires assessment and judgment of goals and strategies, executive policies, operational processes, products and outcomes. The context, input, process, and product (CIPP) model is a comprehensive perspective to determine, obtain and prepare. It always tries ...
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Introduction: Quality in higher education requires assessment and judgment of goals and strategies, executive policies, operational processes, products and outcomes. The context, input, process, and product (CIPP) model is a comprehensive perspective to determine, obtain and prepare. It always tries to provide information in order to make the best decisions related to context, input, process and product. This study aimed to evaluate the Master's course of Medical Records Education using CIPP pattern. Methods: This applied, descriptive, evaluative research was conducted at four Iranian universities of medical sciences in 2010. Statistical population included five sub-populations of group managers, faculty members, students, graduates and librarians (n = 140). Five researcher-developed questionnaires based on Likert rating scale were used for data collection among the five subgroups. The Cronbach's alpha coefficient formula was used to determine the reliability of the questionnaires (α = 0.74, α = 0.93, α = 0.89, α = 0.95 and α = 0.95, for the abovementioned subgroups, respectively). Content and face validity of the questionnaires were also assessed by reliable scientific textbooks and viewpoints of experts and professors. Finally, data analysis was done through descriptive statistics and SPSS. Results: Maximum level of desirability belonged to faculty members (4.84) in the field of input (human resources). Minimum level of desirability was seen for budget (2.50) in the field of input (financial). Conclusion: The results of the study indicate that the continuous evaluation of medical records groups and medical records education courses would determine the strengths and weaknesses of the programs and improve their quality. Keywords: Evaluation; CIPP Model; Training Programs; Quality.
