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.
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.
