Health Information management
neda borhani moghani; Marziyhe Meraji; Elaheh Houshmand; Somayeh Fazaeli; Marjan Vedjani
Abstract
Introduction: Considering the beginning of the implementation of electronic prescribing in the country, the present study was conducted with the aim of explaining the challenges during the implementation of electronic prescribing.Research method: This study was conducted using a qualitative method through ...
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Introduction: Considering the beginning of the implementation of electronic prescribing in the country, the present study was conducted with the aim of explaining the challenges during the implementation of electronic prescribing.Research method: This study was conducted using a qualitative method through interviews with physicians working in Mashhad University of Medical Sciences in 1401. The participants were selected by purposive sampling, after conducting three in-depth interviews, interview questions were extracted. After the semi-structured interviews were conducted, they were recorded and implemented, in order to analyze them, content analysis method and MAXQDA version 10 software were used.Finding: In this study, the challenges were categorized into two main categories, including the organizational category and the infrastructure category. organizational challenges; Challenges related to insurance, referral of patients, education and information to beneficiaries, monitoring and infrastructure challenges; infrastructure, user interface and database. The main challenges of implementing electronic prescribing were related to the outage and slowness of systems and the Internet and the existence of multiple systems for insurances.Conclusion: the infrastructure challenges which are among the important obstacles in the path of the full implementation of the electronic prescribing plan should be resolved, in order to improve the implementation problems, the continuous monitoring of the prescribing systems should be considered and the results should be applied immediately, as It is recommended to reform infrastructures, integrate insurance systems, use electronic signatures and electronic version standards, and provide practical training.
Health Information management
Hamed Mirlohi; Arash Najimi
Abstract
Webometrics ranking, as an international ranking system, evaluates and ranks the websites of world universities twice a year with a research-based approach. This ranking began in 2004 and currently evaluates 31,000 institutions from about 200 countries. The methodology used in this ranking, along with ...
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Webometrics ranking, as an international ranking system, evaluates and ranks the websites of world universities twice a year with a research-based approach. This ranking began in 2004 and currently evaluates 31,000 institutions from about 200 countries. The methodology used in this ranking, along with other required data, is updated and available to the public on the Webometrics website. The best strategy to improve the ranking, increase the quality and quantity of content, and the worst strategy, which leads to a sharp drop in the ranking, is to change the domain of the institution's website. In the last ranking before this study, the rank of Isfahan University of Medical Sciences in the ranking of July 2023 was in the 7th place among the medical sciences universities of the country and the 14th place among all universities. This study was conducted with the aim of increasing the position of this university in a period of one month and was implemented with the help of the webometrics committee of the university.
Health Information management
Salim KarimiTakalo; abolfazl tahavvori; mozhdeh darvish
Abstract
Introduction: Disruptive digital innovations are innovations that include the use of digital technologies in an innovative and new way and can affect the performance of hospitals. This research was conducted with the aim of analyzing the mutual effect of enablers of digital innovation in the field of ...
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Introduction: Disruptive digital innovations are innovations that include the use of digital technologies in an innovative and new way and can affect the performance of hospitals. This research was conducted with the aim of analyzing the mutual effect of enablers of digital innovation in the field of health.Method: The present study is analytical-descriptive and was conducted with the participation of 16 experts from Kerman hospitals. Experts were selected purposefully by snowball method. In order to collect and analyze data, structured interviews and structural analysis methods were used.Findings: Based on the research literature and expert opinions, 20 enablers related to disruptive digital innovation were identified. The results showed that the factors of management style and strategic orientation have a high impact on other enablers.Conclusion: By identifying the effective and efficient factors in destructive digital innovation, the officials of Kerman hospitals can, considering the effective factors, create a context for setting up clinical information systems, remote monitoring of the patient, management of medical imaging registration and conversion. and learning to create knowledge.
Health Information management
Keyvan Moshirpanahi; Khabat Nesaei; Arman Ahmadizad
Abstract
Introduction: Advances in information technology have caused fundamental changes in life and work environments. As digital technologies such as smartphones become more ubiquitous, individuals can engage in self-monitoring and self-care and gain more control over their health trajectories across the life ...
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Introduction: Advances in information technology have caused fundamental changes in life and work environments. As digital technologies such as smartphones become more ubiquitous, individuals can engage in self-monitoring and self-care and gain more control over their health trajectories across the life course. Education and gender are two important components in the use of mobile health applications. Education is effective in the amount and manner of using mobile applications, and gender plays a major role in virtual setting, especially in mobile applications, in contrast to physical presence in hospitals and clinicsMethods: This applied study was carried out with a descriptive-quantitative method in the form of a case study among users of the Snap Doctor mobile application. To collect data, a researcher-made questionnaire based on available random sampling and inferential statistics methods, including tests of significance and especially correlation based on confirmatory structural equationswere used.Results: Inadequate information communication technology infrastructure was the major obstacle for telemedicine, followed by cultural resistance in using technology to provide healthcare services. Other significant barriers are like this: the high cost of setting up prerequisite (initial) skills among patients, limited skills among physicians, inadequate funding to support telemedicine services, weak legal/policy framework, and lack of dedicated time for telemedicine services.Conclusion: The results showed that the existence of appropriate communication infrastructure and efforts to promote the infrastructure and increase the investment of companies and organizations in the field of telemedicine can increase the participation of users in the use of telemedicine services.
Health Information management
Mohammad Hossein Ronaghi; Naiemeh Kamjoo
Abstract
Introduction: As the worldwide population grows and the access to healthcare is increasingly being demanded, real-time monitoring of different biological signals has driven the study and development of diverse wearable technology. Monitoring of physical activity and behaviors by wearable devices may ...
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Introduction: As the worldwide population grows and the access to healthcare is increasingly being demanded, real-time monitoring of different biological signals has driven the study and development of diverse wearable technology. Monitoring of physical activity and behaviors by wearable devices may improve these health behaviors. This study endeavored to recognize the challenges of wearable technology in medicine and healthcare.Methods: This applied study was conducted in two phases using qualitative approach in winter 2023. Initially, the challenges of wearable devices were recognized from previous studies. In the second step, the study experts evaluated conceptual model by Delphi method. The expert panel consists of 13 individuals active in information technology in healthcare according to targeted sampling.Results: According results the main challenges of wearable devices are technology acceptance (0.923), design/development (0.769), data quality/safety (0.769), privacy/confidentiality (0.923), socioeconomic impact (0.846), interoperability/connectivity (0.769), patient information/data overload (0.846), remote monitoring (0.846), and sanctions (0.769).Conclusion: This study revealed that applications of the wearable technology in healthcare are becoming mature and established as a scientific domain. Practical adoption in wearable technology still demands design and validation of new pathways, strategic formulation, and a sound business model. Practitioners and researchers should consider how these technological advances may impact healthcare in the new era.
Health Information management
Nahid Tavakoli; Hossein Bagherian
Abstract
Introduction: Emergency departments of hospitals play a very important role in the health system, and the effectiveness of these services can be effectively increased by using health information technologies. The purpose of this study was to prioritize the challenges of implementing electronic medical ...
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Introduction: Emergency departments of hospitals play a very important role in the health system, and the effectiveness of these services can be effectively increased by using health information technologies. The purpose of this study was to prioritize the challenges of implementing electronic medical records in the emergency department of selected hospitals in Isfahan.Methods: This descriptive-cross-sectional study was conducted in 1401. The research population included doctors and nurses from Al-Zahra, Kashani and Amin hospitals of Isfahan University of Medical Sciences. The data was collected through a researcher-made questionnaire. The validity of this tool was confirmed based on the opinions of 10 experts, and the reliability of the questionnaire was obtained by calculating Cronbach's alpha of 0.85. Data analysis was done using SPSS statistical software software and presented via Mean and standard deviation.Results: The findings showed that challenges in the organizational field, technical field, human field, and financial field had the first to fourth priority, respectively, among the organizational challenges, the increase in the workload of health service providers, the complexity of the processes of accepting and providing services to emergency patients and the lack of necessary infrastructure for electronic transmission of information to interested organizations has been assigned the highest priority.Conclusion: The effective implementation of electronic medical records in the emergency department of the studied hospitals requires the development of effective processes for accepting and providing medical services to emergency patients, providing the necessary organizational and technical infrastructure for proper access of health service providers and other users to electronic records. and providing funds for training users.
Health Information management
mohammad reza ahmadi varzaneh; ali rashidpour; Hamid Reza Peikari; amir reza naghsh
Abstract
Introduction: Mobile value-added services in health encompass all services beyond voice calls and their implementation carries many benefits. The aim of the present study is to rank the factors related to mobile value-added services in the health sector.Research Method: This research is of the applied ...
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Introduction: Mobile value-added services in health encompass all services beyond voice calls and their implementation carries many benefits. The aim of the present study is to rank the factors related to mobile value-added services in the health sector.Research Method: This research is of the applied and descriptive-cross-sectional type with the statistical population of all information technology experts in the Social Security Organization of Tehran province, including 84 people. The measurement tool, with 64 items in 18 components, and its reliability was obtained with Cronbach’s alpha of 0.916. The validity of the questionnaire was confirmed by 5 experts. For data analysis, confirmatory factor analysis method and SmartPLS software were used. For ranking related factors, a pairwise comparison questionnaire was designed and made available to 15 specialized experts and their opinions were calculated and ranked using Expert choice software.Findings: The indices and coefficients obtained from the model of implementing mobile value-added services in the health sector have sufficient validity. The themes of effects and outcomes with a weight of 0.558, user understanding with a weight of 0.165, reliability with a weight of 0.115, mentality and expectations with a weight of 0.071, effective environmental conditions with a weight of 0.054, technology development with a weight of 0.037 have the most impact on the implementation of mobile value-added services in the health sector.Conclusion: Organizations providing health services can implement by considering effective factors such as effects and consequences for using these services and other factors based on priority, in order to improve the acceptance rate, in order to improve processes and increase satisfaction
Health Information management
fatemeh sajadiian; salim karimi takalo; abbass shoul
Abstract
AbstractIntroduction: Blockchain as a distributed, secure, transparent and reliable database shared by a community can also affect sustainable supply chain networks. This research was conducted with the aim of determining the causal relationship of the factors related to the use of blockchain in the ...
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AbstractIntroduction: Blockchain as a distributed, secure, transparent and reliable database shared by a community can also affect sustainable supply chain networks. This research was conducted with the aim of determining the causal relationship of the factors related to the use of blockchain in the sustainable supply chain of the health sector.Research method: The current research is descriptive and was conducted with the participation of 5 experts from Ali Ibn Abi Talib Hospital in Rafsanjan. The experts were selected as a snowball. In order to collect and analyze data, structured interview and fuzzy cognitive mapping method were used.Findings: Based on the research literature and expert opinions, fifteen variables related to the use of blockchain in the sustainable health supply chain were identified. The results showed that the data encryption variable was the most effective with a factor of 2.03 and the scalability variable was the most effective with a factor of 2.20. Among the 15 factors, the variable of standardization and development of software platforms has the highest degree of centrality with a coefficient of 2.97.Conclusion: By identifying the effective and efficient factors in the use of blockchain, the officials of Ali Ibn Abitaleb (AS) hospital can use the data encryption that provides a secure environment by implementing blockchain technology, and also an intelligent system for convenience. To make patients communicate with the hospital.Key words: sustainable supply chain, blockchain, service supply chain, health fieldConclusion: By identifying the effective and efficient factors in the use of blockchain, the officials of Aliebn Abitaleb Hospital will be able to prepare the ground for the application of the blockchain approach by investing in these variables.
Health Information management
fatemeh Hooshangi; Zohreh Javanmard
Abstract
Introduction: Telemedicine is an important feature for quick access of patients to healthcare services. It seems important to understand the level of knowledge and attitude of the medical staff about telemedicine for its successful implementation. This study endeavors to determine the level of knowledge ...
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Introduction: Telemedicine is an important feature for quick access of patients to healthcare services. It seems important to understand the level of knowledge and attitude of the medical staff about telemedicine for its successful implementation. This study endeavors to determine the level of knowledge and attitude of the medical staff about telemedicine in the hospitals of Ferdows.Methods: This descriptive and cross-sectional study was conducted in two hospitals in Ferdows in the year 2022. The population was the medical staff. In this study, the census method was used and the research community was considered as the research sample. The data collection instrument was Rezaei et al.'s questionnaire consisting of four parts. After completing the questionnaires, the data were analyzed using descriptive methods.Results: Among the participants, 39% had moderate knowledge and 40.3% had little or very little knowledge about telemedicine, however, there was a positive attitude towards telemedicine. 26.3% of the treatment staff had used this technology, with the telephonic consultation service as the most used. Sixty eight percent stated that the critical implementation obstacle was the lack of access to high-speed and high-bandwidth internet.Conclusion: The results revealed that the level of awareness of telemedicine among medical staff is low, but their attitude is positive. Increasing the awareness of the medical staff about telemedicine can be the most effective way for its successful implementation.
Health Information management
Asefeh Asemi
Abstract
This letter has been written to share the researcher’s thoughts on the topic of interactive intelligent health information systems. With the rapid advancement of technology, healthcare professionals now have access to a vast amount of information, which they can use to promote the quality of care ...
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This letter has been written to share the researcher’s thoughts on the topic of interactive intelligent health information systems. With the rapid advancement of technology, healthcare professionals now have access to a vast amount of information, which they can use to promote the quality of care provided to patients. Interactive intelligent health information systems are one such example of this technological advancement. Interactive intelligent health information refer to systems that use artificial intelligence and machine learning algorithms to analyze and interpret medical data. These systems are developed to assist healthcare professionals in making accurate diagnoses and creating personalized treatment plans for their patients. One of the key benefits of interactive intelligent health information systems is that they enable healthcare professionals to make real-time informed decisions. With the help of these systems, medical professionals can quickly analyze patient data and determine the best course of treatment for each patient. This can lead to faster diagnosis and treatment, which can ultimately save lives. Another advantage of interactive intelligent health information systems is that they can help healthcare professionals identify patterns and trends in medical data. By analyzing large amounts of data from multiple resources, these systems can identify potential health risks and suggest preventive measures. This could be especially useful in the case of chronic diseases, such as diabetes, where early intervention can make a significant difference in the patient's quality of life. Interactive intelligent health information systems can also help healthcare professionals reduce the risk of medical errors. By analyzing patient data, these systems can identify potential drug interactions and allergies, reducing the likelihood of adverse reactions. Moreover, these systems can alert healthcare professionals to potential diagnostic errors, ensuring that patients receive accurate diagnoses and appropriate treatment. One of the promising applications of interactive intelligent health information systems is in the field of telemedicine. With the help of these systems, healthcare professionals can provide remote consultations and diagnoses to patients who are unable to visit a healthcare facility in person. This can be especially useful in rural areas or in cases where patients are unable to travel due to illness or disability. However, while interactive intelligent health information systems offer many benefits, there are also some potential challenges that need to be addressed. One of the significant challenges is ensuring the privacy and security of patient data. Healthcare professionals should ensure that patient data is protected from unauthorized access, and that patients are informed about how their data will be used. Another challenge is the need for healthcare professionals to receive proper training in the use of these systems. Interactive intelligent health information systems can be complex and require specialized knowledge to use effectively. Healthcare professionals need to properly trained to use these systems to ensure that they are used appropriately and effectively. As a result, interactive intelligent health information systems represent a significant advancement in healthcare technology. By providing healthcare professionals with real-time access to medical data, these systems can help improve patient outcomes and reduce the risk of medical errors. However, it seems indispensable to ensure that patient data is protected and that healthcare professionals receive proper training in the use of these systems. With these considerations in mind, interactive intelligent health information systems have the potential to revolutionize the way healthcare is delivered, improving the lives of patients around the world.
Health Information management
somayeh derakhshan; Akbar nabiollahi; naser khani; sayed Raoof khayami
Abstract
Introduction: Enterprise architecture plays an important role in aligning the required changes in the organization's business capabilities with the complex IT landscape. In the current research, the capability planning model is presented based on the Cobit 2019 organizational architecture process, which ...
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Introduction: Enterprise architecture plays an important role in aligning the required changes in the organization's business capabilities with the complex IT landscape. In the current research, the capability planning model is presented based on the Cobit 2019 organizational architecture process, which is the reference model for the governance of information technology organizational processes.Methods:This study method was qualitative and used from Design Science Research (DSR) method, which is a structural problem solving framework. The statistical sample was made up of 47 university experts and architectural experts, knowledgeable in the field of business capabilities. The data collection method was semi-structured interview and Google form questionnaire. Data analysis was done using descriptive statistical methods and was evaluated according to the opinion of experts.Results: Using the implementation of the capability planning model based on the Cobit organizational architecture management process in the ICT unit of Isfahan University of Medical Sciences, the capability perspective, level two and level three capabilities, the plan to create and develop the identified capabilities, work projects to identify and develop the capability and Additional services were extracted.Conclusion: The results of this research showed that the use of organizational architecture in the planning of information technology capabilities led to the identification and development of a new capability plan for "data management" and the development of a capability improvement plan in other departments, including "software systems management", "infrastructure and network management". "Management of statistics" became the second level of ICT unit.
Health Information management
Seyyed Mahdi Hosseini Sarkhosh
Abstract
Introduction: Blockchain technology has emerged as the fourth industrial revolution in recent years, which can facilitate the management and exchange of patient records by developing a new infrastructure. A review of the literature indicates the lack of studies and the need for further study of the factors ...
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Introduction: Blockchain technology has emerged as the fourth industrial revolution in recent years, which can facilitate the management and exchange of patient records by developing a new infrastructure. A review of the literature indicates the lack of studies and the need for further study of the factors affecting the adoption of this technology in the healthcare industry. Therefore, the aim of the present study is to prioritize the factors related to the adoption of blockchain technology in the Electronic Health Record (EHR) systems.Methods: In this descriptive study, 15 factors related to blockchain adoption in EHR systems were identified by reviewing the scientific literature. Then, these factors were validated by 17 experts who were selected by targeted sampling method and divided into five categories: technological, legal, financial, environmental and organizational. Finally, the weight of each criterion was determined by the fuzzy best-worst method and the consistency of experts’ opinions was evaluated.Results: According to the judgments of experts, the legal criterion with 32 percent was identified as the most important factor in the adoption of blockchain technology in EHR systems. In addition, security and privacy (16.66 percent), compliance with legal requirements (13.10 percent), compliance with changes in laws (12.22 percent), incentives and rewards (7.01 percent) and standardization (6.87 percent) were identified as five most important sub-criteria in the adoption of the technology, respectively.Conclusion: With the help of the factors identified in this study and the weights determined for each of them, a method can be developed to assess the level of readiness of healthcare providers in adopting blockchain technology in EHR systems.
