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 ...
Read More
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.
Mehdi Yousefi; Abbas Assari Arani; Bahram Sahabi; Anoshirvan Kazemnejad; Somayeh Fazaeli
Volume 10, Issue 6 , December 2012, , Pages 876-886
Abstract
Introduction: Information and Communications Technology (ICT) penetration in health and its remarkable ability to increase the efficiency of service delivery and costs reduction has caused increasing attention to these technologies. Accordingly, the development of e-health effects on household health ...
Read More
Introduction: Information and Communications Technology (ICT) penetration in health and its remarkable ability to increase the efficiency of service delivery and costs reduction has caused increasing attention to these technologies. Accordingly, the development of e-health effects on household health expenditure is the main purpose of this article. Methods: This descriptive-applied study was conducted in two stages in 2012. In the first phase, this study used qualitative interviews with a sample of 93 households from eight provinces based on four levels of human development index, to identify the different components of household health expenditure. In the next, an expert’s panel for content analysis of components was employed. In this phase, Impact of e-health development on household health expenditure in each component (Directly, indirectly and without affecting) was investigated. Results: In the first stage of study identified 73 types of household health expenditure and In the next stage, 27 items were diagnosed as types of expenses that directly with the development of e-health can be reduced. Among these cases, e-Health has the greatest potential to reduce the cost of transportation, housing, job changes and stress from lost time. Conclusion: E-Health can be developed as a strategy to reduce household health expenditure of course ICT infrastructures and cooperation for the benefits of the results of this strategy seems to be necessary. Keywords: Health Expenditures; Health Information Technology; Electronic Health
