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
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.
Mohammadreza Amiresmaili; Seyed Hossein Saberi; Farzad Nazempoor-Vaziri; Farshid Barkhordari
Abstract
Introduction: Urban health centers provide primary health services in cities. In recent years, comprehensive urban health services centers have undergone changes in structure, function, and area of activity; however, these changes cannot address all the problems in this area. This study endeavored to ...
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Introduction: Urban health centers provide primary health services in cities. In recent years, comprehensive urban health services centers have undergone changes in structure, function, and area of activity; however, these changes cannot address all the problems in this area. This study endeavored to identify the challenges facing Integrated Health Services after implementing health transformation plan.Methods: In this qualitative case study, the target population was managers and staff of Kerman City comprehensive health services centers in Iran. Semi-structured interview was conducted with 8 managers and 7 staff members of Kerman comprehensive health centers. The interview guide was employed to gather information, including some general questions based on the literature review, and to clarify specific topics. The content analysis method based on Colaizzi’s seven stages of rapeseed was used to obtain data as well.Results: In this study, after analyzing the challenges of comprehensive urban health centers, four main themes of human, organizational, functional, and clients were identified.Conclusion: It is possible to offset these problems through strategies such as reforming the payment system and incentive system, expanding physical departments of the centers, reviewing programs, and effective implementation of family physician plans.
