نوع مقاله : مقاله پژوهشی
نویسندگان
1 دانشجوی دکتری، مدیریت خدمات بهداشتی و درمانی، دانشگاه علوم پزشکی بقیهاله (عج)، تهران، ایران
2 استادیار، مدیریت خدمات بهداشتی درمانی، پژوهشگاه علوم پزشکی بقیه اله (عج)، تهران، ایران
3 کارشناس ارشد، مدیریت خدمات بهداشتی و درمانی، دانشگاه علوم پزشکی شهرکرد، شهرکرد، ایران
4 کارشناس ارشد، مدیریت فناوری اطلاعات پزشکی، دانشگاه علوم پزشکی شهرکرد، شهرکرد، ایران
چکیده
مقدمه: یکی از انواع سیستم اطلاعات مدیریت بیمارستانی، سیستم اطلاعات پشتیبان تصمیمگیری (Decision support information system یا DSIS) است. این سیستم، از مدلهای تصمیمگیری و پایگاه دادههای خاص برای تهیهی اطلاعات در جهت پشتیبانی از تصمیمات نیمه ساخت یافته یا ساخت نیافته استفاده میکند. هدف این پژوهش، طراحی مدل سیستم اطلاعات پشتیبان تصمیم برای بیمارستان هیأت امنایی آیتاله کاشانی شهرکرد بود.
روش بررسی: این مطالعه اکتشافی و مدلسازی در سال 1389 و در بیمارستان هیأت امنایی آیتاله کاشانی شهرکرد انجام شد. جامعه پژوهش، 30 نفر از اعضای هیأت مدیره و سرپرستان بیمارستان بودند. برای جمعآوری اطلاعات از پرسشنامه 42 سؤالی محقق ساختی که روایی و پایایی آن (آزمون 85 درصد) مورد تأیید استادان فن قرار گرفت و مصاحبه و مشاهده استفاده شد. دادهها با استفاده از اصول تحلیل سیستمها و مدیریت، تحلیل ریاضی و با استفاده از فنون پژوهش عملیات تحلیل شد.
یافتهها: طبق بررسی صورت گرفته، اطلاعات کامل در مورد شناخت سازمان و محیط سازمانی، نمودار معماری اطلاعات، الگوی تصمیمگیری هیأت مدیره و مسؤولین بیمارستان، تعیین مدلهای ریاضی و سایر مدلهای تصمیمگیری آنان به دست آمد و مدل سیستم اطلاعات پشتیبان تصمیم برای بیمارستان هیأت امنایی آیتاله کاشانی شهرکرد طراحی گردید.
نتیجهگیری: نمودار معماری اطلاعات بیمارستان در مقایسه با پژوهشهای انجام شده تفاوت چندانی ندارد؛ اما استفاده از مدل DSIS و خروجیهای آن با استفاده از فنون پژوهش عملیات، الگوهای ریاضی و سایر الگوهای مناسب به نتایجی تبدیل خواهند شد که هیأت مدیره بیمارستان را در اتخاذ تصمیم خود حمایت و پشتیبانی میکند.
کلیدواژهها
عنوان مقاله [English]
Designing the Decision Support Information System Model for Board of Trustees in Ayatollah Kashani Hospital, Shahrekord*
نویسندگان [English]
- Rouhollah Ghaedamini Asadabadi 1
- Ahmad Amerieon 2
- Shahram Tofighi 2
- Fatemeh Azizian 3
- Azam Fayazi 4
1 PhD Student, Healthcare Services Management, Baqiyatallah University of Medical Sciences, Tehran, Iran
2 Assistant Professor, Healthcare Services Management, Baqiyatallah Institute of Medical Sciences, Tehran, Iran
3 Healthcare Services Management, Shahrekord University of Medical Sciences, Shahrekord, Iran
4 Medical Information Technology Management, Shahrekord University of Medical Sciences, Shahrekord, Iran
چکیده [English]
Introduction: One of the types of hospital management information systems is decision support
information system (DSIS). This system uses decision-making models and databases for
preparing specific information to support their semi-structured or unstructured decisions. The
present study aimed to design a decision DSIS model for Board of Trustees of Ayatollah Kashani
Hospital, Shahrekord, Iran.
Methods: This exploratory and modeling study was performed in 2010 and conducted in Board of
Trustees Ayatollah Kashani Hospital in Shahrekord. The study population consisted of 30 Board of
Directors and hospital administrators. Data collection was performed through a researcher-made
42-item questionnaire with approved validity and reliability (85%) by the expert professors used for
interviewing and observation. The data were analyzed using principles of systems analysis and
management and, mathematical analysis and also operations research technique.
Results: Complete information about identifying the organizational environment, information
architecture diagrams, the decision-making pattern of Board of Directors and the hospital
authorities, the mathematical models and other decision-making models were achieved and the
DSIS model was designed for Board of Trustees of Ayatollah Kashani Hospital, Shahrekord, Iran.
Conclusion: Hospital information architecture diagram did not have much difference compared
with the other conducted studies; however, using DSIS model and its output through the
operations research techniques, mathematical patterns and other appropriate patterns would
resulted in decisions that the hospital’s board might make and support them.
کلیدواژهها [English]
- Modeling
- Decision Support Information System
- Hospitals
- Ghaedamini Asadabadi R, Amerion A, Tofighi SH, Azizian F, Fayazi A, Malmir E, et al. Design Model Decision
Support Information System (DSIS) for Field hospital. Proceedings of the 5th International Congress on Health
and Crisis Management in Disaster; 2012 Jan 16-18; Tehran, Iran; 2012. [In Persian].
2. Fitzmaurice DA, Hobbs FD, Murray ET, Holder RL, Allan TF, Rose PE. Oral anticoagulation management in
primary care with the use of computerized decision support and near-patient testing: a randomized, controlled
trial. Arch Intern Med 2000; 160(15): 2343-8.
3. Peleg M, Boxwala AA, Tu S, Zeng Q, Ogunyemi O, Wang D, et al. The InterMed approach to sharable
computer-interpretable guidelines: a review. J Am Med Inform Assoc 2004; 11(1): 1-10.
4. Kawamoto K, Houlihan CA, Balas EA, Lobach DF. Improving clinical practice using clinical decision support
systems: a systematic review of trials to identify features critical to success. BMJ 2005; 330(7494): 765.
5. Georg G, Colombet I, Jaulent MC. Structuring clinical guidelines through the recognition of deontic operators.
Connecting medical informatics and bioinformatics: Proceedings of MIE2005Proceedings of the 19th International
Congress of the European Federation for Medical Informatics; 2005 28 Aug-1 Sep; Geneva, Switzerland; 2005.
6. Weir CJ, Lees KR, MacWalter RS, Muir KW, Wallesch CW, McLelland EV, et al. Cluster-randomized,
controlled trial of computer-based decision support for selecting long-term anti-thrombotic therapy after acute
ischaemic stroke. QJM 2003; 96(2): 143-53.
7. Gross PA, Bates DW. A pragmatic approach to implementing best practices for clinical decision support systems
in computerized provider order entry systems. J Am Med Inform Assoc 2007; 14(1): 25-8.
8. Garg AX, Adhikari NK, McDonald H, Rosas-Arellano MP, Devereaux PJ, Beyene J, et al. Effects of
computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic
review. JAMA 2005; 293(10): 1223-38.
9. Stainsby H, Taboada M, Claque E. Towards an agent-based simulation of hospital emergency departments, in:
SCC'09. Proceedings of the 2009 IEEE International Conference on Services Computing, IEEE Computer
Society; 2009 Sep 21-25; Washington, DC; 2009.p. 536-9. 2012.
10. Allan R. Survey of Agent Based Modelling ans Simulation Tools, Computational Sience and Engineering
Department, STFC Daresbury Laboratory, Daresbury, Warrington [Online]. 2010; Available from: URL:
http://193.62.125.70/Complex/ABMS/ABMS.html/ 11. Kuperman GJ, Bobb A, Payne TH, Avery AJ, Gandhi TK, Burns G, et al. Medication-related clinical decision
support in computerized provider order entry systems: a review. J Am Med Inform Assoc 2007; 14(1): 29-40.
12. Rollman BL, Hanusa BH, Lowe HJ, Gilbert T, Kapoor WN, Schulberg HC. A randomized trial using
computerized decision support to improve treatment of major depression in primary care. J Gen Intern Med 2002;
17(7): 493-503.
13. Tofighi SH. Application of Operations Research in the Hospital Management. Hospital 2000; 2(5): 85.
[In Persian].
14. Gallo G. Operations research and ethics: Responsibility, sharing and cooperation. European Journal of
Operational Research 2004; 153(2): 468-76.
15. Sittig DF, Wright A, Osheroff JA, Middleton B, Teich JM, Ash JS, et al. Grand challenges in clinical decision
support. J Biomed Inform 2008; 41(2): 387-92.
16. El-Gayar OF, Fritz BD. A web-based multi-perspective decision support system for information security
planning. JournalDecision Support Systems 2010; 50(1): 43-54.
17. Uzoka FME, Obot O, Barker K, Osuji J. An experimental comparison of fuzzy logic and analytic hierarchy process
for medical decision support systems. Computer Methods and Programs in Biomedicine 2011; 103(1): 10-27.
18. Holsapple CW. Decision Support Systems. In: Bidgoli H, editor. Encyclopedia of Information Systems. New
York, NY: Academic Press; 2003.
19. Karwan KR, Markland RE. Integrating service design principles and information technology to improve delivery
and productivity in public sector operations: The case of the South Carolina DMV. Journal of Operations
Management 2006; 24(4): 347-62.
20. Kirk R. Karwan KR, Markland RE. Integrating service design principles and information technology to improve
delivery and productivity in public sector operations: The case of the South Carolina DMV. Journal of Operations
Management 2006; 24(4): 347-62.
21. Butler T, Feller J, Pope A, Emerson B, Murphy C. Designing a core IT artefact for Knowledge Management
Systems using participatory action research in a government and a non-government organisation. The Journal of
Strategic Information Systems archive 2008; 17(4): 249-67.
22. Tavares LV. A review of the contribution of Operational Research to Project Management. European Journal of
Operational Research 2002; 136(1): 1-18.
23. Kianfar F. The role strategic management of information systems in strategic decisions making process
leadership. Quarterly Journal of Management Tomorrow 2008; 7(19): 65-75. [In Persian].
24. Zare H. Management information systems in hospitals and other health centers. Hospital 2000; 2(5): 54.
[In Persian].
25. Baghbanian A, Ghanepoor M. Use of computers in the hospital information system. Proceedings of the
Congress's role management in providing Health services; 2000 May 20-22; Kerman, Iran; 2000. [In Persian].
26. Zamani M. Study of management information system jamaran hospital by BSP technique [MSc Thesis]. Tehran,
Iran: School of Health, Baqiyatallah University of Medical Sciences; 2000. [In Persian].
27.Manoochehri J. Study of views of Tehran of hospital executive in management information system (MIS) and
provide a suitable model for design of management information system in hospital by BSP technique
[MSc Thesis]. Tehran, Iran: School of Health, University of Medical Sciences; 2002. [In Persian].
28. Valizadeh M. Presented and described all solution to document the software design based on patterns
[MSc Thesis]. Tehran, Iran: School of Electronicall Engineering and Computer, Shaid Behesti University of
Medical Sciences; 2005. [In Persian]. 29. Zargar M. Evaluation and development of enterprise information technology architecture [MSc Thesis]. Tehran, Iran:
School of Electronicall Engineering and Computer, Shaid Behesti University of Medical Sciences; 2006. [In Persian].
30. Abdi M. Review management information system, Department of Budget and plan Baqiyatallah University of
Medical Sciences (BMSU) and presented its architecture based methodology (Rational Unified Process) RUP in
2008 [MSc Thesis]. Tehran, Iran: School of Health, Baqiyatallah University of Medical Sciences; 2009. [In Persian].
31. Ghaedamini Asadabadi R. Design Model Database Health Sepah Qamar Bani Hashem (AS) Chahar Mahal and
Bakhtiari Province Based Geographical Information System (GIS) [MSc Thesis]. Tehran, Iran: School of Health,
Baqiyatallah University of Medical Sciences; 2011. [In Persian].
32. Hospital Board of Trustees Website. Hospital Board of Trustees Position in Range of institutional reforms in the
public hospitals 2011 [cited 2011 Jul 9]; Available from: URL:
www.ahm.behdasht.gov.ir/index.aspx?siteid=281&pageid/ [In Persian].
33. Ghaedamini Asadabadi R, Fayazi A, Azizian F, Tofighi SH. Study of telemedicine infrastructure in Ayatollah
Kashani Hospital of Shahrekord. Proceedings of the International Electronic Hospital and Telemedicine
Symposium; 2010 Sep 23; Tehran, Iran; 2010. [In Persian].
)