ایندکس
Index Journal
Volume 13, Issue 3 , September 2016
Abstract
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سرمقاله
Mohammad Hossein Yarmohammadian; Nahid Tavakoli
Volume 13, Issue 3 , September 2016, Pages 153-154
Original Article
Azam Sabahi; Reza Khajouei
Volume 13, Issue 3 , September 2016, Pages 155-162
Abstract
Introduction: A geographic information system (GIS) can help in locating facilities and medical centers, and in crisis management during accidents. One of the appropriate information sources for using this system is the medical records of victims of traffic accidents. Since these records have not ...
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Introduction: A geographic information system (GIS) can help in locating facilities and medical centers, and in crisis management during accidents. One of the appropriate information sources for using this system is the medical records of victims of traffic accidents. Since these records have not been used in designing GIS until now, the aim of this study was the implementation of a GIS using data from the medical records of injured patients.Methods: In this applied study, the medical records of victims of traffic accidents hospitalized in Chamran Hospital in Ferdows, Iran, from June to November 2014 were reviewed. The GIS was used to identify hot spots of accidents (black spots), and the distribution of injuries and health services in these spots, in terms of urban and suburban accidents.Results: From the total of 470 road accidents, 216 had occurred in urban and 256 in suburban areas. In terms of distribution of injuries, in the urban areas, abdominal injury in Islamiyeh, Iran, and in suburban areas, head and hand injuries in Sarayan, Iran, were the most prevalent. In urban accidents, most injured patients (46.75%) were referred to the emergency ward, and in suburban accidents, most patients (53.93%) were referred to the general surgery ward. The longest time for arriving at the hospital from urban areas was 5 hours for face injuries and 2.8 hours from suburban areas for foot injuries and those with multiple injuries.Conclusion: The medical records of victims of traffic accidents showed that at least 5 other emergency stations are needed. It seems that by establishing more stations the duration of moving injured patients to a hospital could be shortened. Since the distribution of injury type on the roads was determined in the present study, the emergency stations could be equipped with the required personnel and facilities based on injury types.
Original Article
Seyed Mohammad Taghi Taghvafard; Akram Mofarrah; Saman Ebrahimi
Volume 13, Issue 3 , September 2016, Pages 163-169
Abstract
Introduction: Automatic identification and data collection without the need for frequent human intervention is an undeniable necessity in health control. Among a variety of methods, radio-frequency identification (RFID) is known for this characteristic and can be used for the online process of ...
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Introduction: Automatic identification and data collection without the need for frequent human intervention is an undeniable necessity in health control. Among a variety of methods, radio-frequency identification (RFID) is known for this characteristic and can be used for the online process of sending and receiving information. This study was conducted to determine the role of this technology in the effectiveness of treatment and care at hospitals affiliated to Kashan University of Medical Sciences, Iran, from the point of view of its users.Methods: This was an applied, descriptive, and the cross-sectional research. The statistical sample consisted of 72 physicians and nurses of hospitals affiliated to Kashan University of Medical Sciences selected through stratified sampling method. Data collection was carried out using a questionnaire the validity and reliability of which were, respectively, confirmed by a group of experts and using Cronbach's alpha coefficient (α = 0.89). Data were analyzed using chi-square test.Results: According to the results, 84% of the participants believed that RFID tags lead to the improvement of detection, diagnosis, identification, and automated reception of information in treatment and care. The attitude of the studied population toward RFID components was favorable in improving treatment and care in terms of effective detection (17.05), diagnosis (16.27), automated reception, collection of information (15.54), and identification (14.8).Conclusion: The favorable attitude of the participants shows that the use of RFID in the studied hospitals was effective in improving treatment and care for the patients.
Original Article
Hossein Azari; Mazaher Yousefi-Amiri
Volume 13, Issue 3 , September 2016, Pages 170-176
Abstract
Introduction: The structure of an organization determines its ability to respond to environmental challenges. Numerous factors affect organizational structure and improve organizational performance. One of these factors is management information systems (MISs). The aim of the present study ...
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Introduction: The structure of an organization determines its ability to respond to environmental challenges. Numerous factors affect organizational structure and improve organizational performance. One of these factors is management information systems (MISs). The aim of the present study was to determine the effect of MISs on dimensions of organizational structure in the branches of the Social Security Organization of Qom, Iran. Methods: This correlational descriptive study was conducted on 235 employees of 9 branches of the Social Security Organization in Qom during 2015. The study population was selected using the Cochran formula and cluster sampling. Robbins Organizational Structure Questionnaire and Delone and Mclean’s Management Information Systems Questionnaire were used to collect data. Data were analyzed using Spearman correlation test in SPSS software and Structural Equation Modeling in Amos software. Results: A significant negative relationship was found between the MISs and dimensions of centralization and complexity (-0.325 and -0.543, respectively). Moreover, a significant direct relationship was found between MISs and the dimension of formalization (0.314). The impact of MISs on centralization, complexity, and formalization was, respectively, calculated as -0.85, -0.74, and 0.69 using structural equation modeling (SEM). Conclusion: Application of MISs caused a decrease in the centralization of decision making and expansion of authority delegation, decrease in the organizational hierarchy, and increase in response to the dynamics of the environment and formalization through emphasis on rules, procedures, and written documents in branches of the Social Security Organization of Qom.
Original Article
Alireza Kazemi; Reza Rabiei; Hamid Moghaddasi; Ghasem Deimazar
Abstract
Introduction: The pharmacy information system (PIS) is a subsystem of the hospital information system (HIS). In this study, the PIS implemented in hospitals affiliated with three medical universities in Tehran (Iran) were evaluated. Methods: This applied study was conducted using descriptive method in ...
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Introduction: The pharmacy information system (PIS) is a subsystem of the hospital information system (HIS). In this study, the PIS implemented in hospitals affiliated with three medical universities in Tehran (Iran) were evaluated. Methods: This applied study was conducted using descriptive method in 2015. The study sample included five PISs in hospitals affiliated with three medical universities in Tehran which were selected and evaluated according to the system suppliers. The data were collected through observation and using a checklist (addressing both general and specific criteria). The content validity of the checklist was approved by 6 experts in the field. Data analysis was carried out using descriptive statistics. Results: With respect to the general features of the systems, only two systems were capable of restricting repeated attempts made for unauthorized access to the system. The evaluation of the specific criteria of the systems showed that no attention was paid to patient safety aspects. Furthermore, it was revealed that there was no connection between these systems and information systems of pharmaceutical companies. Conclusion: Financial aspects were the main consideration when designing and producing PISs and little attention was paid to therapeutic criteria such as patient safety. Efficient and effective use of PISs requires the consideration of both general and specific aspects in the development of such systems.
Original Article
Mehdi Alipour-Hafezi; Mahshid Karimi
Abstract
Introduction: Today, hospital portals play a key role in the dissemination of information and provision of special services. Therefore, the main purpose of this study was to evaluate the status of portals of private hospitals in Tehran, Iran, in terms of their content and structure.Methods: This was ...
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Introduction: Today, hospital portals play a key role in the dissemination of information and provision of special services. Therefore, the main purpose of this study was to evaluate the status of portals of private hospitals in Tehran, Iran, in terms of their content and structure.Methods: This was a descriptive practical study. The research population consisted of the portals (n = 34) of all private hospitals in Tehran. Data gathering tool was a checklist. The data were collected through objective observation. The collected data were presented in number, percentage, and factor and criterion scores.Results: Research findings demonstrated that portals had favorable conditions in terms of contact information. They were relatively favorable in terms of page design. In addition, the portals were unfavorable in terms of page technical specifications, portal page specification, and public relationship, necessary information for patients, general information and access routes, and financial services. Moreover, they were in poor conditions in terms of patient services, page updates, public services, pharmaceutical services, research, education, and telemedicine.Conclusion: The results demonstrated that the studied portals generally had an unfavorable status. Thus, it is necessary that the results of the present study be used by the relevant authorities to increase the quality of these portals in terms of usability and services. In this respect, the use of the latest information technology is necessary.
Original Article
Razieh Vahab; Firoozeh Zare-Farashbandi; Ali Cachuei; Mohammad Reza Soleymani; Akbar Hassanzadeh
Volume 13, Issue 3 , September 2016, Pages 191-196
Abstract
Introduction: Accessing credible information is essential in the area of healthcare. Information therapy is a method that helps patients to access credible and relevant information regarding their conditions. The goal of the present study was to investigate the effects of distant information ...
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Introduction: Accessing credible information is essential in the area of healthcare. Information therapy is a method that helps patients to access credible and relevant information regarding their conditions. The goal of the present study was to investigate the effects of distant information therapy on glycosylated hemoglobin (HbA1C) levels of patients with pre-diabetes and type 2 diabetes. Methods: The current applied and semi-empirical study was conducted on 31 patients with type 2 diabetes and 35 patients with pre-diabetes referring to Isfahan Endocrine and Metabolism Research Center, Iran, during winter 2015. The subjects were chosen through simple random sampling. The subjects’ HbA1C was measured at the beginning of the study and after the information therapy intervention. The gathered data were analyzed using descriptive and analytical statistics in SPSS software. Results: The results showed no meaningful difference in the HbA1C levels in the type 2 diabetic or pre-diabetic groups before and after the intervention. There was also no significant difference between mean HbA1C levels of the two groups after the intervention. Conclusion: The findings revealed that distant information therapy had no significant effects on HbA1C levels of patients in either group. As a result, in order to carry out information therapy, it may be better to use health software and social networks rather than posted information packages and SMS massages. It is also necessary to give patients with pre-diabetes a better understanding of their condition and the side effects of diabetes so that they follow instructions and guidelines to control their disease more seriously.
Original Article
Mohammad Javad Alemokhtar; Mohammad Ali Boroumand; Iraj Parsaei; Maryam Ghafouri
Volume 13, Issue 3 , September 2016, Pages 197-202
Abstract
Introduction: An important aspect in the evaluation of scientific and research products is citation. Yet, a percentage of citations consist of self-citations, which, when employed excessively, although increases the impact factor (IF), leads to the demotion of journals. This study aimed to investigate ...
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Introduction: An important aspect in the evaluation of scientific and research products is citation. Yet, a percentage of citations consist of self-citations, which, when employed excessively, although increases the impact factor (IF), leads to the demotion of journals. This study aimed to investigate the correlation between self-citation and impact factor in Iranian journals indexed in the journal citation reports (JCR) of the Institute for Scientific Information (ISI).Methods: This applied survey was conducted using document analysis method. Samples included 44 Iranian journals indexed in JCR of ISI by the end of 2014. The data were collected via filtrated output for Iran from the ISI database. Data analysis was performed using Pearson correlation coefficient in SPSS software.Results: The 44 studied journals had 6004 citations (mean = 136.45). Moreover, 43.18% of the journals showed a rate of 21%-69% self-citation, to the extent that after removing the rate, their impact factor decreased significantly. Pearson correlation coefficient revealed a direct significant relation between self-citations and IF (P < 0.001).Conclusion: The self-citation rate of the studied journals is rising in ISI. There is a direct correlation between their self-citation rate and IF. Although self-citation is to some extent acceptable, its sharp increase will result in the devaluation and deterioration of the journal. It is suggested that in order to increase real citation of journals, the use of improper methods to increase IF are avoided, and instead, studies are shared on international scientific networks.
Original Article
Azam Shahbodaghi; Arezo Farhadi; Maryam Shekofteh; Manochehr Karami
Volume 13, Issue 3 , September 2016, Pages 203-208
Abstract
Introduction: In recent years, the number of academic medical research journals has increased in Iran. These journals must be based on the standards and criteria required in international indexing databases in order to be indexed. The aim of the present study was to determine the extent to which the ...
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Introduction: In recent years, the number of academic medical research journals has increased in Iran. These journals must be based on the standards and criteria required in international indexing databases in order to be indexed. The aim of the present study was to determine the extent to which the medical journals in Iran comply with Medline indexing criteria. Methods: The current study was a descriptive-applied study. The statistical population consisted of all scientific research journals approved by the Ministry of Health of Iran. The data collection tool was a checklist, which was prepared on the basis of 12 structural criteria extracted from Medline database criteria. The collected data were analyzed using descriptive statistical methods in SPSS software. Results: The lowest score was 4 and the highest score was 12 for the studied journals. The highest frequency of journals (24.6%) earned a score of 8. According to the structural criteria of Medline, average score of the journals was 8.86. In addition, the degree of compliance of the structural status of Iranian medical journals with the Medline criteria was calculated at 73.68%. Conclusion: In terms of the majority of the structural criteria of Medline, the studied Iranian medical journals were at a satisfactory level. However, regarding the international diversity of the editorial board, support of scientific societies, and the reporting of conflict of interest by the authors, the studied medical journals were not at a desirable level. Compliance of the journals with the standards can increase their chances of being indexed in Medline.
Original Article
Zahra Mirbolouk; Seyed Hamid Khodadad Hosseini; Mehr Ali Hematinejad; Esmail Noorsalehi
Volume 13, Issue 3 , September 2016, Pages 209-215
Abstract
Introduction: Although currently a small part of services marketing, tourism, or medical services has been allocated to medical tourism, its role cannot be dismissed as either temporary or insignificant. The aim of this research was to design the medical tourism trends model and investigate effective ...
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Introduction: Although currently a small part of services marketing, tourism, or medical services has been allocated to medical tourism, its role cannot be dismissed as either temporary or insignificant. The aim of this research was to design the medical tourism trends model and investigate effective factors on medical tourism attraction in Guilan Province, Iran. Methods: This applied study was carried out using a descriptive survey method. The study population consisted of all medical tourists who had chosen the private hospitals of Rasht and Beheshti Hospital in Astara, Iran, for their medical care during the study period (n = 100). Data were collected through census method using a questionnaire. The validity and reliability of the questionnaire were approved through confirmatory factor analysis and Cronbach’s alpha, respectively. Descriptive statistical indexes were used to describe the data and partial least squares structural equation modeling was used for data analysis in SmartPLS software. Results: Perceived medical quality, perceived service quality, perceived reputation, and religion had a positive effect on medical tourists’ perceived value. Perceived fee also had a positive effect on the perceived value of medical tourists of Rasht Province. In addition, medical tourists’ perceived value had a strong positive effect on customer trends in medical tourism. Conclusion: Improving medical infrastructure, increasing medical and tourism quality, providing correct and comprehensive advertisement about hospitals of Guilan in countries bordering the Caspian Sea, and improving supportive facilities for patients and their companions would lead to the development medical tourism and increasing of job opportunities and income in Guilan Province.
Original Article
Saeed Esmaeelinejad; Ali Rahnama; Jalal Rezaeenour
Volume 13, Issue 3 , September 2016, Pages 216-223
Abstract
Introduction: With the advent of e-commerce and the provision of web-based services, assessing the quality of web-based services has become a major concern for organizations and service centers. Therefore, the aim of this study was to evaluate the quality of web-based health and treatment services ...
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Introduction: With the advent of e-commerce and the provision of web-based services, assessing the quality of web-based services has become a major concern for organizations and service centers. Therefore, the aim of this study was to evaluate the quality of web-based health and treatment services and rank six specialized hospitals of Tehran, Iran. Methods: This was an applied descriptive study. The study population consisted of 6 specialized hospitals in Tehran. The data collection tool was a researcher-made questionnaire which was completed by experts in the related hospitals. For this purpose, using fuzzy Decision-Making Trial and Evaluation Laboratory (DEMATEL) and fuzzy analytic network process (ANP), the importance of the criteria of web-based services quality were calculated, and then, hospitals were ranked using the fuzzy VIKOR method. Results: According to the findings, reliability (w = 0.32) was recognized as the most important criterion of the quality of web-based services. Furthermore, appearance (w = 0.038) was identified as the least important criterion. The website of Hospital B with VIKOR, usefulness, and dissatisfaction indices of 0, 0.2678, and 0.0827, respectively, obtained the first rank among the studied hospitals. Conclusion: Based on the results, hospital managers should focus on security and user privacy as the two main criteria of quality of web-based services. Furthermore, hospitals should be responsible and accountable for the services they deliver to patients.
Original Article
Masoumeh Hasanbaglou; Seyed Mohammad Nopasand; Mohsen Akbari
Volume 13, Issue 3 , September 2016, Pages 224-228
Abstract
Introduction: Consideration of talent management and identification of its related factors can assist organizations in the implementation of talent management. The aim of the present study was to assess talent management in the Department of Health of Guilan Province, Iran, and determine its ...
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Introduction: Consideration of talent management and identification of its related factors can assist organizations in the implementation of talent management. The aim of the present study was to assess talent management in the Department of Health of Guilan Province, Iran, and determine its relation with demographic variables. Methods: This applied and descriptive-analytical study was performed on 362 employees of the Health Department of Guilan Province in 2015. Systematic random sampling was conducted following the determination of the contribution of each city to the total sample size. Talent management was considered as the main variable and demographic characteristics of the personnel as the background variables. Data was collected using a questionnaire the validity and reliability of which were approved through factor analysis (P < 0.05) and Cronbach’s Alpha (α = 0.93). Data were analyzed using correlation tests, independent t-test, and univariate ANOVA in SPSS software. Results: Mean score of talent management was 84.60 ± 19.33. The mean score of talent management among men and women was 86.40 ± 18.73 and 83.17 ± 19.65, respectively. There was an inverse weak correlation between talent management and education (r = -0.21, P = 0.001). Conclusion: It can be concluded that considering factors such as sex, education, and work experience can help managers in the talent management of staff.
Original Article
Mehdi Nosratabadi; Zohreh Halvaiepour
Volume 13, Issue 3 , September 2016, Pages 229-234
Abstract
Introduction: Child well-being is, either directly or indirectly, affected by the health expenditures of the household. This study aims to investigate the health poverty trends in the field of health within households with children in rural and urban areas of Kerman Province, Iran, between the years ...
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Introduction: Child well-being is, either directly or indirectly, affected by the health expenditures of the household. This study aims to investigate the health poverty trends in the field of health within households with children in rural and urban areas of Kerman Province, Iran, between the years 1984 and 2012. Methods: In this trend analysis, using the statistical data on health poverty indices of households during 1984-2012, the households of Kerman were divided into four age groups. Moreover, their health poverty status was measured using the household financial contribution approach and rate and gap measures. For data analysis, STATA and Excel Software were used. Results: The health poverty rate showed large fluctuations in both urban and rural households with children. The highest rate of health poverty in urban and rural households was observed in the year 1989. A decline was observed in the rate and depth of health poverty during the first to third development plan in rural and urban areas. However, this trend showed an increase during the fourth development plan. Health poverty rate in the year 2012 (beginning of the fifth development program plan) increased in both rural and urban areas of the province, but poverty gap showed some fluctuations. Conclusion: The present study showed that, in total, the rate and severity of health poverty was higher in rural areas compared to urban areas. These research findings showed the lack of efficient and effective policies to reduce household experience of catastrophic health care expenditures, especially in rural areas.
مقاله مروری نقلی
Hojatollah Hamidi; Atefeh Daraei
Volume 13, Issue 3 , September 2016, Pages 235-242
Abstract
Data mining, as a tool for extracting useful information from large data sets, has been one of the areas of interest to researchers in the field of health. Classification is a learning function by which data is mapped to one of the predefined categories. According to World Health Organization (WHO), ...
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Data mining, as a tool for extracting useful information from large data sets, has been one of the areas of interest to researchers in the field of health. Classification is a learning function by which data is mapped to one of the predefined categories. According to World Health Organization (WHO), heart disease, renal disease, diabetes and cancer have been the cause of 68% of all deaths in 2012. The aim of this research was to study various types of classification algorithms and the results of previous researches in this regard in the field of health. In this narrative review, studies on heart disease, breast cancer, and diabetes, published from 2003 to 2015, were investigated. The keywords of “data mining”, “classification”, “health”, “heart disease”, “diabetes”, and “breast cancer” were searched in ScienceDirect, Elsevier, Springer, and IEEE databases. In addition, references and citations of each retrieved article were collected. After the elimination of unsuitable studies, 34 articles were selected. Literature review showed that frequency of use of neural network algorithm was the highest for all three diseases. Neural network and Naïve Bayes for heart disease, K-nearest neighbors for breast cancer, and neural network for diabetes had the highest accuracy. In general, it can be concluded that although no algorithm can be consider the best algorithm for each disease with certainty, determining the best algorithm for each disease could be useful for future studies.
مقاله مروری نقلی
Mehrnoosh Shahmoradi; Ali-Asghar Safaei; Hoora Tajrishi; Elham Nazari; Zeinab Delaram; Zeinab Zarei; Nahid Zeinali
Volume 13, Issue 3 , September 2016, Pages 243-248
Abstract
Social networks can have an important role in treatment of patients, instant transmission of information and feedback, and improvement of the doctor-patient relationship. In this study, the common applications of social networks in the field of healthcare were determined and classified. This narrative ...
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Social networks can have an important role in treatment of patients, instant transmission of information and feedback, and improvement of the doctor-patient relationship. In this study, the common applications of social networks in the field of healthcare were determined and classified. This narrative review of literature was performed in 2015. Data were collected through an electronic search for articles published in English and Persian in the past 11 years in PubMed, ScienceDirect, Google Scholar, SID, Medlib, and Magiran databases. The keywords used in this search included "social network", "healthcare", "social media", and other similar keywords. Based on our review, social networks have significant applications in the healthcare sector such as enhancing the effects of antidepressant pharmacotherapy, identifying influential users, and measuring the quality criteria. In addition, healthcare social networks have some complications such as unprofessional behaviors of users and privacy concerns. Therefore, through understanding the applications and limitations of social networks, the requirements of applying these networks in the healthcare sector can be specified.
