2024-03-28T21:07:08Z
https://jhmi.sums.ac.ir/?_action=export&rf=summon&issue=5061
Health Management & Information Science
JHMIS
2018
5
2
Rational Prescription of Drug in Iran: Statistics and Trends for Policymakers
Peivand
Bastani
Eshagh
Barfar
Aziz
Rezapour
Seyyed Mostafa
Hakimzadeh
Ali
Tahernejad
Sirous
Panahi
Background: Medicine is considered as strategic goods worldwide and, therefore, a hugeamount of health care budget is spent on it. To prepare universal access to appropriate health services and achieve the health-related millennium development goals, rational use of drugs is an essential goal in the health system. This study aimed to investigate the proportion of drug prescription in three categories of injections, antibacterials agents and corticosteroids in a 10 year period.Methods: This is a descriptive study using data from an Iranian national insuranceorganization and National Center of Drug Use. The data about prescribed drugs during 2003to 2013 were collected and analyzed by Excel Microsoft software, version 2010.Result: Results indicated that injections were decreased from 49.25% in 2003 to 46% in 2013;also, antimicrobials had a decrease from 64.25% in 2003 to 42.2% in 2013. Totally, it was reduced about 16% in the period of 10 years. Corticosteroids increased 10 % from 13% to 23% in 2013.Conclusion: According the present findings that indicate irrational and increasing use ofcorticosteroids and antimicrobials, it seems necessary for Iranian policy makers to pay specific attention to customizing clinical and pharmaceutical guidelines along with improvement of medical education system and rational prescription, holding scientific committees of prescription supervision, arranging continuous and effective education of health personnel, and improving public culture and community education.Keywords: Injections, Antimicrobials, Rational prescribing
2018
04
08
35
40
https://jhmi.sums.ac.ir/article_42709_5d32a1cb8f2055d697d9ca925bdbfc57.pdf
Health Management & Information Science
JHMIS
2018
5
2
Knowledge Acquisition for Diagnosis of Skin Diseases as an Initial Platform for an Expert System
Fatemeh
Rangraz Jeddi
Masoud
Arabfard
Zahra
Arab Kermani
Background: The diagnosis of skin diseases, especially in patients suffering from more thanone disease or having similar symptoms, is very complex and access to the knowledge ofskin diseases makes the design of an expert system easier. This research aimed to design aknowledge base used for diagnosis of complex skin diseases, selected by experts.Methods: This applied developmental research was conducted in 2015. The studypopulation included 10 dermatologists of Razi Hospital, affiliated to Tehran University ofMedical Sciences. Data collection was conducted through a questionnaire and a checklist.The questionnaire had face and content validity and was based on Likert scale accordingto the twelfth chapter of the International Classification of Diseases (Tenth revision). Thequestionnaires were administered to participants and collected after completion. A checklistof knowledge acquisition was designed for each disease based on the semiology book of skindiseases with “agree-disagree” options and completed by interviews. Signs and symptoms had an agreement with at least 70% of the experts, and symptoms that were added according to the experts’ proposal entered the checklist and was given to experts for consensus in future evaluations. The software used in this research was Clementine and its statistical method used was Stata. The data were analyzed using SPSS, 16.Results: The diseases including pemphigus vulgaris, lichen planus, basal cell carcinoma,melanoma, and scabies were selected to design the expert system. Confirmed signs andsymptoms of the diseases selected by the experts included 106 causes.Conclusion: The choice of the selected diseases needed by specialists in the knowledgesystem is a very vital component needed in designing the expert knowledge base system tomeet international standards based on international classification and according to the needsof specialists.Keywords: Skin diseases, Knowledge acquisition, Knowledge base
2018
04
08
41
50
https://jhmi.sums.ac.ir/article_42710_99f8c83e24ccbf253a9cdc959bd17d56.pdf
Health Management & Information Science
JHMIS
2018
5
2
Evaluating Physicians and Nurses’ Satisfaction with Computerized Physician Order Entry System in Iran
Fatemeh
Niknam
Mohammad
Khammarnia
Farid
Zand
Elham
Fallahnejad
Roxana
Sharifian
Background: An important application in health care system is computerized physicianorder entry system (CPOE) which improves the quality of patient’s care. Given that the users’ satisfaction is necessary in predicting the success of a system, this study aimed to evaluate the satisfaction of CPOE users in Namazi Hospital.Methods: This cross-sectional study was conducted as a descriptive-analytical research threemonths after CPOE implementation in Namazi Hospital. The study population consisted ofall physicians and nurses in General Intensive care Unit (ICU), which included 14 physiciansand 26 nurses who had been working with CPOE system. A standard questionnaire wasapplied for data gathering; its validity and reliability was confirmed in the study (α=0.84).The data were processed by SPSS 21 software and appropriate statistical tests including T test, One-way Anova and Chi-square tests were used.Results: Overall, the satisfaction of physicians and nurses about the CPOE systems wasmoderate (4.83±1.99). Although the physician’s satisfaction score was 5.30±1.54, which was greater than that of nurses (4.56±2.19), this differences was not significant (P>0.05). Results also showed a significant relationship between the user satisfaction score and age and gender of the participants (P=0.001, P=0.006) respectively.A significant relationship was found between the CPOE user friendliness and age (P=0.05).Conclusion: Overall, there is a relative satisfaction among the physicians and nurses aboutCPOE in Namazi hospital. Hospital managers could accelerate the use of CPOE in hospitals.It is suggested that the challenges of the system should be examined in future studies.Keywords: Evaluation, CPOE, Satisfaction, Hospital
2018
04
08
51
56
https://jhmi.sums.ac.ir/article_42711_bfd0ccbbfab7fc92f5145e0fdf06d622.pdf
Health Management & Information Science
JHMIS
2018
5
2
The Role of the Medical Students’ Emotional Mood in Information Retrieval from the Web
Marzieh
Yari Zanganeh
Nadjla
Hariri
Fahimeh
Babalhavaeji
Background: Online information retrieval is a process the result of which is influenced bythe changes in the emotional moods of the user. It seems reasonable to include emotionalaspects in developing information retrieval systems in order to optimize the experience of the users. Therefore, this study aimed to identify the role of positive and negative affects in the information seeking process on the web among students of medical sciences.Methods: From the methodological perspective, the present study was an experimentaland applied research. According to the nature of the experimental method, observationand questionnaire were used. The participants were the students of various fields of MedicalSciences. The research sample included 50 students of Shiraz University of Medical Sciencesselected through purposeful sampling method; they regularly used World Wide Web andgoogle engine for information retrieval in educational, Research, personal, or managerialactivities. In order to collect the data, search tasks were characterized by the topic, sequence in a search process, difficulty level, and searcher’s interest (simple) in a task. Face and content validity of the questionnaire were confirmed by the experts. Reliability of the questionnaire was tested by Alpha Cronbach. Cronbach’s alpha coefficient (PA=0.777, NA=0.754) showed a high rate of reliability in a PANAS questionnaire. The collected data were analyzed using SPSS, version 20.0; also, to test the research hypothesis, T-Test and pair Samples T-Test were used. The P<0.05 was considered statistically significant.Results: The results showed that there was a significant association between the positive affect and users’ successful retrieval (P<0.001). Also, there were significant associations between the negative and positive affect, type of search (P<0.001) and quality of retrieved results of the web (P<0.001) in the simple and difficult search. Finally, the impact of positive and negative affects before and after searching in the information retrieval result showed that there were significant associations between negative affects before the search and while doing the simple search (P<0.001); also, a significant association was found between negative affects in the simple and difficult searches (P=0.020). The results showed that the positive affects before and after the search had no significant effect during the search on simple and difficult search(P >0.05).Conclusion: Information retrieval systems in the Web should identify positive and negativeaffects in the information seeking process in a set of perceiving signs in human interactionwith the computer. The automatic identification of the users’ affect opens new dimensionsinto users moderators and information retrieval systems for successful retrieval from theWeb.Keywords: Affect, Information storage and retrieval, Information seeking behavior, ShirazUniversity of Medical Sciences
2018
04
08
57
64
https://jhmi.sums.ac.ir/article_42712_262568a9db9a7d960cc3af73791a4d46.pdf
Health Management & Information Science
JHMIS
2018
5
2
Talent Management Strategies and Innovation Climate in Isfahan University of Medical Sciences
Susan
Bahrami
Background: Talent management (TM) strategies are one of the most important factorsthat can change the innovation climate. The main aim of this research was to investigate theinfluence of TM strategies on innovation climate in Isfahan University of Medical Sciences.Methods: This was a cross-sectional study. The target population included all facultymembers. In this research, 242 faculty members were selected through accidental samplingmethod. Data collection instruments were TM strategies questionnaire based on Collings andMellahi’s model and innovation climate questionnaire based on Luthans et al. model. The data analysis was done using Pearson correlation, one way ANOVA, t-tests and regression model.Results: According to the results, TM strategies and innovation climates cores were 4.29±1.17 and 4.17±1.17, respectively. The results showed that there was a statistically significant relationship with TM strategies (open communication, employee development, rewards and recognitions, managing performance and open climate/culture) and innovation climate. As a result, all research hypotheses were confirmed.Conclusion: TM strategies are a comprehensive, department wide program designated toimprove the employees’ satisfaction, strengthen the workplace learning and help the employees better manage the changes and transitions. The study suggested that talent management strategies are a comprehensive, department wide program designated to improve the faculty member’s satisfaction, strengthen workplace learning and help the employees better manage the changes and transitions.Keywords: Talent management strategies, Organizational climate, Innovation climate
2018
04
08
65
71
https://jhmi.sums.ac.ir/article_42713_236e772e0fa1d9d8159490209d460b17.pdf
Health Management & Information Science
JHMIS
2018
5
2
Citation and Content Analysis of Journal of Health Management and Informatics in 2014-2016
Reza
Mohammadi
Maryam
Nikokalam
Peivand
Bastani
Sara
Ghalaneh
Shahabeddin
Abhari
Ali
Garavand
Background: The aim of citation and content analysis is to improve the quality of scientificproductions, identify the authors’ trends, etc., and finally provide solutions to improve thepresent status. Therefore, the aim of this study was to determine the citation and contentstatus of Journal of Health Management and Informatics in 2014 -2016.Methods: This is a descriptive cross-sectional study performed in 2016. The study populationwas all published articles in 2014-2016. Data gathering was done through a self-madechecklist including content (corresponding authors affiliations, type of articles, studymethod, financial support, topics, collaboration rate, etc.) and citation analysis (number ofreferences), language of references, type of references and half life time of references). Data were abstracted and reported based on the research objectives using Excel software v 2007 and descriptive statistics.Results: The results showed that from all 67 papers surveyed, 82.08% of the published articles were original ones, and 98.5% were done through team works. 82.10% of the references were in the English language and 79.17% of them were journal articles. The half-life of the references used by authors was 9.70 years.Conclusion: It is suggested that journal authorities should supervise the resources used bythe authors; they should also provide context for encouraging the authors to publish articlesresulting from research projects and theses.Keywords: Bibliometric, Content analysis, Citation analysis
2018
04
08
72
77
https://jhmi.sums.ac.ir/article_42708_fde5d1cc6fc183db51f10f89d022151e.pdf