JOURNAL OF HEALTH ADMINISTRATION
Year:2017 | Volume:20 | Issue:68|Papers Count:10

Introduction: Integration of health information systems based on a common language is essential to exchange data with the system. The study aimed to eliminate the existing problem in the integration of information system with electronic health records system through providing a conceptual model of laboratory reporting system, using the Unified Modeling Language and enable information system developers to design their services based on this model and connect to Electronic Health Record System to send their laboratory reports.Methods: In this applied-descriptive, cross-sectional study, conducted during the first half of 2015, purposive sampling was used to select 95 employees of Rajaee Heart Center laboratory in Tehran.Data were collected using a questionnaire the validity and reliability of which were measured using content validity and test-retest, respectively. Data analysis was done through descriptive statistics using SPSS software version 21. Visual paradigm was used to design a conceptual model.Results: Data related to reports such as, demographic, administrative, clinical, insurance, anesthesia and laboratory, observation and interpretation were suggested as minimum data set for radiology report. Identified data needs, based on processes and user description, were used to draw use case diagrams based on which activity, class, state, sequence and collaboration diagrams were designed.Conclusion: Laboratory reports in Electronic Health Record System have a crucial role in diagnosing and managing clinical problems; therefore, providing a conceptual model for laboratory reporting system can eliminate the current problem of data sharing between these systems and electronic health records system.

Introduction: Today’s health tourism is one of fast-growing sections of tourism in the world. With considerable potential and actual capacities, Iran can become one of the main health tourism destinations in Asia. However, this business in Iran has failed to grow in a systematic and integrated way. The present study is aimed at detecting and ranking strategies of health tourism industry based on SWOT (strengths, weaknesses, opportunities, and threats) technique. The results can help Iran’s health tourism industry by uncovering the challenges in order to help Iran’s leadership gain health tourism in the region.Methods: In this descriptive applied survey, fuzzy multiple criteria decision making (FMCDM) method was used. The study was carried out in 2016. Study population was comprised of 15 field experts A researcher-made questionnaire was used for data gathering. Content validity of the questionnaires and the criteria were ensured using feedbacks from the experts and screening. The factors were weighed and ranked using F.ANP following F.DEMATEL and F.D>ANP while the strategies were ranked using F.VIKOR.Results: The results showed that based on F.DEMATEL, among the factors, ‘opportunities’ and ‘weaknesses’ were the most affecting and the most affected factors, respectively. In addition, F.D.ANP showed that the “renowned and experienced physicians at international level” was the ‘top strength’ sub-factor. Based on F.VIKOR method, “codifying and reforming the comprehensive tourism policies” was the top strategy.Conclusion: The results indicate that to be successful in the field of tourism management, it is imperative that the comprehensive policies be revised.

Introduction: The major objective of library and information science education is to train skilled human resources for medical libraries. This study aimed to explore the competencies required for librarians in medical universities, and their conformity with library and information science syllabi in Iran.Methods: This applied survey, was conducted in 2016-2017. The population of the study consisted of all faculty members of library and information science departments, the librarians and library directors of medical universities from among whom a total number of 240 persons were randomly selected. A questionnaire was used for collecting data which were then analyzed using SPSS version 22.Results: According to the findings, searching information, managerial and personal and ethical competencies were considered as the most important competencies from the perspective of faculty members, library directors and librarians, respectively. The results also indicated that research competencies were considered as the least important competencies by the three groups. The conformity of required competencies for librarians with library and information science syllabi at undergraduate postgraduate levels was 60 and 66%, respectively.Conclusion: Medical librarians are required to acquire necessary abilities to enhance their professional knowledge and skills. The competencies presented in this study can be helpful for medical library and information profession.

Introduction: To achieve an ideal health system, a convenient and comprehensive access to information is essential in different steps of decision-making. An Integrated digital library (IDL) is developed by joing individual and scattered digital libraries forming a network and providing services under the control of a centralized manager. The main purpose of this study was to identify and rank effective factors in implementing Integrated Digital Libraries in Universities of Medical Sciences in Iran.Methods: The present descriptive study was conducted by reviewing the literature and interviewing 15 experts, who were digital library specialists representing the members of Delphi Panel. The sampling method was the snowball technique. Fuzzy topsis technique was used to rank the effective factors.Results: Factors, which influenced the integration of digital libraries in universities of medical sciences in Iran, could be classified into five main groups: strategic, technical, digital technology, organizational and human factors, respectively, and according to their ranks. It is interesting to note that the strategic factors were effective and important in implementing an integratd digital library.Conclusion: Effective factors in the integration process of digital libraries in univercities of medical sciences in Iran are mainly the same as those reported in other countries. However, on the basis of the opinion of Delphi panel members, strategic facors appeared to be more important and in priority for more consideration.

Introduction: Contrary to industrial economy, in knowledge economy, knowledge or intellectual capital plays a more significant role in achieving competitive advantage and attaining organizational goals compared with other assets. The aim of the current paper is to study the effect of intellectual capital on knowledge management processes influenced by the organizational culture in Mazandaran University of Medical Sciences.Methods: The statistical population included all the university staff (total number=230). The number of the participants who received the questionnaires was finally 183. The study was descriptive, and correlational which was used to collect the data; moreover, Bontis’s intellectual capital questionnaire (42 questions) and Lawson’s knowledge management questionnaire (24 questions) were exploited. The validity and reliability of questionnaires were firstly dermined.Results: The results of statistical hypothesis testing based on SMART PLS 3.2.4 as well as those of test statistics (t) and path coefficients (b) showed that intellectual capital had a positive and effective influence on knowledge managements steps including creating, receiving, saving, organizing, publishing and applying knowledge.Conclusion: Organizations fully understood that they should pay more attention to intellectual capital and knowledge to guarantee surviving and effective activities. In other words, identification, development, and empowerment are some of the main features of organization in creating, sharing and applying organizational knowledge which can increase the knowledge base activities and improving knowledge management strategies.

Introduction: Improving service quality is very important in health care delivery and can increase patient satisfaction. The quality of hospital services is primarily based on the assessment of patients' expectations and perceptions of service quality. This study aimed to determine patients’ expectations and perceptions about service quality of cardiac surgery wards in private hospitals.Methods: This cross-sectional study was conducted among 136 patients, hospitalized in cardiac surgery wards of private hospitals, in Mashhad. The data collection tool was a standardized SERVUS questionnaire. Service quality was assessed in six dimensions at two different time periods (admission time and discharge). To analyze the data, descriptive and analytical statistics were used.Results: Service quality in both parts, expectations and perceptions, and in all six dimensions was at the satisfactory level. These dimensions included tangible factors, reliability, responsiveness, assurance, empathy and usability. There was a negative gap between expectations and perceptions in all six dimensions. This finding suggests that the level of received service quality was lower than what was expected. The gap between general expectations and perceptions was -0.73 and was statistically significant. There was a significant inverse correlation between general expectations and age. A significant direct correlation was observed between patients’ general expectations and satisfaction.Conclusion: Considering the gap between expectations and perceptions in all six dimensions, and the nature of most of these dimensions, which are somehow influenced by the interaction between patients and staff, adoption of measures by training staff for interpersonal relation can be effective.

Introduction: Systematic reviews, which are of prime importance in medical research, provide essential information for decision making through integration of evidence-based information. The aim of the present study was to investigate the status of systematic reviews, citation rate and the factors influencing this rate in medical research in Iran.Methods: The present study was an applied research in which scientometric and statistical tests were used. The status of 382 medical systematic reviews of Iran in the Web of Science database were scrutinized and the factors influencing on citations of these articles were examined.Results: The results of the study showed that about 60% of articles were published from 2013 to 2015. More than 15% of the review articles were publishe under the subject category of Internal, General Medicine. The subject category of Gastroenterology and Hepatology with the average of 17.99-96 citation from each article was in the first rank. The highest number of citation for an article was 274. There were seven factors influencing citation : the length of the article, the length of the title, the length of the abstract, the number of keywords, the number of authors, the number of references, and the international collaboration. The findings revealed a significant correlation between the collaborating countries, the number of references and the number of citations. However, the relationship between other effective factors was not significant.Conclusion: The results of this study showed that the highest number of citations is taken from international articles. Therefore, writing articles with international authors is one of the best ways to increase the citation and visibility of the articles.

Introduction: The aim of this study was to identify and analyze the lean criteria at health centers and to provide practical recommendations based on the results of field research in order to improve management function and efficiency at health sectors.Methods: This study is an applied descriptive survey. The instrument were two questionnaires, one a Likert type and the other used for pair comparison. It was conducted in 1394-1395 and the population comprised the employees at Peimaniyeh Hospital in Jahrom-Iran. For the first group, 196 sampling was accomplished using random sampling method and 196 participants were selected. The second group of participants included 15 experts. Data were analyzed using Mean comparison Test with constant number (in order to measure the status of criteria) with SPSS. Furthermore, prioritizing criteria and attributes were accomplished using FAHP method.Results: According to the preliminary research hypothesis, the significance level of the test was 0.001 (less than 0.05). Therefore, all assumptions were rejected at the level of 0.05 showing that the situation in all lean standards in Peymanieh Hospital was desirable. Then, based on FAHP, the criterion to create tension in the value chain, weighing 0.292, was the highest one and its index (quick change in the services) received the highest rating among others with a weight of 0.286. Conclusion: According to the results, the components with higher priority should be given more attention in this organization. Efforts should also be made to identify issues and to create ongoing value stream and waste elimination as much as possible.