Journal of Health Information Management
Year:2022 | Volume:19 | Issue:2 (84)|Papers Count:8

Introduction: After the establishment of the Integrated Health System (SIB) with the aim of collecting individuals' health information and creating an electronic health record for the general public, the necessity of evaluating users' views on its function, goals, and characteristics doubled and this study was carried out. Methods: This descriptive study was conducted on 30 experts of electronic health records (leaders) at universities of medical sciences in Iran. A cluster method was employed for sampling. The data collection instrument was a questionnaire developed by the researcher, whose validity (reliability) was estimated to the extent of 81% and its index 89%. It was measured through content validation and with 94%. Results: Participants were 46. 7% women and 53. 3% men. The results of the study in the Application section, Objectives and Characteristics Conclusion: From users’,view, the system needs further development in terms of goals and features, so that by expanding it and creating the necessary infrastructure, the electronic health record can be published for the general public. In the application section, this system was at a relatively acceptable level. Besides, the educational field and work experience of the apple system experts are important. Because the lack of familiarity of employees with international standards and inappropriate training of personnel leads to incorrect use of information, which as a result affects managerial and clinical decisions.

Introduction: Enterprise architecture plays an important role in aligning the required changes in the organization's business capabilities with the complex IT landscape. In this study, the capability planning model is presented based on the Cobit 2019 organizational architecture process, which is a reference model for the governance of information technology organizational processes. Methods: This qualitative study was run through Design Science Research (DSR) method, which is a structural problem solving framework. The sample was 47 university experts and architectural experts, knowledgeable in the field of business capabilities. The data collection method was semi-structured interview and Google form questionnaire. Data analysis was done through descriptive statistical methods and was evaluated according to the experts’,opinion. Results: The implementation of the capability planning model based on the Cobit organizational architecture management process in the ICT of Isfahan University of Medical Sciences, the capability perspective, level two and level three capabilities, the plan to create and develop the identified capabilities, work projects to identify and develop the capability and additional services were extracted. Conclusion: The findings showed that the use of organizational architecture in the planning of information technology capabilities led to the identification and development of a new capability plan for "data management" and the development of a capability improvement plan in other departments, including "software systems management", "infrastructure and network management". "Management of statistics" became the second level of ICT.

Introduction: Blockchain technology has emerged as the fourth industrial revolution in recent years, which can facilitate the management and exchange of patient records by developing a new infrastructure. A review of the literature indicates the lack of studies and the need for further study of the factors affecting the adoption of this technology in the healthcare industry. Therefore, the aim of the present study is to prioritize the factors related to the adoption of blockchain technology in the Electronic Health Record (EHR) systems. Methods: In this descriptive study, 15 factors related to blockchain adoption in EHR systems were identified by reviewing the scientific literature. Then, these factors were validated by 17 experts who were selected by targeted sampling method and divided into five categories: technological, legal, financial, environmental and organizational. Finally, the weight of each criterion was determined by the fuzzy best-worst method and the consistency of experts’,opinions was evaluated. Results: According to the judgments of experts, the legal criterion with 32 percent was identified as the most important factor in the adoption of blockchain technology in EHR systems. In addition, security and privacy (16. 66 percent), compliance with legal requirements (13. 10 percent), compliance with changes in laws (12. 22 percent), incentives and rewards (7. 01 percent) and standardization (6. 87 percent) were identified as five most important sub-criteria in the adoption of the technology, respectively. Conclusion: With the help of the factors identified in this study and the weights determined for each of them, a method can be developed to assess the level of readiness of healthcare providers in adopting blockchain technology in EHR systems.

Introduction: Introduction: Today, Iran's health tourism supply chain has faced many disturbances, which highlights its resilience. This study endeavored to identify the critical factors of health tourism supply chain resilience, classifying them based on resilience stages, and presenting their conceptual model. Methods: This qualitative study was done in 2 stages. Initially, the critical factors of supply chain resilience have been identified based on the four stages of resilience. In the second stage, a model for them has been presented. The participants in both stages are experts. The method of sampling is purposive, followed by the snowball method. The number of participants in first and second stages are 18 and 10, respectively. The method of data collection is semi-structured interviews and interactive management approach. The method of data analysis is thematic analysis and fuzzy cognitive map, respectively. Results: Based on the interviews, 67 critical success factors for resilience were identified, which were categorized into 20 categories. The results revealed that training, information management and coordination and cooperation have the most out degree. Market management, supplier relationship management and supply chain design have the most in degree. Supplier relationship management, coordination, and cooperation as well as planning ability have the highest degree of centrality. . Conclusion: Providing appropriate training, especially in the areas of problem-solving and decision-making skills, reducing uncertainty in government decisions and approaches, upgrading information infrastructure and software, are important ways to enhance the resilience of the health tourism supply chain.

Introduction: With the leap in the development of information technology and social media, seeking health information online has become popular. This study endeavors to provide an analysis of users 'health-seeking information behavior in the web environment, based on Bates' developed model. . Methods: This applied study has been done by an analytical survey method. The data collection instrument was an online researcher-made questionnaire (sensitive to the differentiation of respondents) developed with inspiration from the research by Dow and her colleagues, which was enacted by 10 Faculty members of Iranian universities of medical sciences. The sample consisted of 72 individuals with bachelor's degrees and higher who were selected by volunteer sampling method. Non-parametric Kruskal-Wallis and Spearman tests were used. Results: Approximately, 48% of the members of the research sample had a "scrutinizing" approach to their health question and 31% had a "direct and active (searching)" approach according to Bates' developed information model. These two informationseeking approaches were more prevalent (compared to "engineering" and "basic sciences" disciplines) among those who had worked or studied in the field of "social sciences and humanities" for at least one year. There was a significant difference between "occupation" and "online health information-seeking behavior based on the Bates' model". However, there was no significant difference between "age" and "level of education" and their health information-seeking behavior (March 2022). Conclusion: Dow's model (based on the Bates developed seeking information model) can be used and be efficient in the health research to analyze the information seeking behavior of different groups.

Introduction: covid 19 has affected various sectors of the economy and the tourism, including health tourism. Health tourism has a significant impact on the prevalence of corona due to its direct relationship with individals' health. This study endeavored to identify relevant factors of health tourism in the edidemic of covid-19. Methods: This qualitative study was done with the theme analysis method. Data collection was done through semi-structured interviews with health tourism experts and health tourists. Targeted sampling continued until theoretical saturation was reached, and a total of 14 samples were selected. Results: The results revealed that relevant factors of health tourism with effect on covid 19 epidemic was in both micro and macro levels. In micro level, three categories of factors, including factors related to health tourism services, factors related to tourism ancillary services, and factors relevant to health tourists, were affected by covid 19. In the macro level, the relevant factors of health tourism on covid 19 epidemic has been in 4 sectors: economic, technological, political-legal and cultural-social. Conclusion: Results revealed that the lack of equipment due to its allocation to the corona sectors, the expansion of online services, and the lack of specialized human resources have affected health tourism. In the factors related to ancillary services, unused capacities have increased and this discussion has led to the closure of some sectors. This issue will reduce the capacity of ancillary services in the post-corona period and will be a threat to the development of health tourism. In the tourist sector, corona has led to an increase in the general awareness of tourists as well as an increase in health concerns, and price sensitivity has decreased in relation to health issues.

Introduction: This descriptive-analytical study was performed on 184 clerics of Birjand through convenience sampling using the Iranian Health Literacy Questionnaire (National Health Literacy Research Plan) and the data were analyzed using Statistical tests ttest and analysis of variance at the significance level of = 0. 05. Methods: In this descriptive-survey study, first, by reviewing the literature, factors related to hospital readiness were extracted. Then, to validate these factors and reach the consensus of the expert group (40 physicians and nurses involved in the front line of the corona), the Delphi method was used. Finally, the identified indicators were ranked and prioritized using the Stepwise Weight Assessment Ratio Analysis (SWARA) technique. Results: The mean score of health literacy of the participants was 122. 09 ±,15. 09 (average) and in terms of examining the dimensions of literacy the two dimensions of access health and information acquisition (16. 83 ±,53. 3) as well as judgment and evaluation (18. 09 ±,3. 44) obtained a poor score. In the study of sources of information in the clergy, the major source of health information was the Internet (59. 2%), followed by radio and television (49. 3%) and booklets, pamphlets, educational brochures, and propaganda (44%). Conclusion: The level of health literacy of clerics in Birjand is not favorable, and considering the role and position of clerics in society, policymakers' attention to planning and development of health literacy of this reference group seems indispensable.

Today, access to information to strengthen teaching and learning and individual development is one of the fundamental needs of individuals. There is no exception to this rule. Although there are numerous facilities in universities, some aspects to provide excellent services to disable students are ignored but if following policies and rules are done correctly, it is possible to act like some successful countries (e. g., England) in this field. Proposal for (scientific assistant as a facilitator for disable students) is running in Isfahan University of Medical Sciences, for a blind student as student with special needs. In this plan, individuals who are interested in helping disable students are identified,in this way, they will be cause of self confidence in disable students, and a pattern for other universities. This plan also can be an introduction to the formation of the center for providing services to students with special needs. This plan requires financial and spiritual supports and appropriate policy and planning in universities.