JOURNAL OF HEALTH MANAGEMENT AND INFORMATICS
Year:2018 | Volume:5 | Issue:2|Papers Count:6

Background: Medicine is considered as strategic goods worldwide and, therefore, a huge amount 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 insurance organization and National Center of Drug Use. The data about prescribed drugs during 2003 to 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 of corticosteroids 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.

Background: The diagnosis of skin diseases, especially in patients suffering from more than one disease or having similar symptoms, is very complex and access to the knowledge of skin diseases makes the design of an expert system easier. This research aimed to design a knowledge base used for diagnosis of complex skin diseases, selected by experts. Methods: This applied developmental research was conducted in 2015. The study population included 10 dermatologists of Razi Hospital, affiliated to Tehran University of Medical Sciences. Data collection was conducted through a questionnaire and a checklist. The questionnaire had face and content validity and was based on Likert scale according to the twelfth chapter of the International Classification of Diseases (Tenth revision). The questionnaires were administered to participants and collected after completion. A checklist of knowledge acquisition was designed for each disease based on the semiology book of skin diseases 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 and symptoms of the diseases selected by the experts included 106 causes. Conclusion: The choice of the selected diseases needed by specialists in the knowledge system is a very vital component needed in designing the expert knowledge base system to meet international standards based on international classification and according to the needs of specialists.

Background: An important application in health care system is computerized physician order 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 three months after CPOE implementation in Namazi Hospital. The study population consisted of all physicians and nurses in General Intensive care Unit (ICU), which included 14 physicians and 26 nurses who had been working with CPOE system. A standard questionnaire was applied 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 was moderate (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 about CPOE 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.

Background: Online information retrieval is a process the result of which is influenced by the changes in the emotional moods of the user. It seems reasonable to include emotional aspects 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 experimental and applied research. According to the nature of the experimental method, observation and questionnaire were used. The participants were the students of various fields of Medical Sciences. The research sample included 50 students of Shiraz University of Medical Sciences selected through purposeful sampling method; they regularly used World Wide Web and google engine for information retrieval in educational, Research, personal, or managerial activities. 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 negative affects in the information seeking process in a set of perceiving signs in human interaction with the computer. The automatic identification of the users’ affect opens new dimensions into users moderators and information retrieval systems for successful retrieval from the Web.

Background: Talent management (TM) strategies are one of the most important factors that can change the innovation climate. The main aim of this research was to investigate the influence of TM strategies on innovation climate in Isfahan University of Medical Sciences. Methods: This was a cross-sectional study. The target population included all faculty members. In this research, 242 faculty members were selected through accidental sampling method. Data collection instruments were TM strategies questionnaire based on Collings and Mellahi’ 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 to improve 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.

Background: The aim of citation and content analysis is to improve the quality of scientific productions, identify the authors’ trends, etc., and finally provide solutions to improve the present status. Therefore, the aim of this study was to determine the citation and content status of Journal of Health Management and Informatics in 2014-2016. Methods: This is a descriptive cross-sectional study performed in 2016. The study population was all published articles in 2014-2016. Data gathering was done through a self-made checklist including content (corresponding authors affiliations, type of articles, study method, financial support, topics, collaboration rate, etc. ) and citation analysis (number of references), 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 by the authors; they should also provide context for encouraging the authors to publish articles resulting from research projects and theses.