Showing 31 results for Ahmadi
M Abbaszade Ghanavati, A Rabbani, Sh Ahmadi, E Jazayeri,
Volume 2, Issue 3 (20 2008)
Abstract
Background and Aim: Stroke is an important cause of morbidity and mortality in patients undergoing coronary artery bypass (CABG) surgery. There are various mechanisms that can cause prioperative strokes in patients undergoing CABG other than Carotid Artery disease. The goal of this study is to evaluate whether the presence of stenosis internal carotid artery (ICA) influences prioperative stroke and mortality rates in patients subjected to Coronary Artery Bypass Grafting.
Materials and Methods: After institutional ethical committee review and approval, a retrospective review was undertaken of 1978 bypass procedures with saphenous vein graft performed over a period of four years is conducted. All those who had valve replacement or non-CABG procedure were excluded from this study. Carotid duplex ultrasonography scans were performed as part of preoperative evaluation of these patients. Ultrasound imaging measurement and velocity criteria were taken in to consideration in the estimation of degree of the carotid arteries. The stenosis of ICA was classified as non significant stenosis when there was<60% narrowing of the arterial lumen, and significant stenosis when there was 60%-99% narrowing of the arterial lumen.
Results: prioperative stroke rates were 0.8 %, 46.8% and 90%for groups A, B, and C, respectively. Group A results varied significantly from group's B (P=0.0001) and C (P=0.0001). Statistically significant difference was noted between groups B and C (p=0.0001 ). Prioperative mortality rates for groups A, B, and C, were 1.0 %, 16.7 % and 70 % respectively. The mortality rate for group A was lower than for groups B (P=0.0001) and C (P=0.0001).
Conclusion: The presence of an ICA occlusion increases the morbidity and mortality in patients undergoing CABG.
F Sadooqi, M Ahmadi, M.r Gohari, F Rangraz Jeddi,
Volume 3, Issue 3 (25 2010)
Abstract
Background and Aim: Information Technologies (ITs) has become a significant resource for dissemination of information and resulted to an increase of health knowledge in communities. With attention to patient - centered approach this study was done to determine knowledge of inpatients about ITs.
Materials and Methods: A descriptive - cross-sectional study was done on 461 inpatient in Kashan University of Medical Sciences hospital's with a reliable (spearman Brown, r =0.83) and valid (face and content) questionnaire in two section, demographic information and study objects. Data gathering was done with interview then analyzed by SPSS and descriptive analysis.
Results: %42.1 and %26.7 of participants had knowledge about computer and the Internet relatively. %41.9 of them had the Internet access. 86.3% and 88.3% relatively would be interested to access and get medical records and their information. They intended to get test (%85.7), refill her/his prescription (79%), get appointment (%76.4), consult with physicians (%80), and get information about diets (80%) through ITs.
Discussion and Conclusion: It seems ITs attitude in inpatients is relatively good. Providing their information needs especially about prescription order and diets from CD or the Internet by hospital sites and introducing good medical sites to patient were recommended.
B Ahmadi , M Ziwdar , S Rafiei ,
Volume 4, Issue 2 (19 2010)
Abstract
Background and Aim: Patients' needs should be acknowledged properly in order to enable hospitals to take responsibility for their expenses. In this study, patients' satisfaction is assessed in various fields which are key elements of hospitals assessment program.
Materials and Methods: In this cross-sectional study, 120 consecutive patients which are randomly selected from Hospitals affiliated to Tehran University of Medical Sciences (TUMS) were enrolled. A questionnaire was completed for their demographic, occupational, insurance status and their satisfaction of clinical services, nutrition, hospital environment and hospital facilities.
Results: The age range of participants were11 to 80 years old 61.9% were females and 38.1% were males. Overall, 78.1% were satisfied in respect to hospitals general status while there were significant differences considering satisfaction in hospital environment and facilities, clinical services and nutrition among recruited hospitals.
Discussion and Conclusion: A strong correlation between the index of hospital environment and patients' satisfaction signifies further enhancements of hospital environment which could potentially increase patients' satisfaction. Also, the relationship between patients well being and satisfaction indicates health care staff role should be emphasized for patients' appreciation. Consequently, hospital administration should focus on current unsatisfied sections to improve health care quality.
M Abbaszadeh , F Mehrany , Sh Ahmadi , E Jazayeri Gharebagh ,
Volume 4, Issue 2 (19 2010)
Abstract
Background and Aim: Females were reported to have significantly lower hematocrit (Hct), which might be the cause of increased need for blood transfusion. The goal of this study is to determine risk factors affecting blood transfusion in patients undergoing coronary artery bypass graft procedure related to gender
Materials and Methods: A cross sectional review of 500 (306 males and 194 females) ASA physical status I or Il patients undergoing bypass procedures with saphenous vein graft performed over a one year period were included in this study. The conducting of anesthesia was standardized. For each patient, we recorded the gender, age, body weight, height, body surface area (BSA), and duration of surgery. Hematocrit levels prior to surgery and the end of surgery were recorded. Packed red blood cell (PRBC) administration and use of fresh frozen plasma (FFP) and platelets were noted. Differences between the data for female and male patients were evaluated using Student's t-test, Chi-square test and using regression analysis.
Results: Approximately 57.2 % (111) female and only 39.9% (121) male patients received PRBCs. On average, females received 1. 6 units of PRBCs intraoperatively and 2. 6 units of PRBCs during the entire hospital stay, while the males received 1.1 units and 1.8 units for similar periods (P=0.0001). When females and males were compared within the same subgroups for age, body surface area (BSA), duration of surgery, and preoperative Hct, etc. ...had a significant correlation with age, postoperative Hct and BSA in females but had a significant correlation with preoperative Hct, preoperative PRBC and duration of surgery in males (P<0.05). Multiple logistic regression analysis showed that the probability of a patient receiving or not receiving PRBC transfusion is significantly influenced by preoperative Hct, postoperative Hct, duration of surgery, preoperative PRBC mass, and gender.
Discussion and Conclusion: Gender is an independent essential determinant of blood transfusion in CABG patients, and may interact with BSA, preoperative Hct, duration of surgery and other factors in determining the probability of transfusion.
As Gharamaleki, A Ahmadi, F Faraji Khiavi, Sh Arpanahi Istadegi, K Jafarian,
Volume 5, Issue 1 (26 2011)
Abstract
Background and Aim: Adverse events in hospitals are found to be a major problem of all health systems in the world. In fact, drug interaction side effects are now the fourth leading cause of death in the U.S. The aim of the current study was to identify the opinions of clinicians working in Shariati and Emam hospitals towards the use of computer applications for detecting drug-food interactions.
Materials and Methods: Ninety clinicians including physicians, pharmacists and nurses were selected randomly in the current descriptive- analytical study. The opinions of clinicians toward using computer application systems for detecting drug-food interactions were assessed by a questionnaire. The questionnaire's validity and repeatability was examined in a pilot study. Cronbach's alpha was 0.85 which indicated an acceptable level of repeatability of the questionnaire. The questionnaire was distributed among the academic staffs in order to determine its validity.
Results: 95.4% of clinicians had positive attitudes towards the requirement of computer application to detect drug-food interactions. Around 94% of them showed their willingness towards using the computer application systems. Therefore, use of computer application seems to be necessary in health system.
Conclusions: The collection and analysis of data encourages further investments in computerized system to prevent drug-food interaction. Such built-in warning systems in hospitals alert doctors to drug-food interaction and improvement in patient care. Screening each patient's medication plan for drug-food interactions can reduce medical error and improve the quality of health care
Mohammad Amin Norozi, Mahdi Jahangiri, Parvin Ahmadinezhad , Forough Zare Derisi ,
Volume 6, Issue 1 (12 2012)
Abstract
Background and Aim: Hospitals are among the most important establishments providing health services, in which -- due to special hazards -- the observance of safety principles is of great importance. This research aimed to study the safety conditions at educational hospitals of Shiraz University of Medical Sciences(SUMS).
Materials and Methods: This cross-sectional descriptive study was conducted in all educational hospitals in Shiraz and their safety status was investigated using safety audit technique. To this end, audit checklists were prepared and completed through observation, interview with managers and officials of various departments as well as studying the related documents. Then, based on the realization of safety requirements, hospitals were classified into three levels of poor (lower than 50%), medium (5o-75%), and good (higher than75%).
Results: The mean realization of safety requirements in the studied hospitals was 58 percent. The highest and lowest levels of realization of safety requirements were related to radiation safety and safety management, respectively. Safety status was evaluated as poor in 25% and medium in 75% of the studied hospitals.
Conclusion: The safety conditions of the studied hospitals, especially as regards safety management, emergency response plan, and fire safety aspects were relatively poor. The most important reason for that was the lack of clarity of responsibilities and of safety organizational structure. To improve the safety status, hospitals are required to establish the Occupational Health and Safety Management System (OHSAS 18001).
Esmaeel Mehraeen, Maryam Ahmadi, Maedeh Shajarat, Masumeh Khoshgam,
Volume 6, Issue 6 (17 2013)
Abstract
Background and Aim: According to the objectives of the information systems and to avoid duplication and help to improve the quality of care and reduce costs, HIS ongoing evaluation should be conducted to achieve these goals. This study has evaluated hospital information systems in selected hospitals with the use of "integrated hospital information system evaluation criteria-2011".
Materials and Methods: This study was a descriptive-sectional research. The study population consisted of information systems in Shohada, Rsool Akram, Khatamolanbia, Imam Khomeyni and Milad hospitals. The data collection tool was a checklist of HIS indicators. Checklist was completed with direct observation and interviews with HIS users in selected hospitals. Data was analyzed by SPSS statistical software, and results were presented in statistical tables and charts.
Results: In the studied hospitals most of the subtypes of organizational and server components of the hospital information system has been set up and used. However, pharmacy, decision support, medical services, communication services and telemedicine information systems, are not yet fully set up in the studied hospitals.
Conclusion: Most subtypes of organizational and server components, currently exist in all fields in the studied hospitals.
Maryam Ahmadi, Masume Khoshgam , Akram Farhadi,
Volume 7, Issue 1 (5-2013)
Abstract
Background and Aim: Considering the information needs of users improves the quality of care . We aimed to Survey the Compliance Rate of Surgical Information Systems with The Information Needs of surgeons.
Materials and Methods: This was a descriptive and original study. Statistical Society consisted of two groups. First was the hospital information systems in hospitals of Tehran University of Medical Sciences and Shahid Beheshti were the first group. The Second group were 982 surgeons. Hospitals that had the highest number of surgeries were the research sample. Researcher gathered data in two steps. First by questionnaire and then checklist was used to collect the data by interviewing the technicians’ of systems . All data has been analyzed by descriptive analysis.
Results: In Rasul and Emam hospitals surgical information systems in scheduling section(50%) had highest conformity with surgeons needs. In flexibility section in all hospitals except of Shariati, they had 50% conformity with information needs of surgeons.
Conclusion: From surgeons view flexibility capability, scheduling and accessing data had highest priority although systems from display capability had not the conformity with the user needs. In designing the surgical information systems in future it is better to consider these capabilities.
Mohammadhiwa Abdekhoda , Maryam Ahmadi , Agha Fateme Hossini , Esmail Prikhani , Akram Farhadi ,
Volume 7, Issue 4 (11-2013)
Abstract
Background and Aim: Despite all inherent advantages of information technology in health sector, its implementation still faces many problems. One of the most important barriers is people’s resistance. This study was carried out to survey the factors affecting the acceptance of information technology by Health Information Management (HIM) staff of Tehran University of Medical Sciences (TUMS) hospitals based on Technology Acceptance Model (TAM) in 2011.
Materials and Methods: It is a descriptive-analytical survey. The population of the study consisted of the HIM staff (363 members) of TUMS hospitals. As the sample, 123 employees were selected. The data gathering tool was a questionnaire the validity and reliability of which were confirmed. The data were collected and analyzed by SPSS software, descriptive statistical methods and Spearman Test.
Results: The results showed that there was a positive direct relationship between perceived ease of use (PEOU) on the one hand and the staff’s attitude and their application of IT on the other hand (R=0.14, P= 0.05 R=0.36, P=0.05). Also, perceived usefulness (PU) had a significant direct effect on the staff’s attitude and their application of IT (R=0.22, P= 0.05 R=0.37, P=0.05).
Conclusion : Perceived ease of use (PEOU) and perceived usefulness (PU) are the factors affecting the acceptance of information technology by the HIM staff of TUMS hospitals. Therefore, it is suggested that the above two principles be considered when designing and implementing the IT systems.
Mehdi Yousefi , Maryam Ahmadi, Somayeh Fazaeli ,
Volume 8, Issue 1 (5-2014)
Abstract
Background
and Aim: Managers are always looking for
better ways to improve productivity of staff. The aim of this study was to
introduce a model based on work and
time measurement for Staff Management based on performance in hospital.
Materials
and Methods: This descriptive - practical study was conducted in ten steps for a medical
documents expert’s in a general hospital. The main activities of employees
were determined via interview and direct observation. Then expected time, tolerances,
final coefficient and work units for each activity were calculated. Finally,
the total working units were calculated.
Results:
Implementation of introduced model
for a medical documents expert’s in a general hospital showed that the total work units which the staff was obliged to do in one month was 918 units and the remaining (1160-918) was the extra units.
Conclusion: Using appropriate models for the performance management of hospital staff
workloads, can help to improve the hospital productivity and staff
satisfaction.
Farzad Faraji Khiavi , Mansour Zahiri , Kambiz Ahmadi Angali , Bahareh Mirzaei , Mohammad Veisi, Marjan Arab Rahmatipour ,
Volume 8, Issue 2 (7-2014)
Abstract
Background and Aim: Information literacy is a set of skills
required to identify rightful information resources and access to them. These skills are empowering goal oriented use of information
resources. This study aimed to determine the ability rate of information
literacy among health services administration students in Jundishapur University of Medical
Sciences based on SCONUL seven pillars model.
Materials and
Methods: This cross-sectional
descriptive-analytic study was conducted using a questionnaire developed based
on SCONUL information literacy seven pillars model. Validity of the
questionnaire was confirmed through content analysis and coefficient of
Chronbach’s alpha was 0.93. The study population included students of health services
administration in Ahvaz Jundishapur University of Medical Sciences in 2013. The
sample size included 40 cases collected randomly. Data
analyzed through SPSS descriptive
statistics and non-parametric statistical tests.
Results: The mean score for the
studied components of information literacy abilities among the study population
was 0.5±0.43. Information Literacy score among freshmen was significantly
different from other students (P<0.03). Students who passed Computer Basics
and Research Methodology educational courses showed significant differences
from other students in the information management (P<0.01).
Conclusion: Given the increasing development in information
technology, the need to develop information literacy skills is considerable
especially among those who are going to be engaged in the health sector.
Although studied students’ information literacy estimated relatively well, it
seems necessary to take measures to improve their information literacy in all
components.
Maryam Ahmadi, Azadeh Bashiri,
Volume 8, Issue 2 (7-2014)
Abstract
Background and Aim: In order to better design an electronic health record system in the
country, determining standardized data elements for creating an integrated
information system is important. In this study, the minimum data set of
radiology reporting system is determined.
Materials and Methods: In this descriptive cross-sectional study, 13 radiologists, 3
anesthesiologists, 3 general practitioners and 3 insurance experts working in
the Imaging Center of Imam Khomeini hospital in Tehran were chosen. The
research tool was a questionnaire having 11 parts. Content validity and
test-retest method were used to measure the validity and reliability of the
questionnaire, respectively. Data analysis was performed using the SPSS
software.
Results: The highest means
reported were radiologists' written explanations and suggestions (9.6), image
interpretation (9.5), the name of contrast material (9.4), the name of imaging
procedure (9.3) type and date of previous measures (9.1), and the final
diagnosis (9) and the lowest averages belonged to referring physician's
address (4.8), relationship between patients and the primary individual insured
(4.3), and religion (2.2).
Conclusion: In an electronic health record system, due to
the importance of radiology reports for the diagnosis and future management of
a patient's clinical problems, it is necessary to pay attention to the minimum
set of data related to these reports such as administrative, insurance, patient
identity, and clinical data, and the results of radiological examinations for exchanging
with electronic health record system.
Rahim Ahmadi, Sahar Eshghjoo,
Volume 8, Issue 2 (7-2014)
Abstract
Background and Aim: Smoking can influence
liver or heart enzymes. The main aim of this study is to determine the effects
of cigarette or waterpipe smoke on serum level of alanine aminotransferase (SGOT) or aspartate
aminotransferase (SGPT) in male rats.
Materials and Methods: In this experimental laboratory study, 15 male Wistar rats were
randomly divided into control
groups of 5, and animals were exposed to cigarette and waterpipe
smoke. After 6 weeks,
blood samples were collected using cardiac puncture method. Following serum
collection, levels of SGOT
or SGPT were measured by spectroscopy method.
Data were statistically analyzed and compared between groups using one-way
ANOVA.
Results: Serum levels of SGPT significantly increased in
rats exposed to waterpipe and cigarette smoke compared with control animals
(P<0.05), but serum levels of SGOT significantly increased only in animals
exposed to waterpipe smoke. There was not a significant difference between serum levels of SGOT or SGPT in rats exposed to waterpipe or cigarette smoke.
Conclusion: Waterpipe smoke -- like cigarette smoke -- has pathophysiological
effects on liver and heart, which appears in elevated serum levels of SGOT and
SGPT.
Javad Ahmadi, Jamshid Bahmei, Mohamad Ranjbar, Hamed Rahimi , Hamze Shahbazi ,
Volume 9, Issue 2 (7-2015)
Abstract
Background and Aim: To perform plans and achieve their goals,
organizations are in need of different factors. One of the most important of which
is the existence of an ideal organizational climate and participation. The main goal
of this study is to determine the relationship between organizational climate and
faculty members' participation in decision makings at Shahid Sadoughi University
of Medical Sciences (SSUMS) in Yazd.
Materials and Methods: This was a cross-sectional, descriptive and
analytical study induced in 2011-2012. The research population comprised all 292
SSUMS faculty members. 72 members were selected through random-category
sampling method. For data collection, two questionnaires included organizational
climate and participation were used. The reliability of two questionnaires were 0.86
and 0.85, respectively, using Cronbach's alpha coefficient. The validity of both
questionnaires were confirmed by expert panel. The data were analyzed using
SPSS software version 18. For descriptive results, and used Pearson test for
Analytical results.
Results: The average of total participation rate for faculty members was
computed to be 3.43. The total figure for organizational climate with a mean of
82.6 was obtained from the total average of micro-scale scores. A Pearson
correlation coefficient of 0.418 showed that there was a direct relationship between
organizational climate and faculty members' participation.
Conclusion: In spite of weakness of counselling system and team work system,
and approach diversity between the faculty members, they are enthusiastic to
cooperate to solve the university problems. Therefore we suggest more financial
and spiritual mechanisms for autonomy of the faculty members.
Mostafa Rabieyan, Alireza Darrudi, Nader Bahman, Arefeh Ahmadi, Negin Bashari,
Volume 9, Issue 2 (7-2015)
Abstract
Background and Aim: Some economists and authorities in the field of
management believe that entrepreneurship is a motive and advancement engine.
The development of entrepreneurship requires high level of entrepreneurial spirit
and university students are considered to be the cornerstones of such
entrepreneurship. Therefore, the study investigated School of Allied Medical
Sciences of Tehran University of Medical Sciences student’s spirit of
entrepreneurship in year 2013.
Materials and Methods: This was a cross-sectional study. The participants
were the undergraduate students of school of Allied Medical Sciences of Tehran
University of Medical Sciences who entered university in October month of year
2011. Based on stratified random sampling which was proportional to the size of
the society, 216 subjects were enrolled. In this study the standardized questionnaire
consisted of two parts: demographic characteristics and the information related to
the components of entrepreneurship. Data was analyzed using descriptive and
inferential statistics (one sample t-test, independent t).
Results: The mean and standard deviation of the age of the students were 20/44
±1/90 year, respectively. The Percentage of entrepreneurship spirit of all students
was 59/90, which was higher than the gained mean percentage (50).
Conclusion: The findings of the study showed that was the studied subjects had
high power of spirit of entrepreneurship which higher than the mean percentage.
This finding can help the policy-makers to provide a way for the students to plan
and implement the programs related to development and education of
entrepreneurship.
Bahram Ahmadi, Sasan Rezaei, Farshad Hashemi, Mahdi Zareei, Hoda Deli, Seyed Jamal Hashemi,
Volume 9, Issue 4 (11-2015)
Abstract
Background and Aim: Onychomycosis or nail fungus infection has an increasing prevalence with many effects on patients’ social life and mental health dermatophytes, yeasts and non-dermatophyte molds are among the best known agents of fungal infections of nails. The purpose of this study was to determine the prevalence of non-dermatophyte molds using morphological (direct examination and culture) and molecular (PCR) methods in patients referring to Medical Sciences Mycology Laboratory in Tehran, Iran.
Materials and Methods: In this study, samples were taken from 170 patients. For direct microscopic examination (DME), 15% KOH solution was used for the culture of samples, Sabouraud dextrose agar media (S) was applied together with chloramphenicol (SC) and chloramphenicol and cycloheximide (SCC). Meanwhile, differential tests were done for mycological diagnosis (slide culture), and 28SrDNA amplification and sequencing were performed for suspect or unknown samples.
Results: Of the 170 patients, 74 cases (43.5%) had onychomycosis, of which 53 cases (71.62%) were female and 21 cases (28.38%) were male. Also, of the 74 cases of onychomycosis, 40 cases (54.05%) were reported candidiasis, 21 cases (28.37%) non-dermatophyte molds, and 12 cases (16.21 %) dermatophytes.
Conclusion: The prevalence of onychomycosis in this study was 43.5% and the application of polymerase chain reaction (PCR) technique in cases of false positive, false negative and long-term culture was valuable meanwhile, given that all the samples that had positive results in DME with negative cultures were positive in molecular tests, this study reveals the power of molecular techniques compared with culture method.
Maryam Ahmadi, Tayebeh Noori, Kambiz Bahaadin Beigy , Esmaeil Mehraeen,
Volume 10, Issue 1 (4-2016)
Abstract
Background and Aim: For more than forty years, telemental health services have been used as a successful mean in various fields such as treatment and preventive interventions. This study was aimed to determine the viewpoints of health information management (HIM), and mental health professionals about telemental health services for veterans with mental disorders.
Materials and Methods: This cross-sectional survey was conducted in 2013. The study population consisted of two groups: the first group included mental health professionals working in psychiatric hospitals in Tehran and the second group comprised HIM professionals. The data were collected using a questionnaire that its validity was confirmed by experts and the reliability was estimated through test-retest method. The data analysis was performed using SPSS 17.0 and descriptive statistics.
Results: The findings showed that from the mental health experts' viewpoints, highest impact of the use of telemental health services related to medical travel costs with average 4.37 and the lowest impact replacement with the face to face treatment with average 2.68.
Conclusion: In general, the groups participating in this study stated that in situations where access to care was difficult, telemental health services could be used as a reliable alternative for the war disabled care needs. Therefore, it is suggested that Iranian foundation of Martyrs and Veterans Affairs and the health system administrators take more serious measures for the implementation of telemedicine for veterans.
Seyedeh Mahboubeh Hosseini Zare, Batoul Ahmadi, Ali Akbari Sari , Mohammad Arab, Mahshid Sadat Hosseini Zare,
Volume 10, Issue 2 (5-2016)
Abstract
Background and Aim: Evaluating and improving the employees’ quality of work life is one of the most important responsibilities of managers in each organization. The aim of this study was to design and prepare a questionnaire for evaluating the residents’ quality of work life and checking the validity and reliability of this tool.
Materials and Methods: We collected the questionnaires which were used for the employees’ quality of work life, and designed by Delphi method a comprehensive questionnaire for measuring residents’ quality of work life. This questionnaire was distributed two times with one-week interval between 14 residents of Tehran University of Medical Sciences and then the validity and reliability was assessed by α cronbach model. We used the 5 experts in the field of health care management, medical education and health economics to determine the validity of quality of working life questionnaire. The classification of cronbach's α for intra-rater reliability was: very good (0.9-1), good (0.8- 0.89), average (0.7- 0.79), bad (0.6-0.69) and very bad (under 0.59).
Results: The results of αcronbach test for questions reliability and the result α cronbach test for internal consistency of each class of question indicated the rather high reliability and validity of these questions.
Conclusion: Regarding to the results of α cronbach test, we can deduce that our designed questionnaire encompass have satisfied validity and reliability and it can be used for future studies.
Mohammadhiwa Abdekhoda, Maryam Ahmadi, Mahmodreza Gohari, Alireza Noruzi,
Volume 10, Issue 2 (5-2016)
Abstract
Background and Aim: Inclusive implementation of Electronic Medical Records (EMR) is more serious because of physicians’ perception. This study was carried out to identify the effects of organizational contextual factors on physicians’ perception regarding EMR’s adoption in 2013 (The merger of Tehran University and Iran).
Materials and Methods: This was a descriptive, analytical and cross- sectional study in which a sample of 270 physicians working in hospitals affiliated to Tehran University of Medical Sciences was selected. Physicians’ perception toward adoption of EMR has been assessed by Technology Acceptance Model or TAM questionnaire and organizational context variables. Collected data were analyzed by SPSS. The study model was tested by Structural Equation Modeling (SEM) and represented by AMOS.
Results: The findings showed that perceived usefulness (PU), perceived ease of use (PEOU), management support, physicians’ involvement, physicians’ autonomy, and physician- patient relationship have direct and significant effect on physicians’ attitudes toward EMR adoption. However, training has no significant effect on TAM variables. Moreover, the results showed authorizing proposed conceptual path model explained about 56 percent of the variance of EMR adoption.
Conclusion: The present study revealed that organizational context factors had significant effect on physicians’ attitude toward EMRs’ adoption. The study clearly identified six relevant factors that affected physicians’ perception regarding EMR adoption. These factors should be considered when comprehensive implementation is pursued.
Narjes Mirabootalebi, Maryam Ahmadi, Mohammad Dehghani, Shahram Khani, Mohsen Azad,
Volume 10, Issue 5 (1-2017)
Abstract
Background and Aim: Electronic Medical Record system collects and stores laboratory data, digital images and electronic versions. It plays a major role in reducing medical errors and duplication and health care providers immediate access to patient medical records. This study aimed to examine the viewpoints of Hormozgan University of Medical Sciences' administrators on the role of electronic Medical records system.
Materials and Methods: The study was a descriptive-analytical research to examine the viewpoints of Hormozgan University of Medical Sciences' administrators and physicians on the role of electronic medical records system. The study population consisted of 61 managers, matrons and health information managers of Hormozgan hospitals and 121 faculty physicians and residents. Data collection tool was a researcher-made questionnaire. The validity was determined and verified by content validity method and experts' views. Cronbach's alpha coefficient was used for assessing reliability, which was 83%. Data collected from the questionnaires was analyzed using SPSS software and descriptive statistics and analytical statistics.
Results: Results indicated that "data management" (N=146) with 77.5%, "job objectives and processes" (N=160) with 87.9%, "communication" (N=163) with 89.6%, "data privacy and security" (N=152) with 83.1% had the most important roles in the health system.
Conclusion: Generally, managers and physicians attitudes about the role of electronic medical records system in the health system was evaluated satisfactorily. According to the advantages of the system and removing major obstacles in its implementation, a new step would be taken in order to promote health.
