Showing 87 results for Rat
Pardis Rahmatpour, Sara Emamgholipour, Mohammad Taghi Moghadamnia , Maryam Tavakkoli ,
Volume 11, Issue 3 (9-2017)
Abstract
Background and Aim: Health and equal access to quality care regardless of age, gender, race and location is health systems' goal in all countries. This study aimed to determine inequality in healthcare services distribution and development level of cities in Guilan province.
Materials and Methods: This descriptive, cross-sectional study assessed the distribution state of 13 healthcare indicators in all cities of Guilan (n=16) in year 2011 and 2013. In order to collect data, the database of Statistical Center of Iran (SCI) was used as reference. The taxonomy technique was employed to determine the degree of development of different cities. In addition, indicators were weighed by Shannon’s entropy. Finally, TOPSIS was used to rank the cities in term of access to health sector resources.
Results: Taxonomy technique in 2 years showed that Rudbar, Rudsar and Lahidjan were of most developed cities and Talesh, Rezvanshahr and Amlash were the most under-developed cities respectively. After weighting indicators and according to Shannon entropy, the number of specialists and paramedics gained the most and the least weight, respectively.
Conclusion: Due to the inequality in distribution of health resources in Guilan province, attention to underdeveloped cities in this province should be a priority. To achieve equitable health resources in Guilan, it is recommended that the plannings be based on state of development of cities.
Ali Mohammad Mosadeghrad, Ahmad Fayaz-Bakhsh, Fataneh Amini,
Volume 11, Issue 5 (1-2018)
Abstract
Background and Aim: Strategic planning has an important role in achieving competitive advantage for nonprofit organizations. However, some strategic plans fail. The present study aimed to investigate challenges of strategic planning in Welfare Organization.
Materials and Methods: A qualitative approach was used for this case study. In-depth semi-structured interviews were conducted with 12 senior and middle managers who were members of the strategic planning committee. Content analysis method was used for data analysis, and 7 themes and 16 sub-themes were identified from the data.
Results: Lack of justification of the strategic planning, the strategic planning model, inappropriate composition of the strategic planning team, the structural and managerial changes of the Welfare Organization, time limitation, insufficient training, and budget constraints were the main challenges of strategic planning in the Welfare Organization.
Conclusion: If the strategic planning challenges are not managed well, more problems are expected to occure during the implementation of the strategic plan. Senior managers’ commitment, strong management and leadership, participative corporate culture, education and training, staff empowerment, and provision of required resources will facilitate strategic planning implementation in organizations.
Mohammad Arab, Ebrahim Jaafari Pooyan, Abbas Rahimi Forushani, Azam Sadat Rivandi,
Volume 12, Issue 2 (7-2018)
Abstract
Background and Aim: The quality of healthcare services is determinant in patients’ improvement process, upgrading their satisfaction, ranking healthcare centers, and preventing patients’ repeated referrals leading to more costs for healthcare centers and insurance companies. The purpose of this study was to evaluate the quality of services -- from the perspective of patients -- given by the laboratories having contract with Iran Health Insurance Organization (IHIO).
Materials and Methods: In this cross-sectional study, the opinions of 302 patients having referred to the laboratories in contract with IHIO in Tehran were surveyed with a researcher-developed questionnaire. Descriptive and inferential statistical tests were used to analyze and report the results.
Results: The sample included 43.5% males and 56.5% females. Most of the participants were married (71/3%). Based on the results, the patients' perception of the quality of laboratory services was 78%. Their expectation of services was 85%. The gap between perception and expectation of clients in all dimensions was statistically significant (p<0/001).
Conclusion: The gap between clients’ perception and expectation in all dimensions suggests that there is some room for improving the quality of laboratory services. The results of this assessment can surely affect the way IHIO treats with laboratories in terms of extending contracts and strategic purchase of services from these centers. In addition, patients' opinions will be important in improving the quality of services.
Mojtaba Ghiasi, Ahmad Sarlak, Hadi Ghafari,
Volume 12, Issue 4 (11-2018)
Abstract
Background and Aim: In the past studies, few researchers have addressed the simultaneous effects of human capital in health and education indicators on the economic growth of the country, and especially, provinces of the country. Therefore, the current study examined the simultaneous effects of human capital in health and education indicators on the economic growth in Iran s’ Provinces
Materials and Methods: This was an applied, analytical, descriptive study, and the research community consisted of the country's provinces. The data were collected through documentary-library research and from the databases of Iran Office for National Statistics, and Central Bank; afterwards, they were analyzed via unit-root and chow tests, using Generalized Method of Moments (GMM) and Eviews 9.
Results: The results showed that each percent of rise in family health expenditure, fertility rate, and life expectancy increased the provincial economic growth by 0.033%, 0.71%, and 1.83% respectively. In addition, 1% rise in mortality rate decreased the provincial economic growth by 0.43%. Educational expenditure influenced the provincial economic growth by a coefficient of 0.08, and credit capital asset acquisition, by a coefficient of 0.048.
Conclusion: Human capital is considered a long-term investment in health and education sectors which should be an important priority on the agenda of provincial policymakers.
Sokaineh Falsafin, Samaneh Khavidaki, Mahdi Mohammadi,
Volume 12, Issue 5 (1-2019)
Abstract
Background and Aim: The purpose of this study is the analysis of articles published about the evaluation of medical scientific products in Web of Science database.
Materials and Methods: This is a quantitative research that is based on literature review. The population of the study consists of 55 articles published in valid national scientific journals on the review of medical scientific products of Iran in Web of Science.
Results: The findings show that during 2006-2016, about 35 articles reviewed the scientific outputs of medical universities and the others examined the scientific outputs of a particular subject area, among which pharmaceutical and surgical fields had the most studies. Some 60.6% of the studies were published by specialists in the field of knowledge and information science, and 39.4% by medical specialists. Among universities, Iran University of Medical Sciences, and among individuals, Hafez Mohammad Hassanzadeh Asfijani were recognized as the most prolific. Most researches have been published using Scientometric Approach, and among scientific software, Pajek has been used more. Among the published articles, those with two and three authors were the most.
Conclusion: The articles have been quantitative, and mentioning various methods indicates a kind of confusion in the choice of vocabulary and terminology.
Maryam Emami, Nosrat Riahinia, Faramarz Soheili,
Volume 12, Issue 6 (3-2019)
Abstract
Background and Aim: The purpose of this study was to analyze the co-occurrence of the terms of medical and laboratory equipment patents in the United States Patent and Trademark Office between 1984 and 2014.
Materials and Methods: This research was an applied study using scientometrics and co-word analyses. The statistical population of the present study included all patents of medical and laboratory equipment registered in the United States Patent and Trademark Office database between 1984 and 2014. As a result, a total of 13424 patents were retrieved.
Results: The results revealed that in terms of frequency, the keyword "Menstrual Fluid" and in terms of co-occurrence, two keywords (Menstrual Fluid and Magnetic Resonance Image Apparatus) were the most frequent ones in medical and laboratory equipment studies. The results of hierarchical clustering with "Ward's method" led to the formation of eight clusters in this area including the following: General Equipment, Rehabilitation Equipment, Dental Equipment, Therapeutic Equipment, Emergency Equipment, Laboratory Equipment, Diagnostic Equipment, and Medical Consumables.
Conclusion: The analysis of the co-occurrence of words revealed the scientific structure of medical and laboratory equipment well. Accordingly, the scientific issues were extracted and the relationship between them was discovered. The maps of co-word analysis showed several changes, sustainability of concepts, and terms related to this field of science.
Jala Saeidpour, Niloufar Faridfar, Mahsa Ghaziasgar,
Volume 13, Issue 2 (7-2019)
Abstract
Background and Aim: Today, small businesses can be considered as a good strategy for different parts of hospitals in the country. Therefore, the use of any new mechanism in the health system needs to be examined and adapted to local conditions. This study aims to investigate factors affecting the implementation of outsourcing from the viewpoint of managers of Tehran University of Medical Sciences (TUMS) hospitals.
Materials and Methods: The present research is a descriptive-correlational and applied study. Due to the size of the population (TUMS managers of financial and hospital affairs), sampling was done by census method. The research tool was a researcher-made questionnaire with two sections -- demographic information and factors affecting outsourcing in hospitals -- and was distributed among the subjects. Then, to run descriptive statistics for data analysis, SPSS version 18 was used.
Results: Fifty-eight percent of the participants had a long service record and 80% had postgraduate degrees. For successful outsourcing in hospitals, the following should be considered: formation of a strategic outsourcing team, checking out the quality of outsourced services, and managers’ close monitoring and mastery over outsourced principles.
Conclusion: Since outsourcing of services can achieve positive results in terms of improving the quality of services, satisfying stakeholders, reducing costs, generating income, and so on, using the perspectives of queue managers who have a long service record can be effective in the implementation of successful decisions.
Amir Hossein Eskandari, Sadaf Alipour,
Volume 13, Issue 3 (9-2019)
Abstract
Background and goals: Breast surgery is one of the most common surgical operations performed worldwide as well as in Iran. Acute postoperative pain is managed by different therapeutic modalities in these procedures, and opioid are the most frequently used option; however their adverse consequences imposes restriction of use. The goal of this article is to review the effects of gabapentin on postoperative pain and opioid use in breast surgeries.
Materials and Method: PubMed, Ovid Medline, and Scopus databases from 2000 to 2019; as well as Google scholar, first 350 results, were searched for all clinical trials and review articles about the subject, using various related keywords. Sixty-two articles were reviewed by 2 researchers and finally data from 22 papers were gathered and assessed.
Results: This review demonstrates that gabapentin is effective in reducing acute postoperative pain after operations of the breast. Also, rate of opioid consumption, an important objective in the period after surgery, is reduced by use of opioids.
Conclusion: This study prompts the effectiveness of gabapentin in controlling postoperative pain in breast operations; since this drug is very seldom used for this purpose in our country, we propose that medical staff consider it as a powerful option after breast procedures.
Ali Mohammad Mosadeghrad, Parvaneh Esfahani,
Volume 14, Issue 1 (3-2020)
Abstract
Background and aim: Strategic planning (SP) is the art and science of strategic analysis of an organization, forecasting changes in an organization’s internal and external environments, setting strategic goals, developing suitable strategies, and allocating optimal resources to achieve competitive advantage. Strategic planning plays an important role in promoting hospital success. However, it has encountered various challenges in Iranian hospitals. This study aimed to identify the critical success factors (CSFs) of the strategic planning process in Iranin hospitals.
Materials and Methods: This qualitative study was performed using semi-structured interviews with 47 members of strategic planning committees of 17 hospitals in Tehran, Iran, in 2016. For data analysis, thematic analysis was used. Overall, 44 CSFs were identified for strategic planning and were grouped into 8 themes and 23 sub-themes.
Results: Managers’ belief in SP usefulness, SP justification, top managers’ commitment to and involvement in SP, setting up a competent SP team, using an appropriate SP model conducive to hospitals’ structure and culture, promoting teamwork and creativity, empowering employees to involve actively in SP, providing necessary financial and physical resources, and stablishing information management, process management systems, and patient centeredness are key factors in SP success.
Conclusion: The SP success depends on strong leadership and management, coherent planning, conducive organizational culture, organizatioanl learning, and effective management of employees, customers, resources and processes.
Reza Safdari, Farnoosh Larti, Kamyar Fathi Salari, Saman Mohammadpour,
Volume 14, Issue 3 (7-2020)
Abstract
Background and Aim: Cardiovascular diseases and medication errors are among the leading causes of morbidity and mortality around the world. Electronic prescribing and Medication Administration(ePMA) systems can prevent medication errors to some extent. This study aimed to determine the information requirements of ePMA systems.
Materials and Methods: This descriptive study was conducted in Imam Khomeini Hospital of Tehran and School of Allied Medical Sciences affiliated to Tehran University of Medical Sciences (TUMS) in the summer of 2019 in two phases: literature review and survey-based questionnaire. Information items obtained from reviewing the texts of 100 articles were organized in three questionnaires. In the survey phase, questionnaires were distributed among physicians, nurses, and the experts of health information management(HIM) and medical informatics, using census sampling method. The reliability of the questionnaires was measured using Cronbach's coefficient alpha. Statistical analysis was done using SPSS.
Results: The findings showed that based on specialists’ point of view, patients' demographic information items and unique identifiers gained the highest average, above 4.7. Physicians agreed most with clinical information, including medication history and generic names. From the nurses’ point of view, the information items of the patients’ problems and the procedures performed and the types of drug doses obtained a complete average of 5.
Conclusion: The need for information items varies among different users of ePMA systems, but there may be items that are common for them. Future studies should further investigate financial and pharmaceutical information requirements based on the perspectives of other hospital pharmacy and accounting staff.
Ahmad Siar Sadr, Roohollah Tavallaee, Mohammad Ali Afshar Kazemi,
Volume 14, Issue 3 (7-2020)
Abstract
Background and Aim: Laboratories are one of the most important scientific and research centers. Laboratory information management systems provide a platform for recording the information and collaborating between researchers. The main purpose of this study was suggesting an organizational architecture model of laboratory information management systems.
Materials and Methods: This study was a qualitative study. In this study, we extracted available documentation and information on laboratory information management systems from databases. Then, 16 faculties and staffs using the Sharif University of Technology's laboratory services were selected by snowball sampling and interviewed to determine needs. Based on needs, enterprise architecture models were extracted from databases. 16 experts have evaluated the enterprise architecture model to select the best model suitable for laboratory services. Due to various technical and managerial aspects of laboratory management systems two models of Zachman architecture and service-oriented architecture models were combined. In the next step, experts from laboratory service systems have evaluated the proposed model, using Delphi technique in three rounds.
Results: The findings were analyzed in two parts: Evaluation of the needs of the laboratory information management system and presentation of the proposed model. In the proposed model, the content of each cell of the Zachman framework is approached Service-oriented were selected and integrated according to the specifications of the laboratory management system.The model was evaluated based on five levels of organizational architecture maturity. The improvement in the maturity of organizational architecture was evident at higher levels.
Conclusion: The use of enterprise architecture for laboratory management systems leads to optimal use of resources and ease of collaboration.
Ebrahim Hassanzadeh, Edris Hassanpoor, Seyed Sajjad Razavi, Mohammad Reza Sheikhy-Chaman,
Volume 14, Issue 3 (7-2020)
Abstract
Background and Aim: Human resources are one of the most important assets of any organization and the creation of a safe working environment enhances the quality of services in addition to satisfying this valuable capital. The purpose of this study was to evaluate the safety of diagnostic laboratories of hospitals affiliated to Iran University of Medical Sciences (IUMS).
Materials and Methods: This cross-sectional descriptive study was conducted in 7 IUMS hospitals in 2019. Data collection was performed using a checklist that was validated after being translated (by qualitative face validity method); Then, the safety status of the studied laboratories was classified into four categories: Excellent, good, average and poor. Finally, data were analyzed using descriptive statistics and SPSS software.
Results: In determining the validity of the checklist using qualitative face validity, experts' opinions were applied as changes in the tool. In the descriptive part of the study and among the safety dimensions of diagnostic laboratories, the highest mean score was related to the dimensions of "communication hazards" and "safety information" and the lowest to the dimension of "fire safety".
Conclusion: According to the results of the study, the overall safety status of the diagnostic laboratories of the hospitals under investigation is at a good level; however, the "fire safety" component as one the most important safety components was considered poor, and necessary steps must be taken to improve it.
Mohammad Babaei, Ghasem Akbari, Amir Ali Shahbazfar,
Volume 14, Issue 3 (7-2020)
Abstract
Background and Aim: Nigella sativa with anti-inflammatory and antimicrobial effects is one of the most widely used medicinal plants that can be used as an alternative or adjunctive therapy due to many side effects of chemical drugs. The aim of this study was to evaluate the regenerative and protective effects of Nigella sativa from pathological point of view in rat gastrointestinal tract.
Materials and Methods: This study was carried on 30 wistar male rats which were divided randomly in to 3 groups. First and second experimental groups received 400 and 800 mg/kgbw Nigella sativa extract respectively and control group received normal saline orally by gavage for 2 months. The duodenum, jejunum, ileum and proximal colon samples were collected and after fixation with formalin 10% and tissue processing, the 5 μm sections were prepared and stained by hematoxylin eosin staining. Finally, light microscopy was used to determine the histological characteristics and the length of the small and large intestinal villi in the area of the duodenum, jejunum, ileum, colon, villus width and percentage of goblet cells. Data were analyzed by SPSS software.
Results: The results showed that Nigella sativa significantly increased the length of the villi in duodenum, jejunum and ileum. The width of the villi and the percentage of goblet cells were also increased.
Conclusion: Based on the results, it can be concluded that the Nigella sativa causes enhancement of food absorption by increasing the length of villi and has protective effects.
Mehdi Dadashi Arani, Gholamreza Mastali Parsa,
Volume 14, Issue 4 (10-2020)
Abstract
Background and Aim: Medical concepts can be studied in language and literature. The purpose of this study is to investigate the term"pezeshk" and"medical terminology” in ancient Iran, in Persian language and literature, and in Mashreqi Shirazi poems.
Materials and Methods: This research has been done by reviewing and studying three articles, three databases, and about fifteen books. Since the subject of study is “medicine in Iran” and “Persian language and literature”, non-Iranian physicians and Iranians whose works are in Arabic have been excluded from this study.
Results: The history of medicine in Iran is as old as the history of Iran itself; and its influence can be clearly seen in Persian language and literature. The root of the term“pezeshk” is Avestan(Baesha-za), which has changed to Baesha-zak in the Middle Persian and in Bejeshk and Pezeshk in Parsian, which is still used today. The names of many Iranian ancient therapists are associated today with widely used medical terms: Trita is one of the first Aryan therapists, and his name is the same as“treat”. The names of some ancient Iranians are considered as the first ones in the world of medicine, e.g., Mehrdad II Ashkani, the first immunologist. Besides, in this study, the influence of medicine on literature was proved in the poetry of Mashreqi Shirazi(970-1038 AH), a shiite poet.
Conclusion: Medicine is not an imported science to Iran and the history of medical science in this country is, as evidenced by history, as old as the history of Iran. This longevity can be seen in the Persian word “pezeshk” itself, and in the names of the first Aryan and Iranian physicians and the medical schools of ancient Iran. The global name of Medicine is taken from the first historical dynasty of Iran, Maad(Medi in Greek), and one of the first Maad healers, Cina(Cine) Moghani. In literature, it is apparent that Hakim Mashreqi was aware of medicine. Such awareness included the constituent elements of the body, name of some diseases, treatment and the name of some drugs.
Mohammad Zarbi, Reza Safdari, Nahid Einollahi,
Volume 14, Issue 6 (1-2021)
Abstract
Background and Aim: Medical diagnostic laboratories are among the most important centers in the treatment cycle of patients. Today, the conscious choice of such laboratories is one of the challenges that patients face in the treatment process. This study was conducted with the aim of improving the knowledge of software users in the field of laboratory sciences and also facilitating the conscious and intelligent selection of the laboratory required by users.
Materials and Methods: This is a descriptive-developmental research with an applied approach. The steps consisted of library studies, questionnaire-based needs assessment, collection of knowledge and identity data, design through drawing UML diagrams, implementation using Java programming language, and software evaluation.
Results: A comprehensive system of laboratory information and experiments can be performed in all laboratories in Tehran, based on factors such as location access, types of laboratories and types of tests, a system was designed that allows users to access the most appropriate laboratory centers with high speed and less mobility, sufficient information, and in accordance with their needs. The evaluation was done using a researcher-made questionnaire whose validity and reliability were confirmed. The target population consisted of eleven specialists and forty ordinary users. According to the Likert criterion, the results obtained from the answers of all participants in the study to the questions of the questionnaire were higher than 4.05.
Conclusion: The software showed that the factors that had priority in the need assessment significantly increased user satisfaction and also provided ease of use of laboratory services in accordance with users' needs.
Omid Zadi Akhule, Mojgan Lotfi, Ebrahim Nasiri, Saba Chalangari, Yasna Torkali Pur,
Volume 14, Issue 6 (1-2021)
Abstract
Background and Aim: In order to improve patient safety, countries are seeking to monitor the safety of health systems and since surgical safety is an important part of patient safety, this study aimed to determine performance of Operating Room Personnel regarding the observance of surgical safety principles.
Materials and Methods: This cross-sectional descriptive study was conducted on operating rooms of hospitals of Mazandaran university of medical sciences in 2019. Research population included 271 personnel of operating room selected via stratified random sampling. Data were collected using demographic characteristics questionnaire and Surgical Safety Checklist of the World Health Organization. The data was analyzed using SPSS software.
Results: The mean scores of performance of surgical technologists in the circulating and scrub roles and anesthesia technologists regarding the observance of surgical safety principles, were 23.2±3.1, 18.4±3 and 28.2±3.5 respectively. The performance level of all three specialties was moderate. Findings showed that there was a significant difference between performance score with educational level. The mean score of performance was significantly higher in the technologists with bachelor’s degree as compared to the technologists with associate degree (p<0.05).
Conclusion: Considering that the performance of the participants of the study regarding the observance of surgical safety principles, it was not at a desirable level, thus it is recommended to encourage operating room personnel to upgrade their education and to continue monitoring the performance of them regarding the observance of surgical safety principles.
Reza Dehghan, Hamideh Reshadatjoo, Kambeiz Talebi, Hossein Dargahi,
Volume 14, Issue 6 (1-2021)
Abstract
Background and Aim: Health tourism is one of the most important tourism types in Iran. Iran has many strengths in health tourism. Also, there are challenges such as communication and information inconsistency in the health tourism industry and the outbreak of COVID-19 disease. Due to the unknown issues about COVID-19, it is important to determine effective strategies to control the consequences and reduce the economic and social effects of the virus in all industries, especially the health tourism industry.
Materials and Methods: In this systematic review study, 500 published papers from 2018 to 2020 were evaluated. In the group interview section, we used the views of participated health tourism experts in the scientific events in Iran, Turkey, and Oman. Also, the SWOC Analysis model (strengths, weaknesses, opportunities, and challenges) and MAXQDA software were applied.
Results: The results showed that the selected strategies were defensive and competitive. This research showed that the strengths of the health tourism industry overcome the weaknesses and development opportunities outweigh the challenges. Also, the maintenance strategy is the best strategy to support health tourism in the current situation in Iran.
Conclusion: It is necessary to be following issues for the politicians of Iran's health tourism industry to design a comprehensive document of Iran Health Tourism Diplomacy, preparation of a strategic plan for the development of health tourism, establish an independent organization of Iran Health Tourism, develop electronic health in the health tourism industry, design a health tourism insurance system, and…, with the aim of entrance to the current markets and creating new foreign markets.
Miss Shima Khosravi, Dr Malikeh Beheshti Far, Amin Nikpoor,
Volume 15, Issue 1 (3-2021)
Abstract
Background and Aim: The presence of a competent and capable human resource management is one of the preconditions for the success of the organization. Factors such as the emphasis on the need to establish knowledge-based companies, the activities of third-generation universities and technology, and the challenges of financing the health sector, the scientific and technological attractiveness of developed countries and the consequent withdrawal of active and specialized forces from the field of health, importance. Attention to the organization of human capital is more prominent and due to the fact that the modern development process of the organization is based on the paradigm of innovation, the interest in ways to guide the human resource management of the entrepreneur is increasing. Therefore, the purpose of this study is to predict the human resource management model based on a comprehensive organizational entrepreneurship system in the third generation of medical universities.
Materials and Methods: In the present study, with exploratory interviews, the proposed model for human resource management based on organizational
entrepreneurship was predicted and analyzed using content analysis method. The research population consists of basic and middle managers in the field of health, from which 20 people were selected as a sample by non-probability judgment sampling and snowball sampling.
Results: The results showed that in the field of organizational entrepreneurship (at all organizational levels in the field of health, including queuing and headquarters) 4 main and effective categories on soft and hard skills of human resource management can be classified. The three categories, including structural, behavioral and environmental branches in all government agencies and even in the field of industry have relatively similar concepts, codes and essentially functions. However, regarding the fourth category, namely excellence in the field of health, especially in medical universities, health centers and affiliated hospitals, it is quite noticeable.
Concolusion: Organizational strategies and decisions at the macro level have an undisputed and effective role in laying the groundwork for organizational
entrepreneurship and, ultimately, strengthening processes and feedback from human resource management at the level of health organizations.
Sharareh Mirsaeidi Farahani, Ahmad Vedadi, Ali Rezaeian,
Volume 15, Issue 2 (5-2021)
Abstract
Background and Aim: Due to the importance and position of the health sector in society and consideration of industry 4.0 during these days, we witness an increase in the spread of state-of-the-art (smart) technologies in various fields, on one hand, and an evolutionary development by integrating healthcare and technology, on the other hand. Thus, the application of smart technologies can help to overcome many of the healthcare sector limitations. This study aimed to propose an appropriate model for deploying smart services in the Iranian healthcare system.
Material and Methods: This was a qualitative research study based on thematic analysis in 2020. The required data were extracted by literature review and expert interviews. A sample of 15 experts were selected using purposive sampling. Sampling was continued until full data saturation was reached. The data were collected using semi-structured interviews. The interviews were implemented and analyzed in MAXQDA. Finally, a qualitative method was developed.
Results: Based on the findings of this research, 202 open codes were extracted and 23 basic themes (sub- themes) were identified to design the model of deployment smart services in the Iranian health sector which categorized in seven organizing themes (main themes) consist deployment planning, execution management, task organization frame work, national preparedness, stage-setting, organizational interventions, and resistance management. Then, according to the above themes, the thematic model was provided which has a suitable model fitness (IFI: 0.934, NFI: 0.959, RMSEA: 0.080).
Conclusion: Providing the model for deploying smart health care and use of these technologies help to significantly improve the quality of health services, improve access to these services, reduce costs and thus improve health of society.
Simin Momenzadeh, Atefeh Zarei, Phd Seyed Ali Akbar Famil Rouhany, Leila Dehghani,
Volume 15, Issue 2 (5-2021)
Abstract
Background and Aim: This study aimed to propose a consistent architecture to design integrated and flexible information systems for the Vice-Chancellor for Research and Technology of Ahvaz Jundishapur University of Medical Sciences (AJUMS).
Materials and Methods: This applied research employed an integrated design based on business system planning (BSP) and James Martin's model for the design of information systems. The statistical population of this study included 27 managers and experts of AJUMS Vice-Chancellorship department for Research and Technology. Data collection was carried out using structured interview, observation, and document analysis. A contrast matrix was then used for data analysis.
Results: In total, 53 processes and 60 data classes were identified. Using a multi-layered architectural model (presentation, process, data and infrastructure), the results were presented in the form of a proposed architecture. In the proposed architecture, 12 subsystems and the relationships among them were identified; such subsystems as library, research activities, sabbatical leave, conference, fellowship, publication, innovation and technology, laboratory information, theses, budget and planning, social subsystem and knowledge-management networks. The results also showed that the level of coverage of the processes, data classes, and objectives by existing information systems were 53%, 50%, and 55%, respectively, and increased to full coverage in proposed or optimal modes.
Conclusion: By identifying the required information systems, it is possible to accurately plan and successfully use these systems in this study. The results of the present study can be used to implement the architecture of information systems of Research and Technology Departments of other universities of medical sciences (UMSs) in Iran, which can have a significant effect on saving cost and time.
