Suchergebnisse

INTRODUCTION: Health Information Economy (HIE) is one of the broader, more complex, and challenging and yet important topics in the field of health science that requires the identification of its dimensions for planning and policy making. The aim of this study was to determine HIE concept dimensions. METHODS: This paper presents a systematic methodology for analyzing the trends of HIE. For this purpose, the main keywords of this area were identified and searched in the databases and from among 4775 retrieved sources, 12 sources were studied in the field of HIE. RESULTS: Information Economy (IE) in the world has passed behind four paradigms that involve the information evaluation perspective, the information technology perspective, the asymmetric information perspective and information value perspective. In this research, the fourth perspective in the HIE was analyzed. The main findings of this research were categorized in three major groups, including the flow of information process in the field of health (production. collection, processing and dissemination), and information applications in the same field (education, research, health industry, policy, legislation, and decision-making) and the underlying fields. CONCLUSION: According to the findings, HIE has already developed a theoretical and conceptual gap that due to its importance in the next decade would be one of the research approaches to health science.

Background: Nowadays, using new information technology (IT) has provided remarkable opportunities to decrease medical errors, support health care specialist, increase the efficiency and even the quality of patient's care and safety. Objectives: The purpose of this study was the identification of Hospital Information System (HIS) success and failure factors and the evaluation methods of these factors. This research emphasizes the need to a comprehensive evaluation of HISs which considers a wide range of success and failure factors in these systems. Materials and Methods: We searched for relevant English language studies based on keywords in title and abstract, using PubMed, Ovid Medline (by applying MeSH terms), Scopus, ScienceDirect and Embase (earliest entry to march 17, 2012). Studies which considered success models and success or failure factors, or studied the evaluation models of HISs and the related ones were chosen. Since the studies used in this systematic review were heterogeneous, the combination of extracted data was carried out by using narrative synthesis method. Results: We found 16 articles which required detailed analysis. Finally, the suggested framework includes 12 main factors (functional, organizational, behavioral, cultural, management, technical, strategy, economy, education, legal, ethical and political factors), 67 sub factors, and 33 suggested methods for the evaluation of these sub factors. Conclusions: The results of the present research indicates that the emphasis of the HIS evaluation moves from technical subjects to human and organizational subjects, and from objective to subjective issues. Therefore, this issue entails more familiarity with more qualitative evaluation methods. In most of the reviewed studies, the main focus has been laid on the necessity of using multi-method approaches and combining methods to obtain more comprehensive and useful results.

Background: The use of rural health houses is one of the important approaches for delivering health services but, inappropriate infrastructures and limited resources make it difficult to design and implement plans to enhance and improve health services in rural areas. The aim of this study was to analyze the accessibility to rural health care services in the province of Khuzestan Materials and methods: This applied research was conducted in Khuzestan Province, south-west Iran with a cross-sectional approach in 2014. The population of the study was the villages and rural health houses. All the villages and rural health houses were included in the study without sampling. Descriptive data collected with a checklist from the Statistical Centre of Iran, IT Department of the Management Deputy of the Governor's Office and Ahvaz Jundishapur and Dezful University of Medical Sciences and spatial data obtained from the national Cartographic Center. The validity of the checklist was confirmed by 5 Public Health experts and 3 senior experts of the GIS system. Data analyzed with Arc GIS 9.3 software. Results: Khuzestan Province has 3461 villages with inhabitants. Based on the geographical distance to the nearest health house, 358 villages (10.34) with inhabitants were outside the service provision area with a distance of more than 6 In order to measure the total petroleum hydrocarbon available in the soil, first, 1 gr of the pot soil was taken and 10 ml dichloromethane solvent added to it, then the mixture was stirred for 5 minutes, and the resulting mixture was centrifuged for 5 minutes at a speed of 3000 rpm. After being centrifuged, 1 ml of the centrifuged solution was transferred to vials that were weighed before, and the dichloromethane was permitted to evaporate in the air for 48 hours. Afterwards, the vials were weighed again, and the removal percentage of the petroleum hydrocarbons was calculated based on the weight difference between the vials (21).km. Based on the population covered by health houses, 11 villages with more than 1000 population had inappropriate access to health houses. Conclusions: The results showed that geographical conditions and developmental infrastructures of the rural areas were some major challenges of access to health houses in Khuzestan Province, which requires the cooperation of several governmental sectors. Collection and storage of accurate, up-to-date, and complete information are very important steps in delivering primary healthcare services and enhancing the rural population health.