نشریه مدیریت اطلاعات سلامت
سال چهاردهم شماره 2 (پیاپی 54، خرداد و تیر 1396)

User satisfaction is considered as the most important criterion of information system effectiveness. The aim of this study was to determine the factors affecting user satisfaction regarding hospital information systems.
This was a descriptive-analytical study. The study population consisted of users of information systems of the teaching hospitals affiliated to Tabriz University of Medical Sciences, Iran. A questionnaire was designed based on the findings from literature review. After assessing the validity of the questionnaire with the help of medical informatics and health information management experts and its final confirmation, questionnaires were distributed among 384 users that had been selected through stratified random sampling. Structural equation modeling was used for data analysis.
Overall, 8 domains of factors related to user satisfaction regarding hospital information system (HIS) were confirmed to be statistically significant by structural equation modeling. They included information quality (estimate = 1), system quality (CR = 3.891), service quality (CR = 5.039), organizational structure and managing style (CR = 4.648), system usefulness (CR = 3.683), system use (CR = 4.963), user characteristics (CR = 5.043), and computer anxiety (CR = 4.963). The significance level of all domains was P The integrated model obtained from this study can be used as an effective tool in design, development, and management of user-driven HISs. This can contribute to enhancing user satisfaction which can prevent wasting of financial and human resources.

The balanced scorecard (BSC) is a performance measurement tool for managers to obtain a comprehensive overview of their company’s performance. The purpose of this study was to integrate BSC with Measuring Attractiveness by a Categorical Based Evaluation Technique (MACBETH) for performance measurement in Noor-Ali Asghar Hospital, Isfahan, Iran.
This applied, descriptive, and cross-sectional study was carried out in Noor-Ali Asghar Hospital in 2015. The study population included matrons, educational supervisors, and nursing managers of the hospital. The subjects were selected using stratified random sampling method. Data collection tool was the paired comparisons questionnaire which has an acceptable validity. According to MACBETH, each decision maker specified attractiveness difference of BSC perspective indicators and comments were merged through arithmetic mean. Weights of indicators were identified by M-MACBETH software and the weight of each perspective of the BSC was calculated in Excel environment.
The results show that, among the BSC perspectives, customer perspective, and among all indicators, employee satisfaction and customer satisfaction, respectively, had the greatest importance.
This present study aimed to resolve the defects of BSC in prioritization of perspectives by integrating BSC with MACBETH. Attention to priorities of BSC perspectives in evaluating performance helps managers to improve performance by focusing on perspectives with higher priority and implementing programs to improve employee and customer satisfaction.

Web2 has affected libraries and their services. Libraries require this technology in order to improve the quality of their services. The aim of this study was to determine the challenges of applying Web2 in libraries of Isfahan University of Medical Sciences, Iran.
The current cross-sectional survey was carried out in 2015. The study population consisted of 60 librarians in Isfahan University of Medical Sciences. The data were collected using a researcher-made questionnaire. The validity of the questionnaire was confirmed by specialists, and its reliability was determined using Cronbach’s alpha (α = 0.88). The collected data were analyzed using descriptive statistics (mean and standard deviation) and inferential statistics (t-test and Pearson correlation) in SPSS software.
The results showed that among the factors influencing the use of Web2 technologies, "factors related to users" had the highest mean (3.9), followed by "factors related to the librarians" and “infrastructural and cultural factors" with a mean of 3.5.
The findings indicated the librarians’ lack of familiarity with the use of Web2 technologies. Thus, training can play a role in librarians’ familiarity with Web2 and using such tools in library services.

Due to the capabilities of alternative metrics and their speed in evaluating scientific outputs, and the importance of social media in establishment of scholarly communication and findings’ dissemination, the aim of this study was to investigate the use of social media by medical informatics researchers, and identify top articles based on altmetric score and the association between altmetrics and citation indicators.
The current descriptive research was conducted through scientometrics method and using altmetrics data. The study population consisted of medical informatics articles which were published in 2014 in four core journals, had digital object identifier (DOI), and were indexed in Web of Science. To collect alternative indicators, each individual article was matched by altmetric.com manually. Spearman correlation was used for analyzing data.
Mendeley, Twitter, Facebook, CiteULike, Blog, News Outlet, and Google Plus were the most used social media by medical informatics scholars for sharing scientific outputs. The results revealed statistically significant relations between most alternative metrics and the number of citations in Web of Science.
Social media can have a positive impact on the citation rate of articles. Therefore, medical informatics researchers can make use of social media in order to better search information on the internet and increase the citation to their scientific productions. For this purpose, they share their work in various social media.

Since the science of medicine is based on observation, in addition to medical personnel, the general public also searches the internet when faced with a certain disease in order to gather information about that disease and attempt to treat it through traditional or modern methods. The purpose of this study was to rank Iranian-Islamic medicine websites using WebMedQual scale.
This was a descriptive survey with applied results. To gather the necessary data, a checklist was used based on the standard WebMedQual scale. The initial study population consisted of 97 Iranian-Islamic medicine websites. After eliminating websites below a certain quality threshold, a total of 74 websites were evaluated. The minimum and maximum possible scores in the checklist were 0 and 83 points, respectively. There are a total of 89 questions in the checklist; 83 until the end of the confidentiality section and 6 questions regarding e-commerce. The acceptable score for websites was 41.5. The results are presented as mean score and optimal score.
The results indicate that the websites were average in terms of content and credibility, relatively good in terms of design, accessibility, and usability, almost good in terms of links, moderate in terms of user support, and relatively weak in terms of confidentiality. The best Iranian-Islamic medicine website was Tandorostan with a total score of 72.
It can be concluded that the majority of websites in this area have moderate to high quality. These results identified credible websites in medicine and can be used to create a subject list of Iranian-Islamic websites.

Newspapers along with other mass media have a significant role in increasing the health literacy of the general public. Pediatrics related information is one of the most important health subjects in newspapers. The goal of this study was to assess the scientific authenticity of pediatrics information in widely circulated Iranian newspapers in the year 2014.
This applied survey was performed using content analysis method in the first part and evidence-based medicine in the second part. The data gathering tool was a checklist designed by the researchers. The statistical population consisted of all of the messages printed in 694 volumes in 5 of the most widely circulated Iranian newspapers. The sample size was calculated using non-probability purposive sampling (426 newspaper articles). Among a total of 3019 messages, 5 topics were determined as high frequency and their scientific authenticity was evaluated in the Up to date database. Data are presented as frequency and percentage.
The findings indicated that most of pediatrics related information was published in Jam-e-jam (50.7%). Regarding authorship, 52.85% of articles had authors and Iran newspaper had the highest percentage of articles with identified authors. Regarding references, 60.79% of the articles were validated. According to evidences in the Up to date database, the authenticity of 60% of the outstanding messages was confirmed.
It is revealed that the pediatric information published in the Iranian newspapers was relatively credible. However, more attention must be paid to the credibility of the articles, particularly in regards to using pediatric information written by pediatricians.

Problem-oriented medical record (POMR) is a method of documentation and medical record organization. Problem list is the main component of POMR and the core of the electronic health record (EHR) definition. The aim of the present study was to explain the requirements and challenges in establishing an electronic problem list in hospitals.
This descriptive-applied study was conducted in 2016 in Alzahra Hospital affiliated with Isfahan University of Medical Sciences, Iran. One of the requirements of patient problem lists was content development that, after designing the software, was implemented at neurosurgery and neurology wards.
Establishing an electronic problem list showed that content development was its most challenging requirement. These challenge included terminology, patient problems documentation, and interdisciplinary documentation management.
Implementation of the problem list as a key component of POMR, especially in inpatient settings with various treatment groups, has challenging requirements. Thus, it requires knowledge and administrative, financial, and technical support.