فهرست مطالب

Journal of Health Management and Informatics
Volume:6 Issue: 1, Jan 2019

  • تاریخ انتشار: 1397/11/10
  • تعداد عناوین: 5
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  • Assata Touré_Mathias K N’Dri_Raymond Nguessan_Man_Koumba Soumahoro_Constant J Koné* Pages 1-6
     
    Introduction
    Tuberculosis remains a public health problem despite all the efforts made to eradicate it. To strengthen the surveillance system for this condition, it is necessary to
    have a good data management system. Indeed, the use of electronic information systems in data management can improve the quality of data. The objective of this project was to set up a laboratory-specific electronic information system for Mycobacteria and Atypical
    Tuberculosis.
    Methods
    The design of this laboratory information system required a general understanding of the workflow and the implementation processes in order to generate a realistic model. For the implementation of the system, Java technology was used to develop a web application compatible with the intranet of the company. The impact and the acceptability of the use of the system on the running of the laboratory were evaluated using Likert scale.
    Results
    The system in place has been in operation for about 12 months, in conjunction with the paper registers. Since then, 4811 requests for examinations concerning 6083 samples have been registered. The results of analysis of 3892 patients were printed from the Laboratory information system. In order to produce tuberculosis drug resistance reports and laboratory performance reports, dashboards have been developed.
    Conclusion
    The system has been adopted by the staff because of the time and efficiency gained in managing laboratory data. However, obtaining an optimized tool will only be done
    in a cycle of sustained improvement
    Keywords: Clinical laboratory information systems, Public health, Tuberculosis
  • Aziz Rezapour, Marziye Hadian, Mohammad Ghasemi, Sajad Vahedi*, Abdosaleh Jafari Pages 7-14
     
    Introduction
    Myocardial infarctions (MI), as one of the outcomes of cardiovascular diseases, are responsible for 20% of deaths, so that every 30 seconds, one person suffers from MI. Various drugs are used to treat myocardial infarction, and we need to have precise information of the cost-effectiveness of these drugs. The aim of this study was to examine economic evaluation of the drugs used for treatment of patients with MI.
    Methods
    In the present systematic review study, published articles related to economic evaluation of the drugs used for treatment of patients with MI within the time interval between 2000 and 2017 were searched, using electronic databases such as Tufts Medical Center Cost-Effectiveness Analysis Registry ,Cochrane library, NHS Economic Evaluations Database Medline, PubMed, Google scholar, web of science using the following keywords:Cost- effectiveness* OR cost- utility* OR economic evaluation * AND (myocardial infarction *) AND (angiotensin- converting enzyme inhibitor (lisinopril) OR thrombolytic agents (streptokinase, anistreplase or anisoylated plasminogen streptokinase activator complex OR beta blockers (metoprolol, propranolol, atenolol, acebutolol, bisoprolol). Due to heterogeneity in the outcome, we were not able to use meta-analysis. Methodological quality of the structuree of tarticles was examined by Drummond’s standard checklist.
    Results
    Based on the inclusion criteria, the search of databases resulted in 12 articles that fully covered economic evaluation of the drugs used in treating patients with MI. The
    results
    of the present study indicated that a streptokinase and t-PA drug for treatment of patients with myocardial infarction was cost-effective. The results showed that most of the studies clearly stated the time horizon of the study and included direct medical costs in their analysis. In addition, the majority of the studies were used the Markov model. The quality-adjusted life years (QALYs) were the main outcome used for measuring the effectiveness.
    Conclusion
    The results of the present study showed that a thrombolytic agent for treatment of patients with myocardial infarction was cost-effective. The results were relatively varied due to the differences in time horizon and variables used in the models such as efficacy and drug prices. Furthermore, these studies were designed and conducted in high-income countries; thus, the application of these results in low- and middle-income countries will be limited.

    Keywords: Economic evaluation, Systematic review, Myocardial Infarction, Drummond’schecklist
  • Mahnaz Yadollahi*, Asieh Mahmoudi, Maryam Zamani Pages 15-21
     
    Introduction
    Due to the high level of vulnerability, motorcyclists are considered a priority for research and intervention. Therefore, this study aimed to improve the society’s awareness and attitudes toward motorcycle traffic safety.  
    Method
    This study involved a randomized clinical trial conducted in 2016 among trauma patients and their caregivers in Shahid Rajaee hospital, Shiraz. Block randomization was used to divided the patients into study and control groups. Data collection was done using a researcher-made questionnaire called “Awareness & Attitude associated with Motorcycle Traffic Safety”; the questionnaire was found reliable with a Cronbach’s alpha of 78%. We made use of a pairwise T-test to make our intergroup comparisons; in cases of non-normal data, a non-parametric alternative was employed. The one-way analysis of variance (ANOVA) was used to study the inter-variable relationships.  
    Results
    Participants included 276 patients, 138 in each group. Generally, 72.7% of the population consisted of males and the rest were females. The participants had a mean age of 31.38±10.46 years. Our pairwise T-test in the case group revealed a significant difference in attitudes and awareness of the subjects before and after the intervention (P<0.001). The oneway ANOVA indicated the influence of marital status on the level of awareness after training. Furthermore, training had the highest impact on the age-group of 47-62 years old.
    Conclusion
    Training would lead to increased awareness and improved attitudes in societytoward motorcycle traffic safety, and would indirectly be an effective step toward improvement of traffic culture and reduction of road traffic accidents (RTA).
    Keywords: Accident prevention, Safety behavior, Motorcyclists
  • Ahmad Baleshzar, Meimanat Tabbodi* Pages 22-27
     
    Introduction
    This study was designed to investigate the relationship of the environmental
    architecture and job satisfaction with productivity in the staff of Azad universities.
    Methods
    In this cross-sectional descriptive-analytic study, out of a total of 400 employees of the colleges of the Islamic Azad University of Shiraz, 186 subjects were included as a sample group by using MORGAN’s table for sample size. Data were collected using demographic information checklist, staff physical administrative environment questionnaire, Minnesota Job Satisfaction Questionnaire, and Hersey-Goldsmith’s Productivity Questionnaire. To describe the variables, we used descriptive statistics including mean indexes, and standard deviations. The data were analyzed using SPSS version22. Pearson Correlation Coefficient was used to measure the relationship between quantitative variables and productivity score. The level of significance was p<0.05.
    Results
    The results indicated that the participants were middle aged (41.45±6.8), and had
    an average work time of 8 hours each working day and a work record of 11 years. Also, most of them were male and married, and more than 60% of them had a bachelor’s or master’s degree. Overall, the quality of environmental architecture index (mean±standard deviation of 58.04±10.20) had a direct significant correlation with the total productivity score (P=0.001 r=0.63). The environmental architecture index with job satisfaction showed a significant direct relationship (r=0.57 P=0.02).
    Conclusion
    The environmental architecture index with the dimensions of ability, perception,
    support, and feedback from the dimensions of productivity was related only to the internal
    dimension of job satisfaction. Regarding the relationship of physical conditions with job
    satisfaction and productivity, it is suggested that the organizations should increase the quality of physical environment in order to improve the productivity of the employee
    Keywords: Environment, Architecture, Job satisfaction
  • Masoumeh Ansari, Mehrdad Khaledian, Maryam Poorsani Pages 28-35
     
    Introduction
    Health literacy is a personal and social capacity for accessing, understanding,  evaluating information and health services and their optimal utilization for health promotion.
    Public libraries are one of the ways which make the information accessible to the public.  Given the importance of public libraries in providing people with access to information such as health information, in this research, we investigated the health literacy level of people aged 18-60 years old who referred to libraries covered by the public libraries of Sanandaj city.
    Methods
    This study is a descriptive and applied survey. The research tool was an Iranian Health Literacy Questionnaire (IHLQ). According to the referrals to the libraries covered by
    the public libraries of Sanandaj city, the sample size was determined by clustering method to be 295 people. Questionnaires were completed in autumn and winter of 2016 by individuals aged 18-60 years old who referred to libraries covered by public libraries of Sanandaj. Data were analyzed through SPSS23. 0 software, using One-way ANOVA and independent t-test. The final score of health literacy was calculated on a scale of 0 to 20, so that a score of less than 10 indicates “weak”, a score of 14-10 shows “moderate”, and those more than 14 indicates “sufficient” health literacy level.
    Results
    A significant relationship was found in the level of health literacy with age (P=0. 002) and occupation (P<0. 001), but there was no significant relationship between health literacy level and education level and gender. The mean of health literacy in the subcomponent of “knowledge” with the score of 14. 91±1. 05 was highest and “getting health information” with a score of 7. 26±0. 31 and after that “reading” with a score of 8. 48±0. 52 were the lowest values. The findings of the study showed that 25. 8% (76 people) had sufficient health literacy, 49. 5% (146) had moderate health literacy, and 24. 7% (73) had weak health literacy. Therefore, the level of health literacy among people aged 18-60 years old in the libraries covered by the public libraries of the city of Sanandaj was “moderate. »
    Conclusion
    The level of health literacy among people aged 18-60 years old in the libraries covered by the public libraries of the city of Sanandaj was “moderate”. Regarding the average health literacy level of the studied community, it seems that the provision of health-related content by the public libraries institution and the health care centers is effective in improving the health literacy level of the general population.
    Keywords: Health literacy, Public libraries institute, Sanandaj, Iranian Health literacy