مجله اطلاع رسانی پزشکی نوین
پیاپی 1 (بهار و تابستان 1394)

Hospital information system is comprehensive software to integrate patient information in order to send and exchange information between departments and other medical centers. Since according to the users'' needs، some changes such as modifications، improvements or conformity to changes in the organization are applied and also some requirements and performance characteristics are added in these systems، they should be constantly assessed and ranked. The aim of this research is to rank hospital information systems. This descriptive study was conducted in 2013. Research population was hospital information systems of the country. The sample size was 16 companies. Data were collected from check lists which include information related to research purposes، and its validity was confirmed by experts. The collected data were analyzed using descriptive statistics and SPSS software. In the overall rating of hospital information systems، “Rayavran” with 72. 7% ranked the highest and “BuAli designers” with 47. 1% ranked the lowest. In rating functional requirements، only three softwares were efficient. Most of these systems were efficient regarding technical requirements and the ability to use the capabilities of the vendor of the systems، and most hospital information systems were inefficient in improving the quality of patient care. In general، hospital information systems in Iran had a moderate performance regarding the studied requirements and this requires system managers and designers` consideration and attention.

The dynamism of new economy requires researchers in different disciplines including medicine، not only to create knowledge quickly but also to acquire and apply knowledge through knowledge sharing (KS). So، determining factors that may influence knowledge sharing among organizations has become an important area of research. The purpose of this paper is to identify and determine factors that positively affect knowledge sharing for inter-organizational collaboration among medical research centers and universities in Iran and propose a comprehensive model for it. The method of this paper in data collection is mixed methods and applied research that was conducted in 2012. The faculty members of medical universities and research centers supervised by the Ministry of Health Treatment and Medical Education formed the population of the research and “stratified random sampling” was used and a minimum required capacity of 423 people was provided. The software Spss15 was utilized for testing the hypotheses and also the software Amos Graphics and modeling methods of structural equation were utilized for assessing the model. With respect to the statistical results and the factor analysis from amongst three studied factors، results showed that only the effect of organizational factor on the frequency of inter-organizational knowledge sharing was recognized significant and the two individual and technical factors did not indicate significant effects on knowledge sharing. Eventually the inter-organizational knowledge sharing model was presented with the results obtained from the quantitative section. The results of this Study will provide empirical basis for planning and implementing knowledge sharing mechanisms.

Organizational citizenship behavior (OCB) and social capital constitute Organizational behavior، which have important effect on performance and productivity. Therefore this study was conducted to analyze the relationship between social capital and (OCB) among employees at teaching hospitals in Hormozgan University of Medical Scinces. This cross-sectional study was performed in 2011. Standardized questionnaires of Podsakoff and Nahapeit were used to gather data on OCB and social capital، respectively. The validity of questionnaires was approved and its reliability was measured by calculating Cronbach''s alpha which was shown to be 0. 72، 0. 84، respectively. Sampling was done through classified random sampling method. Data analysis was performed using SPSS 19 software and to analyze the relationship between above mentioned variables ANOVA and Pearson tests were used. The mean value of organizational citizenship behavior and social capital were found to be 3. 1±0. 53 and 2. 7±0. 58، respectively. A statistically significant relationship between OCB and social capital was observed. In addition، There was significant relationship between demographic variables such as education، organizational position، shift work and gender with social capital and OCB (P<0. 01) Considering the importance of organizational citizenship behavior for Institutions، to improve efficiency it is suggested that administrators of hospitals and health care institutes adopt policies to enhance these two issues among staff.

With the exponential growth of electronic resources on the Web، the application of metadata has enhanced the precision of retrieval and facilitated the search of electronic resources. Hence، the aim of this study was to determine the metadata in ebook databases. This study is an applied work، which was carried through surveys method. The population consisted of 9 e-books databases، Gale Virtual Reference Library، EBL - Ebook Library، Credo Reference، MyiLibrary،Palgrave Connect، NetLibrary، Ebrary، Dawsonera، Taylor & Francis eBookstore which were selected by a intentional method. Data was collected from the websites using Academic Database Assessment Tool (http: //adat. crl. edu)، which compares databases from different perspectives، through direct observation. The obtained data was analyzed using ‘Excel’ software. Results showed that metadata used in e-books databases، were as follows، Marc metadata (100 percent)، Onix (55. 55 percent)، Dublin Core (11. 11 percent) were and UK Lom was not used in any of the databases. Results suggested that information specialists and database designers apply appropriate metadata in developing ebook databases.

Health care facilities have intended to mechanize their information systems. The rate of mechanization of information systems is not similar within these organizations. The study aimed to assess the mechanization rate of hospital information system among four teaching- general hospitals in Kerman in 2012. This applied research was a descriptive cross-sectional study conducted in four teaching general hospitals. A Ministry of Health and Medical Education checklist on “Health Information System evaluation” was used for data gathering. Data was analyzed using Spss 13 and Excel through descriptive statistics. The Findings of this study revealed that the highest and the lowest mechanization progress rate of hospital information system were concerned to medical record information system and decision support with 91. 66%، and 15. 62%، respectively. It is recommended that executives establish a committee to plan، organize، supervise and hold training courses and conduct periodic assessment of hospital information system for weaknesses identification and amendment and to allocate adequate budget to hospital information system.

Personnel readiness is the major factor for implementation of Electronic Health Records (EHR). On the other hand، nurses play an important role to delivery of care. This study aimed to determine factors influencing nurses’ readiness to implement EHR. This descriptive - cross sectional study was conducted on the nurses in the teaching hospital affiliated to Golestan University of Medical Sciences in 2013. The data was collected by a valid and reliable structured questionnaire. Data was analyzed using Descriptive statistics. Data analysis indicated that the factor of perception and awareness of the characteristics and advantages of EHR (4. 76±0. 45) had a highest score، whereas the factor of ensuring the security and confidentiality in the EHR (4. 21±0. 81) and participation in the design and implementation phase of EHR (4. 29±0. 71) had the lowest score. The most obvious finding to emerge from this study is that most nurses believe that awareness of benefits and understanding of EHR concepts، increases their readiness to implement EHR. Thus، this issue should be considered by policy makers of information technologies.

Citation/Bibliographic management tools are used to facilitate research; management of information resources; citations to books، articles، and dissertations. Hence، the aim of this study was to determine ebook databases status in terms of citation management tools application. This study is an applied work performed in 2013، and was carried through survey methods.. Nine scientific databases have been selected using the targeted/intentional sampling method.. Data was collected from the relevant websites using Academic Database Assessment Tool (ADAT) (http: //adat. crl. edu) and through direct observation. The obtained data was analyzed using ‘Excel’ software. Results revealed that email، RefWorks، and Endnote are the most widely used in scientific databases with 78% each. This is followed by Reference Manager، and ProCite، representing 34% and 23%، respectively. In order to enhance researchers’ satisfaction with scientific databases in performing research، the application of citation managers، such as Reference Manager، ProCite، EndNote، RefWorks، BiblioExpress، and BiblioScape، should be seriously considered when designing scientific databases، specifically Persian ones.

The reimbursement mechanism of the cost of treatment is an important factor which directly or indirectly affects the financial management and control of hospitals costs، hence different countries use different reimbursement systems. This study evaluated the prospective reimbursement system (global system); at one of the hospitals in Hormozgan University of Medical Sciences. This descriptive-analytical study evaluated 1286 Global inpatient records in Fekri hospital affiliated to Hormozgan University of Medical Sciences. First the actual cost of care and length of stay for each of the global records was extracted using the hospital information system. Then the average cost and patient''s stay for each of global procedures were compared with the cost and length of stay determined by Iran global system. Data analysis was performed using descriptive statistics and T-test was used to test the research hypothesis. One quarter of all inpatient records belonged to global payment system. 62% of global records belonged to OB/GY operations، 20% to general surgery and 18% to ophthalmic surgery. The analysis of the cost of 86% of surgery global records showed to be beneficial for the hospital، where 91% of these cost differences were found to be significant. For more than 99% of cases in global system، the average length of stay was less than average standard length of stay، and for 64% cases this difference was found to be statistically significant. Regarding the reduction of length of stay of patients in global payment system، the review and implementation of global payment system for other diagnoses and operations is highly recommended.