نشریه مدیریت اطلاعات سلامت
سال هفدهم شماره 2 (پیاپی 72، خرداد و تیر 1399)

Today, population growth and the consequent physical development of cities have led to a shortage of urban infrastructure and services in new urban areas. The purpose of the present study was to determine the areas deprived of medical services in zone 10, Shiraz municipal, Iran, and to find the optimal locations for use.

The descriptive study was conducted with a citizen-centered approach. The required information was also obtained from the detailed plan of the region. By designing the questionnaire, experts in the field of health and urban planning were asked to rate 3 criteria and 10 sub-criteria, and determine the preference of each criterion. For optimal site selection, hierarchical analysis and geographic information system (GIS) were used.

The high concentration of health care use in the center of Shiraz City had caused the northwestern and southeastern regions to face a shortage of medical use. After reviewing the criteria and sub-criteria, the best spatial locations were proposed for the construction of the hospital.

The distribution of urban services, especially medical services, must be such that spatial justice is respected. Barren and endowment lands, proximity to first-class passages and densely populated areas, have been suggested as top locations for hospitals.

One of the major indicators for evaluating the quality of services in medical centers is the waiting time for patients. If the treatment process is prolonged, it can give rise the patients to leave the system before the end of the treatment process and with personal consent. The purpose of this research was to evaluate the service process of a treatment center and improve the treatment process through discrete-event simulation to reduce patient waiting time and reduce the number of patients with discharging by personal satisfaction despite the doctor's advice (DAMA: Discharged against Medical Advice).

This was a descriptive study involving patients referred to Khatam Al-Anbia hospital in Tehran, Iran, in the fall of 2018. Data collection tools were as questionnaires, and face-to-face and telephone interviews with experts and researchers. Content for data collection formats included the patient's arrival time, and the start and end time of receiving services in various departments and units. In the next step, the data were modeled, different scenarios were analyzed, and the best scenario was selected from them.

In the seven proposed studied scenarios, the seventh scenario, which was a combination of the other six proposed scenarios, improved the treatment system. In this scenario, it was observed that the cost of value added with a slight increase from 399807373 in the initial model to 401561100 in the seventh scenario, with a significant decrease in the waiting cost from 2494256 currency units in the initial model to 16472202 currency units in the seventh scenario. Other proposed scenarios were more effective in reducing the total cost, from 649228933 monetary units in the initial model to 418033302 monetary units in the seventh scenario, which ultimately led to proper classification of workflow and improvement of performance indicators studied.

The results reveal that by changing the resources and beds allocated to patients (optimal amount), it is possible to provide better services to patients, eliminate their dissatisfaction, and reduce the number of DAMA patients, waiting time of patients, and the losses in the service process.

Considering the necessity of selecting and appointing hospital managers as one of the important goals of the health system, this study aimed to investigate the feasibility of establishing a surrogacy system with regard to meritocracy among the managers of hospital affiliated to Isfahan University of Medical Sciences, Isfahan, Iran, in year 2019.

The present study was descriptive survey. 102 managers of educational treatment centers, hospitals, and health-treatment networks, and human resources managers were selected using convenient sampling method. The research instrument was a researcher-made questionnaire. The validity and reliability (Cronbach's alpha > 0.7) of the questionnaires were confirmed. Data was analyzed using one-sample t-test.

The possibility of establishing a surrogacy system with competency approach in terms of existence and recognition of required competencies, the status of training and improvement, and performance evaluation and compensation was moderate among hospital managers. It was not possible to establish a surrogacy system with a competency approach from the perspective of planning and development, recruitment method, and the status of welfare services and maintenance among hospital managers.

According to these results, it is necessary for health system policymakers to pay attention to competencies in hospital substitute managers in order to increase efficiency and effectiveness in hospitals.

Recognizing the current situation and comparing research activities on various topics has made it important today to evaluate research activities using scientometrics techniques. The purpose of this study was to conduct co-word and co-authorship analysis of the articles published in the Journal of Health Information Management (JHIM) from 2009 to 2018.

The data for this study were extracted from Islamic World Science Citation Center(ISC). The statistical population of the study consisted of 807 articles published in the JHIMin a ten-year period (2009-2018).

Isfahan University of Medical Sciences was the most prolific institution with the production of 236 articles. Over 94% of articles werepublished collaboratively. Mohammad Hossein Yarmohammadian had the highest scores in terms of centrality indicators. The keyword "hospitals" was the most frequently used keywords in the JHIM. Hierarchical clustering indicated seven clusters with the themesofhospital services and performance, knowledge management in universities, hospital information systems, quantitative measurement studies of health information, health Indicators, health information management and technology, and quality of health care in hospitals.

The scientific collaboration approach among authors has been relatively good at producing scientific works. However, there are several authors with a limited number of articles. There are also a small number of core institutions and universities in producing scientific worksin the field of health information management. With the exception of the knowledge management cluster at the universities, all the obtained clusters are aligned with the journal's thematic axes.

Among the different types of cancers, breast cancer is the most common and the second leading cause of death in women aged 35-55 years. Patients' knowledge has a critical role in cancer management and control of treatment-related adverse events. Therefore, the purpose of the present study was to evaluate the knowledge, awareness, and information sources of patients with breast cancer undergoing chemotherapy.

This survey study was performed in 2019. The study population consisted of 190 women with breast cancer undergoing chemotherapy referred to two specialized cancer centers in Mashhad, Iran, within two months. The research tool was a valid and </em>reliable questionnaire. Data analysis was done using descriptive statistics.

Approximately half of the patients in the study (54.2%) considered the goal of chemotherapy to be the cure for the disease, which was used as adjunctive therapy after other treatments. Most patients knew about the cause of the blood test before chemotherapy. Most of them could meet their information needs through the information brochure. The most important source of information for patients to meet their information needs were physicians and nurses, respectively. Observance of public health (82.1%) and avoidance of sick people and crowded places (62.1%) were the most and least prevalent action done by patients during the treatment, respectively. Among the side effects of treatment, patients had the most attitudes about hair loss (91.6%) and fatigue (82.1%), and the least attitudes about the effect on fertility (9.5%) and reduced kidney function (8.4%).

Even though in many cases the knowledge of patients is at a good level, but in some cases, some training and empowerment of patients is required. Performing these interventions can improve the quality of life of this group of patients.

Ideational influence and social influence are among the indicators of scientometrics used to evaluate scientific publications. This study aimed to evaluate and analyze the scientific publications of Iranian researchers in the field of myocardial ischemic diseases indexed in the Scopus citation database.

The present applied study was conducted through the scientometrics indicators of ideational and social influence. This study also employed the social network analysis to depict a co-author network. The statistical population included 6908 Iranian articles in the field of myocardial ischemic diseases in Scopus database from 2008 to 2017. Bibexcel, Pajek, and Vosviewer were used to analyze the data.

Indicators of social influence showed that the average degree of the centrality of myocardial ischemic diseases in Iran was 104.084, the average of the betweenness centrality was 0.061, and the average of the closeness centrality was 0.258. Analysis of the data related to the indicators of intellectual influence revealed that the H, G, and HC indices were 85, 62, and 167, respectively.

Despite the fact that quality of publications in the field of myocardial ischemic diseases in Iran is not acceptable, the number of publications in this field is growing. The level of scientific collaboration is not acceptable as well. Conducting scientometrics studies in various fields of medical sciences using indicators such as ideational influence and social influence, and publicizing the results can make medical scientists aware of the real situation and position of their specialty around the world. Awareness of the results of scientific collaboration studies as well as the researchers’ studies introduces active and productive international scientists in the fields of scientific collaboration and the publication of more useful articles.

By beginning of the year 2020, COVID-19 has spread all over the world. The virus has caused numerous social, medical, and political challenges. One of the major challenges faced by countries to control the outbreak of the virus was the stability of economic and social activities and the simultaneous fulfilling of work during quarantine. Under such circumstances, telework is employed as one of the important policies control the virus. Moreover, many employees have tendency for remote working or teleworking. In such a situation, the importance of applying the Bring Your Own Device (BYOD) approach to fulfill job duties seems obvious. To enjoy the benefits of BYOD, organizations need the right policy for applying BYOD. This perspective endeavors to shed light on how to apply BYOD policy. From the researchers’ point of view, the important facets that could be addressed when applying BYOD can be described like this: policy is appropriate decision-making and implementation, technical infrastructure, continuous communication, staff training, security and privacy protocols, and agreement between staff and organization as well as the use of cloud computing.