نشریه مدیریت اطلاعات سلامت
سال هجدهم شماره 3 (پیاپی 79، امرداد و شهریور 1400)

Physicians need personalized tools to make the best and most appropriate clinical decision through proper access to patients' data and information. This study was performed to identify important data items for designing an electronic physician desk panel in a hospital information system (HIS).

This descriptive study was performed with the participation of physicians of hospitals under the auspices of Kerman University of Medical Sciences, Kerman, Iran and Zahedan University of Medical Sciences, Zahedan, Iran. The study population included all physicians at different levels who were recruited by stratified and simple random sampling method. In two consecutive phases, first the minimum necessary data were identified through reputable authorities and then the opinions of the physicians were collected through interviews and structured questionnaires.

298 variables were identified as data items and 70 physicians in 18 medical groups were interviewed about them in specific questionnaires. Of the total items studied, 57 data items were common to all physicians and other non-common items between 5 and 45 items in different specialties were selected and prioritized at three levels.

Access to patients' clinical data is important for physicians and the physician's desk panel needs to be used as a daily tool by them.

New concepts in the field of planning and design for healthcare centers are noteworthy. One of the types of healthcare centers which was brought up and emphasized in terms of efficiency in recent years is micro-hospitals. Considering the ability of micro-hospitals to provide effective availability of healthcare services, elicitation and prioritization of related factors in establishment of these healthcare centers in the country seems necessary.

In this descriptive-survey study, the statistical population consisted of 16 professional experts in hospital planning and design who were selected using the purposive sampling method. After reviewing 53 resources and conducting library studies related to the micro-hospitals in order to compare them with the existing healthcare centers in Iran, the related factors in establishment of micro-hospitals were selected and prioritized in an analytic hierarchy process (AHP) by statistical population.

The two factors of “easy access for users and the increased job efficiency of healthcare employees (due to the low number of patients)” were the ones with the highest importance.

Given the of data analysis, better access, the possibility of attracting patients on a local scale, as well as higher speed and job efficiency of employees, along with lower construction costs (due to the small scale of the complex), have been the highest priorities among the related factors. Thus, it seems that this idea can be a responsive solution to promote the healthcare service level in Iran.

Palliative care should be a top priority in public health and disease management programs. This study aimed to compare the palliative care services in selected countries and provide a framework for Iran.

This study was conducted with a descriptive and comparative approach in 2019. Data were collected through literature review of the databases of the relevant organizations in the selected countries.

Findings suggest that the United Kingdom and the United States are leading countries in palliative care and provide comprehensive services to end stage Ill patients. Turkey has also made significant progress in palliative care and has covered a large population in recent years. In Iran, many services required for end stage patients have not yet been implemented or the centers for providing these services are very limited. Experts in palliative care also believe that in Iran, less attention has been paid to the organization of such centers than the United Kingdom, the United States, and Turkey.

Based on the results of this study, it is suggested to benchmark the experiences of leading countries and initiatives and proceedings of the developing countries, considering organizational structure, financing and support services, supervision of services, interdisciplinary teams, patient care need assessment, training and recruitment as a framework for Iran.

Increasing pressure on available capitals in health care section, especially hospitals, underlines the need for analyzing different strategies in economic terms. One of the solutions for the optimal use of financial resources and potentials in hospitals and healthcare centers is using components of the marketing mix. This study endeavored to determine the related factors on patients' preference in choosing a hospital based on the mixed marketing model.

This study was conducted in Farhikhtegan Hospital in Tehran, Iran, in 2020. Simple random sampling was employed to select the sample from among 243 inpatients, outpatients, and clients of the hospital. A bi-part researcher-made questionnaire was used to gather the data (demographics and seven aspects of marketing mix); whose validity and reliability were deemed appropriate. Regarding the data analysis, one-sample t-test and Friedman test were used to rank dimensions and components and the analysis of variance (ANOVA) was used to compare the views of different classes of society.

All seven dimensions of the mixed marketing had a significant and different effect on the preference of the patients in choosing the Farhikhtegan Hospital. Manpower and promotion dimensions were the most and the least important dimensions, respectively. Among the mixed marketing components, sufficient expertise, family income, hospital’s reputation, physicians’ attitude, pacing of services’ provision, doctors' advice and degree of diversity, novelty, and advanced equipment came out to be the most effective components of each dimension of mixed marketing.

Considering the changes in the needs of the audiences in the health field, hospital managers can identify the patients' needs in accordance with the principles of marketing mix. Regarding the importance of manpower in the findings of this study, managers can attract the attention of patients with culture making and preparing practical guidance in appropriate treatment of employees.

Since Internet is an important source of information and search tools are used to retrieve information on the web, it is important to identify the capabilities and limitations of these tools. The aim of this study was to compare the performance of search engines and specialized medical databases based on four categories of search criteria, display, navigation, and user-friendliness in the field of recovery of common cancers.

This was a descriptive study. Based on the data collected and their content description, the performance of search engines and specialized medical databases in the recovery of common cancers was compared. Five free and controlled keywords for common cancers were selected from the Medical Subject Headings (MeSH) and were searched in five specialized medical search engines and three specialized medical databases. In order to evaluate the performance of search engines and specialized medical databases, a researcher-made checklist was used and data were described using descriptive statistics (frequency, percentage, and average) and Excel software.

In the search engine and database performance and display criteria, the Trip search engine and PubMed-Embase database, in terms of navigation criteria, the Trip and WebMD search engines and Embase database, and in terms of user-friendliness, the Medlineplus search engine and Embase database scored the highest.

According to the results of the present study, the performance of search engines and specialized medical databases in recovering common cancers was different based on different criteria and users can use any of them according to their needs.

In recent decades, achieving strategic supply chain goals including reducing costs and improving revenue and profitability has attracted the attention of many researchers. Although these efforts have yielded successful practices, the prevalence of coronavirus disease-2019 (COVID-19) and its disorders led to the consideration of other indicators. Therefore, factors including increasing higher level of access to the product, diversification of goods and services, increasing the flexibility to deal with the uncertainties to improve adaptability and resilience in the supply chain need more consideration. Since healthcare research into Covid-19 vaccines seems to have acceptable results, much more attention needs to be paid to the supply chain planning regarding the large scale of demand, supply, storage, and logistics components. In this article, specia l considerations including needs to phase out vaccination, prioritizing people, organization and coordination, communications, effective planning control, and track consignments are discussed. Finally, a proposed framework for the main contents of the supply chain of the Covid-19 vaccination program is provided.

In the information world, humans are faced with valid and invalid information (misinformation and disinformation); however, the general tendency of humans is to use valid information. But sometimes individuals get caught up in producing and using invalid information for different reasons. On the other hand, changing any behavior always has consequences and individuals choose a path depending on their attitudes and beliefs. Ensuring the right choice depends on accessing and using valid information and avoiding invalid information. Now what should one do if he/she wants to save oneself from the swamp of invalid information? In this article, identifying the knowledge gap, searching and acquiring information, evaluating information, and deciding to avoid misinformation are suggested as steps for avoiding misinformation and disinformation in health context.