Journal of Health Management and Informatics
Volume:8 Issue: 2, Apr 2021

Metabolic Syndrome (MetS) is one of the most common metabolic disordersseen in children and adolescents. In this study, the prevalence of MetS and its related factorsare evaluated using a fuzzy expert system (FES) in a national representative sample of agegroups. The FES is designed based on the data of 800 participants of the fifth study of theprogram for monitoring and prevention of non-communicable diseases among children andadolescents in Iran in 2015. The data of 560 participants were used as training data and 240 astest data were used to test the rules and output of the system. The fuzzy system that has beendesigned includes input data (age, waist, systolic blood pressure, diastolic blood pressure,BMI, waist-to-height ratio, nutrition, and abdominal obesity), and at the end gives us anoutput that diagnoses the health status with MetS or predicts the disease. The analysis shows that this method, with an accuracy of more than 98%, can predictand diagnose MetS among children and adolescents better than other methods. The fuzzy system is designed to accept multiple variables simultaneously asinput variables and also use more people information than similar research as primary data.In addition, its accuracy is more than 98%. Preliminary data were collected from children andadolescents with different lifestyles across the country. This system can act as an assistant inthe service of a specialist doctor to diagnose the disease.

Laboratory information system (LIS) is one of the key components ofhealthcare information system (HIS). It can help the healthcare providers to delivery faster,easier, and more efficient healthcare services. Acceptance and success of LISs depend on theappropriate designs of user interface of these systems. Therefore, this study was conductedaiming to focus on the end-user usability evaluation of LIS. This is a descriptive cross-sectional study. It was conducted on the LIS embeddedinto a HIS used in Faghihi Hospital affiliated to Shiraz University of Medical Science, Iran.The target population was all of 80 pathologists and laboratory technicians of this hospitalwho worked with LIS. We used the questionnaire of Usefulness, Satisfaction, and Ease of Use(USE) to evaluate the LIS. The descriptive data were analyzed using SPSS22; the reliability andvalidity of the measures and model were determined using Smart-PLS version 3 with PartialLeast Squares. The result of all the constructs with regard to USEQ model demonstrated apositive effect of “Usefulness” (t-value=2.08), “Satisfaction” (t-value=1.89) and “Ease of use”(t-value=5.05) on the usability of the LIS. The USEQ model proposed was a valid and reliable instrument and couldbe used by researchers. The LIS was usable, and end-users could interact with this systemwithout any effort. Therefore, healthcare professionals can perform their tasks better with thissystem and make appropriate diagnostic and therapeutic decisions for their patients.

Radio-Frequency Identification (RFID) can increase the quality of healthcareand improve patient safety by collecting information, automatically identifying patients,tracking patient movements and hospital equipment. However, successful implementationand adoption of this technology face several barriers. The objective of this study was toidentify and prioritize the potential challenges of implementing RFID in hospitals. This study was conducted on all information technology administrators andmanagers of educational hospitals in Kerman (n=43). Data were collected through a validand reliable (α=0.94) questionnaire. The questionnaire consisted of two sections with 33questions (4 questions for demographic information and 29 questions for implementationbarriers). T-test and one-way ANOVA were used to examine the relationship between thebarriers and demographic information. Financial (3.67), managerial-specialized (3.40) and attitudinal-behavioral (3.36)barriers had the highest means among the RFID implementation barriers, respectively. Age,gender, work experience, and organizational position had no effect on the prioritization ofbarriers (P<0.05). Failure to finance RFID implementation project, spending a lot of time andmoney to train RFID users, and unfamiliarity of users with RFID created the most problemsin implementing this technology, respectively. Therefore, making short and long-termpolicies to address these barriers are recommended. Hospital managers can overcomeimplementation barriers by making decisions based on a detailed and transparent analysis ofreturn on investment, allocating funds to implementation projects, and careful planning foruser training to improve their awareness and technical knowledge.

Health tourism as a basic parameter has an undeniable role in achievingsustainable growth and development and has been given special attention in developedcountries, while in developing countries such as Iran, less attention has been paid to thisissue. This study aimed at designing a management model for the development of healthtourism in Fars Province, Iran. This study was performed by descriptive-correlation method which is a type ofapplied research in terms of quiddity and purpose. The sample consisted of 120 foreigntourists who have traveled to Fars province to receive health services. All participants wereselected by the purposive sampling method within a survey design from medical tourismcenters, wellness tourism centers, and curative tourism centers in Shiraz City of the province.After informed consent was obtained, the required quantitative data were collected using asurvey method and a questionnaire.The questionnaire used had 6 sections including: (1) structural management; (2) behavioralmanagement; (3) environmental management; (4) protective management; (5) developmentand improvement management; and (6) development of health tourism, which had 34 itemsand each item was scored based on a five-point Likert scale (from 1=very low to 5=very high).Data analysis was performed with SPSS-20 and Smart-PLS software. In this study at first, validity and reliability analyses using SEM for Cronbach’s alphaand composite reliability (CR) of subscales and total score of the questionnaire revealed anmoderate to excellent level of internal consistency (a=0.62 to 0.91 and CR=0.68 to 0.98),respectively. The findings indicated that independent variables of model explain 0.921% ofhealth tourism management variations in this sample. With regards to the path coefficientsbetween latent constructs of the model, three structural (0.315), behavioral (0.459),environmental (0.234) factors have a significant effect on health tourism management in thisstudy (T Managers and officials of Fars province are expected to use the managementmodel presented in this study to develop health tourism and focus on the pillars of sustainabledevelopment of this model such as structural, behavioral, environmental, protective anddevelopment factors for attracting foreign tourists and promoting health tourism in Farsprovince.

Patient safety is one of the main challenges in the field of healthcare. Theincrease in patient safety and care quality are now amongst the main priorities of hospitals.Patient safety culture is directly associated with the incidence of adverse events. Hence, thepresent study aimed to investigate patient safety culture from the perspective of healthcarestaff in Abu-Ali Sina Organ Transplantation Center, Shiraz, Iran. This cross-sectional study was conducted on 763 healthcare staff in Abu-Ali SinaOrgan Transplantation Center in 2019. The study data were collected using the HospitalSurvey on Patient Safety Culture Questionnaire (HSPSCQ) whose reliability and validitywere approved. The data were analyzed using the SPSS software and p statistically significant. The majority of the participants were female (65.66%), aged 20-30 years (79.4%).Scores 50-70% were for ‘supervisor/manager expectations and actions promoting patientsafety’, ‘organizational learning-continuous improvement’, and ‘teamwork within units’.However, scores below 50% were to ‘the frequency of events reported’, ‘overall perceptionsof patient safety’, ‘communication openness’, ‘feedback & communication about errors’, ‘nonpunitiveresponse to errors’, ‘staffing’, ‘management support for patient safety’, ‘teamworkacross units’, and ‘handoffs and transitions’. Patient safety culture was scored low to moderate in Abu-Ali Sina OrganTransplant Center. Therefore, authorities are recommended to train the employees and holdworkshops for promoting patient safety culture in this center.

The purpose of this study is to investigate the effect of talent management on organizational performance with the mediating role of knowledge absorptive capacity and innovation capability.

This applied correlational study was conducted in 2019 with the participation of 106 people selected by a simple random method from nurses of hospitals affiliated to Qom University of Medical Sciences. The face and content validity of the research tools were confirmed by the use of standard questionnaires and the opinion of experts.

The findings represented that the correlation between talent management variables and knowledge absorptive capacity (t=2.13, r=0.83), talent management and innovation capability (t=5.03, r=0.54), knowledge absorptive capacity with organizational performance (t=3.48, r=0.80), innovation capability with the organization performance (t=3.53, r=0.72), capability to absorb knowledge and innovation capability (t=6.97, r=0.78) and talent management with organizational performance (t=3.19, r=0.86) was confirmed.

The results indicate that the organizational improvement depends on the development and advancement of employees, so it is better to focus on talent management to increase the innovation capability in employees by optimally influencing the capacity to absorb knowledge as a set of organizational processes for acquiring, simulating, transferring and extracting knowledge and take steps to improve productivity and increase organizational performance

Providing quality services in different organizations depends on understandingthe needs and problems of human resources and responding to them appropriately. Thisstudy aimed to design and validate a questionnaire to assess the internal marketing status ofhealth care centers in Persian. After collecting the related articles and interviewing the experts, we designed theinitial questionnaire consisting of 35 questions in 8 different dimensions. For the validity ofthe instrument, face validity and content validity were used. For checking the reliability, theinternal consistency (Cronbach’s Alpha) and test-retest (Intraclass Correlation Coefficient)methods were used. All statistical analyses were performed using SPSS-v24 software. Using a panel of 15 experts to evaluate the content validity of the instrument, wefound that the optimal value of content validity ratio (CVR) and content validity index (CVI)were 0.49 and 0.79, respectively. Finally, 30 questions in the form of 7 dimensions were kept.Also, the reliability of the instrument was confirmed with Alpha=0.88 and ICC=0.85. This study provided a suitable and reliable instrument in Persian to investigatethe internal marketing status of health care centers that can be used by researchers.

CoVID-19 is a viral disease that has spread rapidly. Epilepsy is a chronic neurological disorder. One of the best solutions for follow-up and periodic examinations of epileptic patients to prevent the spread of the Corona virus among epileptic patients is the use of telemedicine. Before the CoVID-19 crisis, telemedicine was not used privately to treat and follow up patients, but after the crisis, the use of telemedicine is unavoidable in most stages of chronic and acute illness. According to the findings, the number of epilepsy management programs has increased in recent years. Most care programs are related to the treatment, and follow-up of people with epilepsy because of their increased exposure to the coronavirus. Accordingly, the use of self-care programs through smartphones and other telemedicine methods are good solutions for epileptic patients. Telemedicine helps physicians keep patient information up to date and minimize face-to-face visits and reducing the risk of infection.