نشریه مدیریت اطلاعات سلامت
سال هجدهم شماره 6 (پیاپی 82، بهمن و اسفند 1400)

Information defects in patients' medical records reduce the quality of care services, as well as responsiveness in clinical, legal, and financial cases. This study endeavored to design a system to improve the quality of the management of medical records defects.

In this qualitative study, by observing the activities of users (managers and experts of health information management in selected hospitals of Iranian Social Security Organization) through a system for managing the defects of medical records and conducting semi-structured interviews (n = 10) in year 2021, the performance of designed software (Web PHP with MYSQL Database) was examined. Qualitative data related to activity with software designed by users were classified using content analysis method (MAXQDA).

"Medical Records Defect Management System was defined in two sections of management panel and administrator, each of which had 6 and 7 subsystems, respectively. After developing the software and observing the activity of users while working with the software and interviewing them, the applications of the Medical Records Defect Statistics Management System were classified in the form of 4 main categories of facilities, technological and technical advantages, user friendliness, and training requirements and equipment, as well as 30 subcategories.

The study of the use of Medical Records Defect Management System by medical records users indicates an increase in efficiency and speed in performing activities related to quantitative analysis in medical record, and the possibility of obtaining various reports was satisfactory based on management needs according to defects of medical records in each time period.

Today, the medical tourism market has been raised as one of the revenue industries in the world. In the tourism industry, factors have a direct and important impact on boom and expansion that causes some countries to become a medical tourism pole. This study aimed at prioritizing factors related to the absorption of medical tourists in Yazd City, Iran.

In the first step, using the keywords such as "medical tourism, effective factors and absorption factors", Web of Science, PubMed, Scopus, ScienceDirect, Google Scholar, Scientific Information Database (SID), Magiran, Medlib, Civilica, and Irandoc were reviewed, and related factors with the absorption of tourists were extracted; and in the second stage, using the hierarchical analysis model, by the research community consisting medical tourists and experts in this area, these factors were prioritized.

Factors were identified in the two themes, seven subthemes, and 27 items; among them, the subtheme of the quality of health services, and item of the quality of the treatment staff had the most importance and priority from the viewpoint of medical tourists and experts in this area.

One of the ways to increase tourists attracting and influencing tourists to choose Iran as a destination country, is to increase the quality of services, especially medical services, along with reducing costs, and making them competitive.

Productivity is one of the indicators for assessing the status quo regarding use of production factors, including financial resources, and the health management systems, especially hospitals, are no exception. This study endeavored to evaluate the financial productivity of social security hospitals in Iran using the Malmquist Productivity Index (MPI).

This study was a survey research. To calculate the MPI in all social security hospitals during 2015 to 2018, initially, through interviews with 10 experts in this field, the most important criteria for evaluating financial productivity in hospitals were identified (10 criteria). Seeing as the specified criteria had some special features, they required mathematical modeling; in such a way that some of these criteria were uncontrollable and others were among the undesirable criteria. The proposed mathematical model was a network data envelopment analysis (DEA) model with correct input and output, fixed input, and undesirable output for use in calculating the MPI.

The calculation of financial productivity of hospitals was possible using MPI and DEA method with the help of 10 main criteria including personnel cost, administrative cost, cost of transfer payments, number of active beds, cost of physicians’ benefits and perks, cost of staff’s motivational benefits and perks, the amount of invoices for hospitalized patients, the amount of invoices for outpatients, the sum of medical functions, and the number of days of hospitalization. The results confirmed those obtained in the previous studies.

Knowing the financial productivity of hospitals during different periods can lead to the optimal allocation of financial resources to increase the financial productivity of hospitals.

During health crises, such as Coronavirus disease 2019 (COVID-19) pandemic, the spread of fake news and rumors makes it difficult to distinguish real news. Besides, despite dangers, some endanger public safety by avoiding vaccination. It is not clear to what extent the individuals understand the dangers, and are influenced by the fake news. To elucidate the causes of this risky behavior, this study examined the role of fake news detection and risk perception in vaccine acceptance among students of Shiraz University, Shiraz, Iran.

Research method was survey, and research tool was a combined electronic questionnaire, including vaccine acceptance questionnaire of Montagni et al., fake news detection, developed by the researcher, and the risk perception questionnaire of Champion. The sampling method was voluntary. 382 students from Shiraz University (academic year of 2021-2022) answered the questionnaire. Data were analyzed through chi-square and binary logistic regression tests.

72.0% of students were vaccine acceptant, and 62.8% had a moderate risk perception regarding the disease. Although the students' demographic characteristics and risk perception showed no significant correlation with the vaccine acceptance, their ability to detect fake news had a significant positive correlation. In effect, the participants with higher fake news detection scores were 0.8 times less likely to be classed in the vaccine hesitant group, compared to the vaccine acceptance ones.

Acceptance of fake news about COVID-19 vaccine may reduce the vaccine acceptance. This finding highlights the key role of fake news detection literacy in controlling the behavior of individuals, and thus the safety of society.

Recently, cancer has become one of the most dangerous diseases in the world due to environmental reasons. This study endeavored to analyze and map the scientific cooperation network of researchers in blood and oncology research centers.

This descriptive study was performed with a scientometric approach using network analysis. The population of the research included documents produced by researchers of hematology and oncology research centers in Iran, which were indexed in the Web of Science (WoS) database until the end of the academic year 2019.

Tehran and Mazandaran Universities of Medical Sciences had the most cooperation compared with their counterparts by producing 100 joint documents. The highest international cooperation was allocated to the United States (US), Italy, the United Kingdom (UK), Germany, and Australia. Besides, international articles with an average citation of 41.75 were significantly more considered and referred than national documents (with an average citation of 7.45) (P < 0.001). The study of the correlation between the number of citations and the number of partner countries also showed a significant positive and moderate relationship between these two variables (r = 0.353, P < 0.001).

Academic collaborations, especially at the international level, have a positive effect on the citation of scientific documents. Therefore, the attention of research policymakers and researchers to this issue can help increase the publication quality of scientific articles.

The field of librarianship and information science with interdisciplinary nature trains specialized human resources required by libraries, academics, hospitals, and research information centers. This study endeavors to investigate the problems and strategies affecting the promotion of the job status in this field.

After analyzing the interviews, the problems of the medical librarianship job status were identified according to the job

This qualitative case study reviewed the viewpoints of specialists. Interviewees were selected by purposeful sampling method and their views were collected using semi-structured interviews; after the initial coding, their classification was done.

By analyzing the interviews, the problems of the medical librarianship job status were identified according to the job classification booklet in the employment category. Regarding the problems of public jobs, changing the job title of librarian to an expert in knowledge and information science and being limited to several professions, and in the specialized jobs section, occupational field of health information technology expert, as well as the employment problems of medical librarians were mentioned and some strategies were proposed from the viewpoint of professors and experts in this field.

The field of medical librarianship, after several decades of its activity in Iran, needs strategies to improve job position. In effect, with the specialization of librarians' activities, the creation of independent job disciplines can help to improve the job status of the discipline. It is expected that the results of the present study can help managers and those in charge in planning and decision-making.

Today, knowledge management has become one of the main strategies for the survival of libraries that is facing problems. In so doing, this study endeavored to identify the factors of organizational structure to establish knowledge management in the libraries of medical universities.

This was an analytical survey and the population included 184 managers of research and medical libraries who were identified through the websites of medical universities. A total of 150 managers participated in this research and answered the researcher-made questionnaire (Cronbach’s alpha: 0.78). Data were analyzed using the t-test and Friedman test.

There was no significant difference between the factors of organizational structure. In terms of ranking, human component with an average of 2.06, peripheral component with an average of 1.97, and technology component with an average of 1.95 had the highest to the lowest impact on the implementation of knowledge management in the libraries of medical universities.

Implementation of knowledge management in university libraries is a potency that can integrate knowledge investments into the promotion of educational and research services. This feature is provided in the libraries of medical universities to implement knowledge management with the benefit of facilities and the help of knowledgeable staff.