مجله اطلاع رسانی پزشکی نوین
سال نهم شماره 4 (پیاپی 26، زمستان 1402)

Hospital accreditation is very important for improving the quality of health-related care. As one of the most important members of the health team, nurses actively participate in this process and are considered as one of the main points of evaluation programs. In various literature, the role of nurses in the process of accreditation of medical environments has not been mentioned in a focused way. Considering the importance of the key role of nurses and the numerous challenges raised by them in performing the tasks assigned during the hospital accreditation processes, it is necessary to focus more on the different dimensions of nurses' performance in programs that improve the quality of care. It is expected that such measures will be effective in order to pay more attention to the issues and problems of nurses.

Following the outbreak of the coronavirus disease (COVID-19), virtual education became more popular. This study aims to determine the satisfaction level of medical students in Iran with virtual education during the COVID-19 pandemic.

This is a descriptive-analytical study that was conducted in 2020. The study population consists of all students of medical universities in ten cities of Iran, of whom 1300 were included in the study. To collect data, a researcher-made questionnaire was used with acceptable validity and reliability (Cronbach’s α=0.76). After completing the questionnaires, the data were analyzed in SPSS software, version 22.

The highest level of students’ satisfaction was in two domains of “the method of presenting lessons to students” and “the fulfillment of students’ expectations”, followed by the domains of teacher-student interaction, interest/attitude, and reliability/trustworthiness of the technology. There was a significant correlation among these domains of the satisfaction scale (P<0001).

The satisfaction of medical students in Iran with virtual education during the COVID-19 pandemic is at a favorable level. Therefore, it is recommended to use this education method during the pandemic.

The healthcare referral system is one of the main factors for improving the health conditions, especially in developing countries. The present study aims to investigate the main factors for the improvement of the family physician referral system in Bojnord, Iran.

This is an analytical (quantitative-qualitative) survey that was conducted in 2021. In the qualitative phase, the related components were first extracted through interviews with a panel of experts (n=24). Then, a questionnaire was created based on the extracted items (n=30). In the quantitative phase, according to the experts’ opinions, the items were weighted using the fuzzy hierarchical analysis, where higher values indicate higher weight. The reliability of the questionnaire was evaluated using Cronbach’s α coefficient in SPSS software. Also, AHP software was used to perform the fuzzy hierarchy analysis.

Twenty components were identified by experts, which were divided into three categories including organizational/managerial requirements, human resources management requirements, and information technology requirements, with the weight values of 0.486, 0.213 and 0.301, respectively, indicating that organizational/managerial requirements were more important. Among the organizational/managerial requirements, the component of “design and implementation of service quality improvement cycles in the referral system” had the highest weight (0.159). Among the human resources management requirements, the component of empowering human resources had the highest weight (0.412). Among the information technology requirements, improvement of the information technology infrastructure had the highest weight (0.372).

The use of clear procedures and regulations, the digitalization of the referral system, and the staff training are among the very important factors that can lead to improving the referral system in Bojnord City.

The science of psychology, by examining behaviors and evaluating internal states, seeks the best method to provide appropriate life patterns. The analysis of scientific publications in psychology can show the scientific performance of scholars in this field. Therefore, this study aims to analyze and evaluate the scientific publications in psychology in the world and Iran.

This scientometrics study with bibliometric and visualization methods was conducted in the Scopus database on papers in psychology published until the end of 2022, searched using keywords based on the MesH terms. Then, the relevant papers were extracted in a CSV file, and were analyzed using citation analysis techniques in Excel and VOSviewer software.

A total of 26,194 documents in psychology were found to be indexed by the Scopus database. The average citation per paper was 2.40, and the average h-index of the retrieved papers was 12. Most of the papers were original articles in English, and most of the articles were published by international scholars in the American Psychologist magazine (n=204). National Institute of Mental Health was the most productive organization (n=1186), and Deleon PH and Kaslow NJ were the most prolific authors with 29 papers. The most co-authorships were with the scholars from the United States. Psychology was the subject with the largest number of published papers.

At the international level, the number of published papers in psychology indexed in Scopus databases has an increasing trend. The results of this study can be useful for scholars and experts in the field of psychology.

One of the strategic goals of knowledge management and health information systems in the world is to provide up-to-date and quality medical information to scholars. It is important to provide efficient services by maintaining, upgrading, and dynamizing libraries and ultimately satisfying and meeting the information needs of users. The present study aims to investigate the quality of information services in medical libraries in Iran based on the knowledge management model

In this study, the quality of information services in the libraries of medical universities in Iran was examined through interviews with managers of selected libraries. The interview was based on Lawson’s knowledge management model in six areas of creation, capture, organization, storage, dissemination, and application. The participants were 10 managers of the libraries at Shahid Beheshti University of Medical Sciences, Iran University of Medical Sciences, Isfahan University of Medical Sciences, Tabriz University of Medical Sciences, Birjand University of Medical Sciences, Guilan University of Medical Sciences, Kermanshah University of Medical Sciences, Zahedan University of Medical Sciences, Bushehr University of Medical Sciences, and Zabol University of Medical Sciences. The information was analyzed in Excel software.

The highest score (4.41) was obtained by Zabol University of Medical Sciences, and the lowest score (2.20) belonged to Iran University of Medical Sciences. 

The quality of information services based on the knowledge management model in Selected medical libraries in Iran is at a relatively moderate level. There is a need for fundamental changes in this field to promote information services in medical libraries. The medical universities in Iran need to improve the quality of information and communication technology infrastructure of libraries and develop knowledge maps to improve the ranking of the libraries.

Recently, healthcare organizations use advanced information technologies such as cloud computing (CC) to reduce costs and increase productivity. Since the level of technology acceptance plays an essential role in technology success or failure, this study aims to assess the factors affecting the acceptance of CC by the staff of teaching hospitals in Hormozgan, Iran.

This is a descriptive-analytical study with a cross-sectional design that was conducted in 2021. Participants were 285 staff of three teaching hospitals affiliated to Hormozgan University of Medical Sciences, who were selected using stratified random sampling method. The data collection tool was the unified theory of acceptance and use of technology (UTAUT) questionnaire with acceptable validity and reliability (Cronbach’s α=0.88). The collected data were analyzed in SPSS software, version 24 using descriptive statistics, independent t-test, ANOVA, and Pearson correlation test. Also, the effect of the factors was calculated in LISREL software.

The history of using CC had a significant impact on the behavioral intention and usage behavior (P<0.001). In addition, the relationship of social influence, facilitating conditions, effort expectancy, and performance expectancy with usage behavior and behavioral intention to use CC was significant, and their impact was higher on the behavioral intention of staff

Individual awareness and knowledge, relevant organizational conditions, and the necessary infrastructure are the key factors in the acceptance of cloud computing by the staff of teaching hospitals in Hormozgan, Iran.

One of the constant questions of hospitals and insurance organizations is the actual tariff of global surgeries. This study aims to compare the actual costs of surgeries in the hospitals affiliated to Birjand University of Medical Sciences (BUMS) with the approved global tariffs.

This is a retrospective study that was conducted in 11 hospitals affiliated to BUMS. The study population includes all global surgery bills in 2021. The criterion for entering the study was the presence of sufficient samples (at least 10 bills) from each of the performed global surgeries. Out of 91 collected global surgical procedures, 57 surgical procedures (equivalent to 63% of all global surgical procedures) met the inclusion criteria. The actual costs of surgeries were extracted from the hospital information system and compared with the government-approved tariffs. Data were analyzed using descriptive statistics in Excel 2016 software.

Based on the results, 52% of examined global surgery procedures, the global income was less than the average actual cost, while in 48% of the cases, the hospitals benefited from the costs of surgery. In 56 surgery cases, the billing cost was 12-139% higher than the approved global tariff, and in 23 cases, the difference was more than 50%.

There is a considerable difference between the actual cost of global surgeries in hospitals affiliated to BUMS and the approved tariffs. Due to the higher actual cost of surgeries, these tariffs have resulted in losses in hospitals.

The emergency department (ED) of hospitals is of special importance due to receiving a high number of critically ill patients. This study aims to determine the prevalence and costs of non-urgent visits to the ED of public hospitals in Golestan, Iran.

This is a descriptive cross-sectional study. The study population includes all patients referred to the ED of hospitals affiliated to Golestan University of Medical Sciences in 2019. Patients who did not require emergency care and were in the fourth and fifth levels of triage were considered patients with non-urgent emergency needs. The cost of ED services were extracted from the hospital information system and using the top-down costing method. To describe the data, descriptive statistics were used in SPSS software, version 23.

Out of 519,204 patients referred to the EDs, 218,037 (42%) had non-urgent visits. Among these patients, 43% were male and 57% were female. The total cost of services for non-urgent ED visits was 43,856,887,000 Iranian Rials. For patients with the fourth level of triage, it was 42,094,000,000 Iranian Rials, and for those with the fifth level of triage, the cost was 1,762,887,000 Iranian Rials.

The number of non-urgent visits to the ED of public hospitals in Golestan is considerable. It can lead to a significant waste of hospital resources. Reducing unnecessary ED visits in hospitals can reduce the costs of the health system and improve the quality of hospital services.

General practitioners (GPs) are one of the main healthcare providers. The purpose of this study is to determine the factors affecting the job and financial satisfaction of GPs in Iran.

In this study, participants were 666 GPs in Iran in 2016 who were selected by simple random sampling method. Data collection was done during two national conferences of the Iranian General Practitioners Association. The data collection tool was a researcher-made questionnaire. To analyze the collected data, t-test, ANOVA, Pearson correlation test, and logistic regression analysis were used.  

It was reported that 56.25% of GPs had high job satisfaction, and 39.66% had high financial satisfaction, respectively. Job and financial satisfaction was higher in female GPs (60.40% and 46.18%) than in male GPs (52.87% and 27.27%). Married GPs had higher job and financial satisfaction (57.50% and 36.29%) than single GPs (51.28% and 34.7%). Job satisfaction of GPs working in the private sector (24.15%) was higher than in the governmental sector (17.83%), while the GPS working in the governmental sector had higher financial satisfaction.

Gender, job status, economic expectations, perceived relative income, patient satisfaction, and marital status are factors affecting with job satisfaction of GPs in Iran, while gender, job sector, the ratio of actual income to target income, perceived relative income, and age are factors affecting their financial satisfaction.