نشریه مدیریت سلامت
پیاپی 98 (زمستان 1403)

High-quality documentation is a prerequisite for accurate coding. This study aims to assess the quality of documentation and accuracy of coding medical procedures with the ICHI and ICD-9-CM.
 

A descriptive cross-sectional study was conducted in 2023. A total of 382 medical records related to injuries, poisonings, and certain other consequences of external causes were selected using Cochran's formula. The completeness of documentation and the accuracy of coding medical procedures with ICD-9-CM and the documentation completeness required for ICD-9-CM and ICHI, were evaluated using re-coding and a checklist. Data were analyzed using descriptive statistics (frequency and percentage) using SPSS software.

Of the 382 medical records reviewed, 77% had at least one type of major or minor ICD-9-CM coding error.  Among the inaccurate records, 81% had only major errors (errors in the first two digits), 6% had only minor errors (errors in the last two digits), and 13% had both types of errors. Furthermore, 42% of the codes were accurate. Documentation completeness for ICD-9-CM was 100%. However, 168 and 42 medical records lacked documentation for the Means and Target components, respectively, required for ICHI coding.

While documentation of procedures for ICD-9-CM coding was highly favorable, the accuracy of coding was low. Half of the cases lacked the necessary documentation for ICHI coding. Therefore, it is essential to develop written documentation guidelines based on ICHI, train coders, provide regular feedback on documentation quality, utilize automated coding support tools, and conduct continuous audits of coding quality.

The selection of appropriate resources for bibliotherapy interventions is critical to ensure their therapeutic effectiveness. However, despite continued academic efforts to introduce appropriate resources or criteria for selecting resources, there remains a lack of clearly defined and documented criteria for selecting appropriate resources for bibliotherapy. The study aims to identify content and appearance criteria, and the selection process involved in bibliotherapy interventions.

This systematized review involved comprehensive searches across databases including PubMed, Scopus, Web of Science, Embase, Cochrane, ProQuest, LISTA, Magiran, SID, Irandoc, Noormags, Sivilica, and Elmnet. A two-stage screening process (title/abstract review and full-text evaluation), resulted in the selection of 31 studies that met the predefined inclusion and exclusion criteria for in-depth analysis. Data was extracted using a predefined template, synthesized and categorized, and then presented in narrative form and tabulated format.

The content criteria for resource selection included "content", "language and literature", "audience", and "credibility". The appearance criteria for resource selection included: "titles", "form elements", and "appendices". The resource selection process included three key elements: "selection stages", "people involved ", and "selection tools".

The content and appearance criteria identified in this study offer bibliotherapists an evidence-based framework for resource selection, directly enhancing the therapeutic impact of bibliotherapy interventions.

Scientific associations play a fundamental role in advancing science, shaping related policies, and addressing occupational and professional issues. The Medical Library and Information Association needs to reassess its internal issues and identify existing challenges, and facilities as well as emerging opportunities. Therefore, this research aimed to investigate the opportunities, threats, challenges, and solutions facing the association from the perspective of experts.

This qualitative and applied study was conducted through semi-structured interviews with 20 faculty members, managers, and policy makers from the Ministry of Health and Medical Education, all specialized in librarianship. Data were analyzed using MAXQDA 2020 qualitative data analysis software.

Content analysis of the interviews resulted in 11 subcategories including association committees, information and communication technologies, individual challenges, organizational challenges, financial challenges, strengthening discipline level, strengthening individual and social level, strengthening educational field, strengthening operational policy-making and strategy formulation, which were grouped into four main categories: structure and organization, challenges, solutions, and achievements.

The findings indicate that the association has significant opportunities for continued activity and growth. Modeling successful associations, having a strategic plan, and developing a road map with continuous review and evaluation can guarantee the association’s success.

The presence of readability challenges leads to  difficulties in comprehending health-related online materials and has negative consequences, notably reducing the likelihood of disease prevention and healthcare utilization. The primary objective of this study is to assess the readability levels of Persian-language websites that provides information about COVID-19.

Utilizing the Google search engine, the terms “covid”, “coronavirus”, and “corona disease" were searched in Persian. Subsequently, 46 websites providing information on COVID-19 were selected for analysis. The Flesch Reading Ease Formula (FRE) is one of the most reliable formulas for assessing the readability level of texts. In this study, website readability was evaluated and ranked using the Flesch-Dayani Reading Ease (FDRE) formula, which was developed by Dayani based on the original FRE for Persian language.. 

The mean (SD) readability score of Persian COVID-19-related websites was 80.56 ± 11.22. On average, the readability level corresponds to a sixth-grade reading level. Approximately, 34.8% of the websites had readability scores ranging from 70 to 80. Among the five national and international websites analyzed, the World Health Organization (WHO) website ranked fourth, with a readability score of 75.33. Pearson correlation analysis revealed no statistically significant relationship between readability scores and Google search rankings of Persian COVID-19-related websites.

The readability of the reviewed websites is, on average, at the level of international standard, although some websites exceed this standard. Given the general puplic’s tendency to seek health-related information from online platforms, developers of Persian-language materials about the coronavirus should place considerable emphasis on readbility.

Given the potential spread of infectious diseases, including monkeypox, conducting studies to ensure the effective implementation of prevention programs is crucial. In this context, understanding the public’s willingness to pay (WTP) for the monkeypox vaccine is a critical priority for public health management. This study estimated WTP for monkeypox vaccine in Iran.

WTP for the monkeypox vaccine was estimated using the one-and-one-half-bounded (OOHB) dichotomous choice contingent valuation method. The factors influencing willingness to pay were analyzed using an econometric model based on the maximum likelihood estimation method. Data were collected through an online questionnaire administered nationwide in Iran during the summer of 2023. The bid amounts were determined using the Cooper approach (DWEABS) , and the sample size was set at 356 individuals based on the Mitchell and Carson method. Data werer analzed using the R in RStudio software.

The median and mean willingness to pay for the monkeypox vaccine were estimated at 91,000 and 136,000 Iranian Tomans, respectively. In addition, the results indicated that age, importance to health issues, income, education, and disease background significantly influenced the willingness to pay for the monkeypox vaccine.

The estimated willingness to pay for the monkeypox vaccine was 136,000 Tomans (approximately 2.5 USD). Offering subsidies, paticullary with consideration of income diaparities, can encourage a larger segment of the population to receive the monkeypox vaccine.

The knowledge tree facilitates the monitoring of research and generated knowledge to ensure the growth and sustatainability of knowledge-based activities. This study aims to present a model for developing the knowledge tree research centers affiliated to medical universities.

This applied study employed a quantitative, descriptive-analytical approach. The statistical population included purposefully selected university research staff, research center managers, and experts in health and knowledge management, aimimg for maximum diversity. Content validity was assessed using an eight-member expert panel and the Content Validity Index (CVI).

The five steps for developing a knowledge tree for research centers include: 1) identifying knowledge areas (reviewing strategic and upstream documents, identifying knowledge domains, knowledge types, and knowledge structures), 2) drawing the knowledge tree (identifying knowledge assets, stakeholders and knowledge users; analyzing knowledge needs and current status; establishing a knowledge tree working group), 3) defining the knowledge tree framework (determining the scope, type, and development approach for the knowledge tree), 4) collecting and analyzing knowledge keywords (designing acquisition tools, extracting representative keywords, preparing individual knowledge worksheets, categorizing and integrating keywords), and 5) designing and validating (structuring the tree, drawing relationships, visualization, validation, completion, and updating).

In research centers, knowledge representation is achieved by visualizing the knowledge tree, describing its features and relationships, and constructing the knowledge tree. This process improves the efficiency and quality of generated knowledge and enhances judgment by establishing connections between different knowledge areas.