نشریه مدیریت سلامت
پیاپی 39 (بهار 1389)

Taking into consideration the increasing usage of scientific databases in science production, university faculty's increasing engagement in the process and concerns about the potentially dubious nature of information sources, specially electronic ones, the topic information pollution phenomenon the, in Mashad university of medical science databases has been chosen as a proposition worthy scrutiny and during the present survey is measured. The following comparison of the databases is bases on the 10 elements of information pollution introduced in this study according to the literature review. The current research is concerned with whether the 4 selected databases, Scopus, Pubmed, Iranmedex and Pars Medline, is accompanied by each 10 pollutant rather qualitative content. The sample was obtained comprising 100 article abstract retrieved from mentioned databases during 5 subject searches. 5 topics include Heart, Nephrology, Romathology, Immunology, pediatrics. 2 questionnaires have been used to fulfill the survey, first to identify subject areas, second to measure information pollutants elements in databases from the faculty's point of view. Research results suggest that bibliographic information in Scopus indicate 53%, in Pubmed 38%, in Iranmedex 47% and in Pars Medline 48% pollution. In the second part of the survey content pollution were evaluated. Scopus, Pubmed, Iranmedex and Pars Medline abstract content sequentially accompany 40%, 51%, 49%, 48% pollution. In analyzing keyword pollution 66% pollution for Scopus and 29% pollution for Iranmedex were assessed. The style adopted by databases also encircles information pollutants to different extents. This extent is varied from 39% in Pars Medline to 30% in pubmed, 38% in Scopus and 35% in iranmedex. The outcomes of the present research propose Iranmedex and Parsmedlin database to inspire from abstracting structure in Scopus in the field of preparing citations, abstract goals, results and conclusions, irony avoidance, quicker up-to-data- ness, selecting more credible literature from more credible producer and published by more credible leaflet and Ingratiate Pubmed structure in offering complete identification of author, writer, compiler …, preparing information about research goals, presenting comprehensive information in abstract parts whether bibliographic or content, preventing from censorship and irony, exhibiting more relevant and of proper length abstracts. Keywords: Information pollution, Information credibility, Information Quality, Mashad University of medical science, Medical Databases

Jebraeily M.1 / Ahmadi M.2 / Hajavi A.3 / Gohari M.R.4 / Sedghi Jahromi M.5 / Zareh Z.6 Electronic Health Records are critical requirements for the improving quality of healthcare services. The aim of this research was to assess personnel readiness for EHR Implementations. This descriptive-cross sectional study carried out in 2008. Study sample consist of 120 workforce employees selected by cluster sampling from teaching hospitals affiliated to Tabriz University of Medical Sciences (TUMS). Data collected by using a self-structured questionnaire to assess their computer skills, specific EHR knowledge, and attitudes (according 5 Likert-type). Collected data processed by SPSS software, presented as descriptive and analytical statistics (t-test and χ2) The readiness assessment for computer skills, knowledge, and attitude towards the implementation of EHR showed; 2.78, 3.04 and 3.42 respectively. The mean of personnel readiness is 3.08. A positive correlation found between the history and the computer skills (p=0.001), and the deyre education with attitude (p=0.006) and job with attitude (p=0.003). We found no desirable condition for readiness of workforce in implementation of EHR, increasing computer skills and knowledge to improve positive attitude are needed.

The Content analysis is used to identification, analysis, record printed and nonprinted resources. This research was aimed to content analysis of accomplished research designs in KUMS. We studied other purposes such as characteristics, subjects trend, and research trend based on MeSH. This is a descriptive and content analysis research. The universe study is 369 research designs that accomplished in KUMS of 23 March 1991 to 19 March 2008. Data collected by information forms. Recording unit is concept keywords in title, abstract and keywords. Use alphanumeric expressions for coding. Determinate Alphanumeric expressions with consideration the position of entry term in tree structure. The data analyzed by SPSS software. We found that, researches are in main category «Diseases» (23. 3%), «Chemicals and Drugs» (21. 4%), and «Analytical, Diagnostic and Therapeutic Techniques and Equipment» (16. 8%). The Main category «Diseases» had the most of share between education (22. 8%), jobs (23. 3%), group's education (23. 3%), sex (23. 3%) and work place (23. 1%). Generally, researches are focused on Diseases related subjects, Diagnostic and Therapeutic Techniques. Therefore, recommend acquire viewpoints about these subjects.

In today's changing world, business will experience dramatic changes. Information system as a tool for an organization to achieve goals has not been exempted from these changes. Organizations must manage their variable information systems that increased costs of equipping and promoting those increasingly, in a direction which not only compensate Costs spent on, but as create a competitive advantage in the industry. Therefore be necessity to align information system strategy and objectives with business goals and strategies. Literature review: The purpose of the strategic alignment process is optimization costs, and using appropriate from information systems in organizations. The purposes of this paper was evaluating the studies on the strategic alignment and identify tools and different approaches to introduce to managers in the health industry. This is a review article which use library and Internet resources to have been conducted. Strategic alignment is long-term and dynamic process that requires cooperation and participation of organization sectors, health information system sector and executive health sector. With this aim, culture making and increasing knowledge of the alignment literatures may be a good start. Keywords: Strategic Alignment, information system, model

Injuries are among the most important causes of deaths and disabilities. External causes of injury codes help us to identify high risk population subgroups for a particular cause of injury, to identify the place of occurrence for specific types of injuries and to develop prevention strategies of injury. This study was aimed to classification of external causes of injuries in selected countries, and provides a model for Iran. This cross-sectional comparative study was conducted in 2006-7. Data collecting tools were internet, E-mail communication with foreign experts, periodicals, and texts. In this research responsible organization and the structure of classification of external causes of injuries in selected countries were studied in order to recommend a national classification of external causes of injuries. This model evaluated by Delphi techniques. Finally after the analyses of test results, the model presented. The results obtained from comparative study of classification of external causes of injury in selected countries and World Health Organization, are presented. Also the final model for national classification has been completely described in 4 major axes; including: responsible organization, common characteristics of tabular list and alphabetic index, special characteristics of tabular list, and general characteristics. It seems that recommended model has some similarities to the international classification of external causes of injuries rather than other classifications. Keywords: Classication, External Causes of injuries, Delphi Evaluation

The healthcare organization directors should utilize the quality management tools properly to improvement healthcare services. The is a crucial tool to measure achievement to organization quality goals, and to improvement performances. The Iran National Quality Award is the most comprehensive model for performance assessment. This is a descriptive case assessment, applied, research carried out in 2005.The statistical community are the managers, directors, and authorities in the hospital wards. The data collection tools are the standard questionnaires of The Iran National Quality Award. Data are collected according nine models, criteria; and their scores calculated for each criterion, and for Hospital. Acquired scores are as followed: leadership, strategy, personnel's resource and shareholders, processes, customers, benefits, personnel benefits, community benefits, and applied key benefits; 58%, 56.2%,42%,55%,53.5%,51%, 41,46%,and 60.5% respectively. The total score was found 522 of 1000. The Hospital may applicant for acquiring Iran National Quality Award after completing Award Constitution and providing required evidences. We recommend the Hospital to pay specific attention on improvement personnel, personnel's benefits, and community benefits criteria; and by more training provides a proper understanding of Iran National Quality Award concepts.

Making sure that best health services are provided, requires performance assessment in health sector. Assessment of efficiency is the first step in performance assessment. This research was aimed to assess of efficiency; and comparison of its process in the Third Development plan and early years of the Fourth Development of all provinces in rural health sector. We attempt to determine the reference provinces, to find the sensitive indicators to provide solutions to increase the efficiency of each province. This is an applied and descriptive survey research. Information about all provinces entered in Data Envelopment Analysis (DEA) model and analyzed. Data collecting tools were library and the internet documents. A questionnaire used to acquire the opinions of experts about the indicators. We found that Ardabil, Hamedan, Ilam, and Guilan provinces are no longer among the group of efficient provinces as in the Third Development Plan; and Chaharmahal-O-Bakhtiari, Kurdistan, and Qazvin provinces joined the efficient provinces group in the Fourth Development plan. Some provinces were the most efficient provinces, but Sistan-O-Balouchestan, Kerman, Yazd, and Semnan have low efficiency in this area. Bed per population indicator; and modern contraceptive prevalence rate indicator were determined as the most sensitive indicators. In these two some provinces have the most efficient, and some others low efficiency in health sector. The efficiencies of the provinces compared, and reference provinces for each inefficient province distinguished. Modern contraceptive prevalence rate and available Bed per population indicators are selected as the most sensitive indicators.

Nowadays, knowledge is most important impressed factor of health and medical sector's output. So recognizing and implementing knowledge management in health and medical sector is a powerful tool to represent preferred services to customers. Therefore, the purpose of this article was to evaluate knowledge management process dimensions in Yazd's health and medical sector. The population in this descriptive-analytic study is Yazd hospital's staff with upper secondary school degree. After studying knowledge management process, we designed a questionnaire in 6 parts to collecting data. For data analyzing we utilized SPSS software package and used t’ student, ANOVA and Turkey tests. Knowledge management process with average of 2.85 is lower than average limit, but knowledge management using with average of 3.14 has a best performance. A significant difference is found between knowledge management dimensions. Comparing between knowledge management process dimensions didnt show any difference between knowledge strategy and knowledge retention average (рValue =0.916), knowledge creating and knowledge retention average (рvalue=0.407), or knowledge sharing and knowledge evaluation average (рvalue=0.601). Other paired comparisons have shown significance difference. With regard to average-based ranking, knowledge using with average of 3.14 is in first and knowledge evaluation with average of 2.59 placed in end of this average based categorized. Knowledge using is in ideal level between knowledge management dimensions in Yazd's health and medical sector but other dimensions arent in ideal level. A significant difference found between knowledge management dimensions.