Journal of Health Management and Informatics
Volume:1 Issue: 1, Jan 2014

highly effective in developing and improving the quality of the provided services. so, the present study aims to compare the satisfaction of the patients suffering from anal fissure from inpatient and outpatient treatments. This cross-sectional study was conducted on 212 subjects who were selected through systematic sampling from the patients with anal fissure referring to Motahari clinic and Shahid Faghihi hospital. In order to compare the patient satisfaction in two inpatient and outpatient groups, 21-item questionnaire was designed in order to assess the patient satisfaction. Independent t-test and chi-square test were used to analyze this data. satisfaction of the inpatients was significantly more than that of the outpatients (P<0.001). The inpatients’ waiting time for operation was significantly longer than that of the outpatients (P=0.029). In comparison to the inpatients, the outpatients were more satisfied with the explanations provided regarding food diets after the operation (P=0.004). Of course, outpatients had felt more stress during the operation compared to the inpatients (P=0.002). Concerning the treatment environment, the outpatients were more satisfied than the inpatients (P<0.001); however, the inpatients were more satisfied with the treatment services (P>0.001), quality, and other services compared to the outpatients (P=0.041). According to the advantages that mentioned, outpatient operations can be a better choice for small surgeries; of course, health planners should pay more attention to its importance and necessity and provide more equipments and welfare facilities in treatment centers.

Because teaching code of ethics to nurses has been considered the gold standard for many nursing colleges and universities, the main goal of this article was to evaluate the effect of college of nursing in changing the attitude of nursing students to professional ethics. The study was performed as sectional-descriptional on 60 students first year (first and second semester) and 60 last year students (seventh and eight semester) of nursing college of Fatemeh Zahra Shiraz university which were selected randomly. Data was gathered using a questionnaire including general level, patient rights, and endvour for professional improvement. Frequency, mean value, and t-test was used for data analyzing. Data were analyzed using Spss software (P≤0.05). 79 (% 65.8) of students were female and 41 (%32.4) of them were male. the average age was 21±1.7, there was not any significant difference between the viewpoints of both groups for professional behavior in general level (P=0.65), patients right (P=0.07), and professional improvement (P=0.43).

Hospital information system (HIS) is a computerized system used for management of hospital information as an electronic device and has an indispensible role in the field of qualified healthcare services. Nevertheless, compared to other industrial and commercial systems, this information system is lagged in using the information technology and applying the controlling standards for satisfying the customers. Therefore, the present study aimed to evaluate HIS, identify its strength and weak points, and improve it in the teaching hospitals affiliated to Shiraz University of Medical Sciences, Shiraz, Iran. The present descriptive, cross-sectional study was conducted in the 8 teaching hospitals of Shiraz University of Medical Sciences which used HIS in 2011. The study data were collected through interview and direct observation using the criteria of American Physician College check-list. Finally, SPSS statistical software was used to analyze the data through descriptive statistics. The study results showed that laboratory and medical records had respectively the most %43.5 and the least %21.03 conformity to the criteria of American College of Physicians. Also, Faghihi and Zeinabiye hospitals respectively had the most %41.8 and the least %25.2 conformity to the American College of Physicians’ criteria. In pharmacy, data entrance mechanism and presentation of reports had complete conformity to the scales of American College of Physicians, while drug interactions showed no conformity. In laboratory, data entrance mechanism had complete conformity to the above-mentioned criteria and keeping the test history had %87.5 conformity. The possibility of receiving information from centers out of laboratory had no conformity to the desired criteria. In the radiology department, data entrance mechanism had complete conformity to the above-mentioned criteria and keeping the test history had %87.5 conformity. Besides, the possibility of receiving information from centers out of radiology department had %25 conformity. In medical records department, data entrance mechanism had complete conformity to the criteria and data storage, files format, and the process of providing backup had %75 conformity. The final conformity of HIS in the study hospitals showed that the total mean of the system was less than %50 and weak. Therefore, further studies are required to be conducted throughout the country; so that various providers will be able to evaluate the presented systems regarding compatibility and interoperability.

One of the important aspects in high quality health care system is delivering health services in an appropriate way which can lead to development of the systems. Patient satisfaction is a quality indicator that has the potential to provide valuable information about the care delivered by an Emergency Medical Services system (EMS). This indicator is considered as an important marker of quality by paramedics. This is a descriptive- analytical study on 1096 patient satisfaction of emergency services suffering from cardiovascular, dyspnea, low level of consciousness and cerebral problems. Variables such as the type of diseases, technicians’ and operators’ behavior, time of response and outcome of the missions were measured with a valid checklist. ANOVA and correlation Pearson were employed as analytical tests. Considering different types of diseases, 4 categories of diseases had positive correlation with satisfaction of the patients and also there was a meaningful correlation between factors which were measured and satisfied patients.(P<0.001) Developing some instructions for technicians and operators focusing on interpersonal skills and enhanced sensitivities and behaviors not only toward patients but also toward bystanders and family members is recommended to improve patient satisfaction and thought quality of delivered care in the prehospital emergency medical systems.

Customer satisfaction has been suggested as one of the interesting and challenging issues of management in the new millennium. In addition, oral and dental health and the quality of the services the health centers delivered to the patients directly affect the customer satisfaction. Therefore, the present study aimed to identify, investigate, and rank the factors affecting the customer satisfaction in the department of dentistry of Shiraz Farhangiyan health center. The present descriptive study was conducted on the specialists and patients of the department of dentistry of Shiraz Farhangiyan health center. The validity of the questionnaire utilized in the study was confirmed by expert professors and its reliability was approved using the Cronbach’s alpha formula. Finally, the study data were analyzed in SPSS statistical software (v. 16), using inferential statistics. All the hypotheses were confirmed by the results of the statistical analyses and quality, services, and expenditures revealed to affect the customer satisfaction in the department of dentistry of Shiraz Farhangiyan health center. Moreover, these factors were ranked using the TOPSIS method and the results showed quality and expenditures as the most and the least effective factors in customer satisfaction, respectively. Since restoring and arranging the organization based on the customer needs is among the main priorities of designing an organization, managers are suggested to take measures for organizational reformation based on the customers’ priorities. Of course, conducting such programs is of utmost importance in health and treatment environments, leading to provision of better services and facilitation of learning, education, and research. Thus, identifying the effective factors in customer satisfaction and ranking them are highly important.