Showing 20 results for Care
Mohammad Dehghani, Mohammad Hossein Hayavi Haghighi, M Tavassoli-Farahi,
Volume 1, Issue 2 (10-2015)
Abstract
Introduction: Emergency information management system helps to improve the quality of the services rendered in emergency department, to meet the legal, requirements, accreditations, and research purposes. This study aimed to examine and compare teaching and non-teaching hospitals emergency centers' information management systems affiliated to Hormozgan University of Medical Sciences.
Methods: This descriptive, cross-sectional study was conducted in 2013. Data were collected using two self-made check lists. Validity of instrument was determined based on content validity and sample size was calculated according to the size of the population, including 4 teaching and 3 non-teaching hospitals. 749 records out of 4656 ones were selected using a stratified random sampling method. Data analysis was performed through descriptive statistics using SPSS 16 Software. T-student test was used to examine differences between scores of teaching and non-teaching hospitals on various aspects.
Results: None of the investigated systems used quality analysis to improve the quality of the collected data. It was found that 43% of investigated emergency centers had not taken any actions for data organizing in medical records. Only 14.5% of emergency centers had classified data contained in records. The mean score of registered medical, financial, and identification of the health care providers data of teaching hospitals was revealed to be higher than non-teaching ones (P<0.01).
Conclusion: In general, emergency centers' information management systems in teaching hospitals had better conditions than those of non-teaching hospitals. Given the major role of emergency information management systems, health managers and policy makers need to plan and set policies required for upgrading their information systems.
Leila Shahmoradi, Sohrab Almasi, Mahtab Mehraban Far,
Volume 3, Issue 1 (3-2017)
Abstract
Aim: Virtual reality developed at the same time with technology developing, creating user-interfaces, high-speed processing and powerful graphic. Virtual reality technology and video games can play some role in providing health care with creating simulated, motivational, interactive and realistic environments. Integrating virtual simulation with video games has been proven in creating motivation and effectiveness of health care. The aim of this article is to study virtual environment applications and VR-based games in health sector.
Information or data sources: Articles used in this study using the keyword virtual reality, simulation, video games and health care in the databases PubMed, Google Scholar, Google, Science direct, Scopus from 2005 to 2016 publication were searched and retrieved. Information is collected in the context of the Internet that all articles are retrieved by keywords were used in this study.
Combine the contents and results: virtual reality in comprises two applications in the field of health based on this technology and related, simulation and interaction, which is surgical procedures, treatment, diagnosis, prevention, education of patients and care providers, rehabilitation and treatment of mental disorders.
Conclusion: The results show that using virtual reality as an auxiliary technology to improve education, treatment and prevention in the healthcare keep at the present increasing. Virtual reality and virtual reality-based games will be more practical due to the extension of mobile and tablet technology as well as their capabilities too.
Khadijeh Molaei, Maryam Ahmadi,
Volume 3, Issue 1 (3-2017)
Abstract
Abstract
Introduction: The use of mobile technology as mobile health is rapidly expanding to track and improve human health. The advent of smartphone technology alongside interactive displays has provided quick access, easy access, transmission and tracking information for patients and service providers. The patients can better manage and control their illness and health by using wireless technologies along with software developed.
Methods: In this review, scientific databases using a combination of sensitive keywords were searched out in articles published in accredited journals. Then, categorization and content analysis procedures were performed using scientific methods. Since one of the main goals of using cellular technology in the health sector is improving health, quality and access to services, so this paper will be focus on the most widely used mobile health apps such as: application control and management of diabetes, heart disease, the elderly, drug adherence, smoking cessation, asthma and stroke control.
Results: The results of of this study indicate that mobile applications as part of customer health informatics will have the potential to facilitate self-care for people with various illnesses with patient education, disease management, easy tracking, helping to increase motivational capabilities and improve drug adherence Health systems facilitate and improve individual self-care using disease management software and providing capabilities such as collecting clinical signs and data for patients and service providers, managing and tracking drug and treatment processes, and changing lifestyl.
Conclusion: Mobiles technology by connecting patients to care providers can provide access to information, help reduce costs, facilitate remote care and increase the quality of care at any location and at any time. Mobile health technology using different software can be very effective and useful for the improvement of health objectives in various fields, including management, treatment, care and prevention.
Fateme Sadat Hashemisheshdeh, Nasrin Davaridolatabadi,
Volume 3, Issue 2 (10-2017)
Abstract
Aim: With changes in health care system an integrated information system is required to meet the needs of people for service delivery and support the provision of health services.Evaluation of these systems leads to improvement ,development and increases the efficiency and effectiveness of the hospital.This study aimed to evaluate the hospital information system of Shahid Mohammadi Hospital in Bandar Abbas from users' point of view in 1395.
Methods: This study is a descriptive-cross sectional study. The statistical population consisted of 546 hospital staff who obtained a sample size of 225 using the Morgan table.. The data gathering tool was a researcher-made questionnaire whose validity was confirmed by experts And the reliability of this questionnaire was obtained by Cronbach's alpha.Data were analyzed using SPSS version 19 and Descriptive Statistics and one-way variance and Pearson tests.
Results: In this study Hospital information system (HIS) mostly used by by nurses. 85.1% of individuals in this study expressed that HIS implementation caused to increase work facility and 53.8% declared that HIS implementation caused to reduce the personnel workload. 59.5% expressed that HIS implementation caused to reduce Paperwork.
Conclusion: The results of this study showed that the HIS governing the organization was in a proper condition But more considerations from directors to the comments of users will enhance these system.
Sima Karimi Tezerji, Mahshid Sarafraz, Nasrin Davaridolatabadi,
Volume 4, Issue 1 (3-2018)
Abstract
Aim: Improper use of medications in any of distribution and prescription stages is called medication error which is preventable. The consequences of medication errors include increase in death rate, duration of hospitalization and medical costs. The goal of the study is to determine types of medication errors and their reasons, and to provide solutions for reducing their frequency in order to prevent the side effects.
Methods: The study is descriptive-analytic and the statistical population are 35 people employed at the ICU department of Children and Shahid Mohammadi Hospitals in 2016. The sampling was performed randomly and the data gathering tools were questionnaires. The analysis was performed deploying descriptive statistics and utilizing SPSS software.
Results: The most important reasons for medication errors were: exhaustion from extra work 82%, lack of enough number of nurses compared to the number of patients 73%, similarities in the forms of medications 72%, similarities in the names of medications 52%, the arrangement of medications on shelves 43%, shortage on pharmacological knowledge 40%, and the least errors were concerned with the wrong patient at 3%.
Conclusion: Considering the findings, it seems that reducing the working shifts, increasing the working shifts, increasing the number of personnel, development of a proper space for the medication room, and retraining courses concerning pharmacology are all directly related to safety of the patients and their expansion is necessary.
Frahnaz Sadoughi, Khadijeh Moulaei, Mozhgan Ahmadi Farsani, Mohamad Hadian,
Volume 4, Issue 2 (10-2018)
Abstract
Aim: Cardiovascular diseases are common and chronic impose many financial and health burdens on individuals and communities. Patients with these diseases have always experienced a high rate of death, disability and poor quality of life. Telemedicine is a promising approach to improving the care of these individuals. The aim of this study was to evaluate the efficacy and effectiveness of telemedicine in the management and monitoring of heart disease.
Information sources or data: This study is a systematize review in which all papers related to the effectiveness and efficiency of telemedicine in the management and monitoring of heart disease between March 2011 and July 2017 were extracted from ProQuest, Sciencedirect, PubMed, Scopus, and Google Scholar databases with keywords.
Selection methods for study: After screening the titles and abstracts of all the papers, finally 21 studies were selected and analyzed. For screening articles, the criteria for entry included the publication of articles in English, the relevance of articles to the efficacy and effectiveness of telemedicine in the management and monitoring of heart disease and access to full text articles.
Combine content and results: Telemedicine has had an effective and unique effect on the timely diagnosis of heart disease, facilitating access for patients to professionals, reducing the length of stay and allocating resources efficiently, and reducing costs and improving quality of life. The findings also indicate that developed countries have been ahead in using telemedicine to manage and monitor heart disease ever more than other countries.
Conclusion: The use of telemedicine can be provided as a practical solution to overcome time and space constraints in the diagnosis and treatment of various diseases, especially cardiovascular diseases. This technology has also maximized the health status by motivating patients, self-control, managing clinical symptoms and providing a screening program.
Marziyhe Meraji, Fatemeh Safaei, Shadi Shojaee, Reyhaneh Mousavi Por, Sanaz Sadat Mahmoodian,
Volume 4, Issue 2 (10-2018)
Abstract
Aim: Universities are sources of changes in society in different fields. The main structure of the university are students who constitute the main body of organizations and different groups of society. Therefore, knowing students' attitudes and their satisfaction is essential. The purpose of this study was to determine Health Information Technology students' satisfaction of their job prospects at Mashhad University of Medical Sciences.
Methods: In this cross-sectional research, all students of health information technology at Mashhad University of Medical Sciences student were studied through census method during 2016-2017. The data gathered using a questionnaire with three parts about student's awareness, satisfaction of choosing their field of study and attitude toward career prospect in 37 questions. Descriptive and analytical statistics in Spss 16 software were used.
Results: The satisfaction of Health Information Technology students with their fields of study and their attitude were lower than the average. Student`s attitudes towards the career prospect was more than the average.
Conclusion: To improve students' satisfaction, applicants for entry into higher education are advised in an appropriate manner so that their choices are informed, interested, and willing, and they will not be discouraged or disappointed upon entering the university. In this regard, the custodians need to make the necessary plans to create a recruitment and use of alumni knowledge.
Parnian Asgari, Alireza Atashi, Marziyeh Meraji, Mirmohammad Miri,
Volume 5, Issue 2 (12-2019)
Abstract
Aim: Intensive Care Unit (ICU) is a ward that is critical to improving the health status of critical conditions. Data mining seems to be a good way to optimize the use of resources. Identifying and analyzing the risk factors associated with mortality will lead to more efficient and accurate planning of hospitalization and interventions. In this study, the prediction of mortality of patients in the intensive care unit of Imam Hossein Hospital in Tehran with data mining techniques is discussed.
Methods: Based on patient records and hospital information system, 838 patients admitted to the General intensive care unit between 2013 and 2019 in Imam Hossein Hospital in Tehran, the data is needed to collect this research. Algorithms used to classify patients include support vector machines, k nearest neighbor, decision tree, logistic regression and random forest that was reported based on the precision, accuracy, sensitivity, specificity, and roc under the curve.
Results: The results of this study showed, identified 26 factors affecting specific data and pre-processing of data. Among five of the algorithms used in the study, logistic regression algorithm based on the level of roc curve (0.76), accuracy percentage (75.62),precision (68.39),sensitivity (38.65) and specificity (94.53) had better performance in predicting mortality compared to other techniques of study. The variables of Glucose and Partial Thromboplastin time were the most significant effects on mortality based on the logistic regression model.
Conclusion: Data analysis in intensive care unit patients can be an appropriate and practical tool for predicting mortality and its related factors, but according to the quality of data, results are different. And the results extracted from logistic regression can be used as a model to predict the status of mortality in the intensive care unit.
Azam Mohamadlo, Zahra Batooli, Ali Ramezankhani,
Volume 6, Issue 2 (8-2020)
Abstract
Aim: Due to the importance of the individuals' health literacy level in promoting community health, this research evaluates the studies conducted on health literacy in Iran and provides content analysis in this area.
Information sources or data: Iran Medical Articles Bank was launched in 2015 according to the needs of the Iranian Medical Research Society. This bank is a search engine for articles published in Iranian medical journals.
Selection methods for study: The keywords "health literacy", "health information literacy" and "sanitary literacy" were searched in the title or keywords of the articles. At the time of data collection (February 20, 2017), 72 articles were indexed in this database. The full text of the articles was studied and analyzed in terms of population, place of research, research method, tools and topic.
Combine content and results: Test of Functional Health Literacy in Adults (TOFHLa) and Health Literacy of Iranian Adults (HELIA) questionnaires were the most important tools for measuring health literacy. The study population included diabetic patients, the elderly people, various patients, and students. The results indicate that the topics discussed in relation to health literacy were divided to five general thematic areas: "Health literacy assessment tool, measuring the levels of health literacy of patients and people, factors affecting the level of health literacy, patient education and communication".
Conclusion: In order to succeed in projects related to health literacy, looking at its different dimensions and planning in those areas will be very useful. The present study can provide a comprehensive view for a long-term planning to provide more practical and useful research.
Somayeh Fazaeli, Mehdi Yousei, Nafiseh Arfa Shahidi, Atefeh Behboudifar,
Volume 6, Issue 2 (8-2020)
Abstract
Aim: In late 2019, the world was encountered with Covid 19 pandemic.. Since maintaining the quality of care is one of the priorities of the healthcare system, the aim of this study was to investigate the status of public care provided to patients before and after allocating the wards to Covid 19 patients
Methods: This cross-sectional descriptive study was performed in the emergency room and infectious and non-infectious wards of Imam Reza Hospital. The research tool was a checklist that was compiled based on national accreditation measures. Its validity was confirmed quantitatively by ten experts. The data related to the evaluations were collected two months before and two months after allocating these wards to Covid 19 patients , entered into spss21 software, and analyzed by chi-square test.
Results: In general, the quality score of public care in the emergency and non-infectious wards was significantly lower than before. In the emergency department, the installation of etiquette and in the non-infectious ward, compliance with the standard related to the pressure ulcer prevention and physical restraint had a significant reduction compared to prior the Coronavirus pandemic. The standards related to patient delivery and transformation in infectious and non-infectious wards has decreased compared to before the pandemic. For other standards, there was no significant difference between before and after Coronavirus pandemic. Conclusion: It is recommended to identify the factors affecting the reduction of compliance with healthcare standards in the wards allocated to Coronavirus and to consider appropriate solutions in the pandemic crisis.
Abbas Sheikh Taheri, Yadolah Rafati Fard, Azizi Eghbali,
Volume 6, Issue 3 (12-2020)
Abstract
Aim: Mobile applications are a new method to educate parents of children with cancer. The aim of this study was to identify the educational needs for designing an application for parents of children with acute Lymphoblastic Leukemia.
Methods: In this descriptive study, the information was collected through a researcher-made questionnaire whose validity and reliability were evaluated. The study population was all pediatric oncologists in Iran, Tehran and Shahid Beheshti Universities (16 people) who were selected by census method. The data were analyzed using SPSS software.
Results: According to the result, among the main concepts of the disease, only the methods of preventing leukemia were not identified. Chemotherapy considerations, nutrition and diet management, positiveness, bone marrow transplantation and physical activity management were identified as essential.
Conclusion: Since the requirements for designing educational software for educating parents of children with cancer were met basically, by determining the technical capabilities of educational software, it is possible to help educate the self-care of parents and reduce their problems
Zahra Mastaneh, Ali Mouseli,
Volume 7, Issue 1 (5-2021)
Abstract
Aim: Awareness of the nature of the field of study makes students act purposefully along the path of education and anticipate career prospects. This study aimed to investigate the knowledge and attitude of health information technology students towards their field of study and career prospects at Hormozgan University of Medical Sciences.
Methods: This was an applied descriptive-analytical study in 2018. All the 68 Health Information Technology undergraduate students whose entrance date was 2015-2018 were interviewed. A valid and reliable researcher-made questionnaire was used with Likert scale to record students' opinions in four areas of knowledge and attitude towards the field of study, knowledge and attitude towards the career prospects. The data were analyzed using SPSS26 with descriptive/analytical statistics such as Independent T-Test and ANOVA.
Results: In the four areas, the highest score was related to attitude towards career prospects and the lowest was related to knowledge of the field of study. Considering the variables of knowledge and attitude towards the field of study and career prospects based on demographic variables, there was a significant relationship between diploma mean grade and the knowledge about the field of study (p-value= 0.039). There was also a significant correlation between knowledge and attitude towards the field of study with a correlation coefficient of 0.657(p-value<0.001).
Conclusion: With the significant relationship between knowledge and attitude, acquiring the right knowledge based on actual capabilities of the field can improve the students’ level of attitude.
Parastoo Majidipour, Anahita Heydarian, Ali Ali Soroush, Parya Majidipour, Parvaneh Asadi,
Volume 7, Issue 3 (10-2021)
Abstract
Background and aim: investigate the complaints raised by nurses in health care systems can clarify the weaknesses to identify these weaknesses and provide ways to deal with them to solve these problems. The aim of the present study was to determine the frequency and type of complaints and related factors in the years 2016-2020in the Complaints Unit of Imam Reza (AS) Center in Kermanshah.
Methods: This descriptive-analytical study was conducted in 1399 with a sample size of 222 cases. Data were collected by reviewing the complaints submitted by nurses to this unit. The data collection tool was a checklist including demographic information and the type of complaint submitted. The obtained data were analyzed by SPSS software version 16 using statistical tests including Chi-square and Kolmogorov–Smirnov test.
Results: The most common complaints were verbal violence(27.8%) and patient dissatisfaction with the treatment process(22.6%), followed by physical violence(19.3%). Complaints were raised in the surgical and internal wards, nurses between the ages of 31 and 40, female nurses, nurses working in rotating shifts, people with a history of 0 to 10 years, and nurses with formal employment status. There was a significant relationship between the type of violence and the year of review of complaints, as well as between the type of complaint and shift work .
Conclusion: Considering that violence was one of the highest number of complaints raised by nurses, it is necessary to carry out the necessary planning and training in this field
Farzaneh Mohammadi, Marzieh Reisi, Zahra Mohebbi Dehnavi, Leila Asadi,
Volume 8, Issue 1 (5-2022)
Abstract
Objective: For improving the quality of reproductive health services and providing appropriate health care to mothers to reduce their mortality and morbidity, it requires to apply the effective cost models used in the world. In this regard, the aim of the current study is to critically review the related literature on cost management of healthy reproductive services with the continuous midwifery care model.
Methods: This is narrative review study. A search was conducted in national and international online databases including using the keywords: Midwifery, reproductive health, continuous care, model, healthy reproductive services, cost, economic, cost effectiveness in Persian and English on studies published from 2010 to 2020 in English and had available full texts.
Results: The continuous midwifery care model plays an important role in reducing the costs of medical care and a healthy reproductive program by reducing unnecessary interventions and prevented complications such as cesarean delivery and episiotomy rates. On the other hand, by improving the quality of mothers' services through improving health indicators, motivation, self-efficacy, and empowerment of mothers, this model encourages them to receive regular and more reproductive services.
Conclusion: The continuous midwifery care is an effective model. Considering the economic limitations of the country, it seems that the use of this model in the healthy reproductive program can lead to a reduction in the treatment costs and improve the quality of midwifery care by providing continuity care and reducing unnecessary interventions.
Roya Malekzadeh, Touraj Assadi, Elahe Mahmoudi, Fatemeh Montazeriun,
Volume 8, Issue 4 (3-2023)
Abstract
Objective: The Intensive care unit (ICU) in hospitals is known as the bottleneck of performance control where the compliance with standards is very important; to achieve quality management goals, the provided services must comply with the predetermined requirements. Hospital performance evaluation is needed for giving feedback on the efficiency of hospitals and effectiveness of services. This study aims to evaluate the performance of the ICUs in hospitals affiliated to Mazandaran University of Medical Sciences in Iran during the coronavirus disease 2019 (COVID-19) pandemic.
Methods: This is a descriptive/analytical study that was conducted in 2021. The study samples were 19 ICUs in medical and teaching hospitals affiliated to Mazandaran University of Medical Sciences, which were selected by census method. The data collection tool was a researcher-made questionnaire. The content and face validity of the questionnaire was confirmed based on the opinions of a panel of experts and its construct validity was confirmed by the confirmatory factor analysis. Its reliability was reported 0.82 using Cronbach’s alpha coefficient and its composite reliability was 0.91. Data analysis was performed by non-parametric tests of Wilcoxon, Friedman and Kruskal-Wallis in SPSS software, version 21 and Splus applications.
Results:The highest level of compliance with the standards was in the area of management and leadership (4.74±0.93), followed by the areas of medical equipment (4.53±0.52), nursing processes (4.53±0.66), space, structure and facilities (4.47±0.39), safety (4.3±0.69), functioning (4.0±11.04) and manpower (4.19±0.42). The lowest level was related to the field of infection control with a mean score of 3.42±1.24. This difference in ranks between different areas was significant according to the results of Friedman test (P<0.05).
Conclusion: The overall performance of the ICUs of study hospitals is favorable, but they need more attention and effort in the area of infection control. They are recommended to train and monitor the measures of infection control.
Akhtar Sayadi, Sedigheh Abedini, Samireh Abedini, Hesamaddin Kamal Zadeh,
Volume 9, Issue 1 (3-2023)
Abstract
Objective The growth in the number of older people as the silent revolution is a phenomenon of the 21st century in developed and developing countries. Their care has become one of the serious health challenges around the world, especially for those with non-communicable diseases. This study was aims to investigate the health literacy and self-care status of the elderly in Iran.
Methods In this review study, a search was conducted for the related studies in Iran published from 2005 to 2021 in Scopus, ScienceDirect, PubMed, Web of Science, DOAJ, Magiran, IranMedex and Scientific Information Database (SID). Selection methods for study: Initial search yielded 508 articles, of which 36 were finally selected after eliminating duplicates and using the PRISMA checklist.
Results Of 36 articles, 23 assessed the self-care status in the elderly and 13 assessed the health literacy level of the elderly.
Conclusion The self-care and health literacy of the elderly in Iran is at low level and are related to various factors. It is necessary to use methods with positive effect on their self-care and health literacy such as educational interventions.
Ali Mohammad Izadpanah, Seyyed Mohammad Reza Hosseini, Hakimeh Sabeghi, Gholamreza Sharifzadeh, Behnam Khodadoust, Hossein Keshtgar,
Volume 9, Issue 3 (10-2023)
Abstract
Objective Cardiopulmonary arrest occurs at any time and place. Most of cardiac arrests happen in places outside the hospital without access to experienced people. If the family members have the ability of cardiopulmonary resuscitation, they can prevent brain death in the golden time. This study aims to assess the effect of virtual cardiopulmonary resuscitation training on the self-efficacy of family caregivers of patients with cardiovascular diseases.
Methods This is a randomized controlled field trial that was conducted on 60 family caregivers of patients with cardiovascular diseases referred to the heart clinic of Razi Hospital in Birjand, Iran in 2021. They were selected by a random sampling method and were randomly divided into two groups of training (n=30) and control(n=30). They completed a demographic form and the Basic Resuscitation Skills Self-Efficacy Scale. The collected data were analyzed in SPSS software, version 20 using descriptive statistics, independent t-test, paired t-test, and chi-square test. The significance level was set at 0.05.
Results The mean posttest score of self-efficacy in the training and control groups were 4.15±0.49 and 3.12±0.58, respectively, which was significantly different (P<0.001). There was no significant difference in the pretest score of self-efficacy between the training (2.97±0.82) and control (3.09±0.64) groups (P=0.53).
Conclusion Virtual cardiopulmonary resuscitation training has a significant effect on increasing the self-efficacy of family caregivers of patients with cardiovascular diseases. Virtual education can be effective due to lower costs and higher efficiency. Therefore, it is recommended for planners to use this method of education in their policies for cardiovascular diseases.
Alireza Barati, Majid Mirmohammadkhani, Samaneh Ghods, Esmaeil Moshiri,
Volume 9, Issue 4 (2-2024)
Abstract
Objective 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.
Methods 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.
Results 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).
Conclusion 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.
Marziyhe Meraji, Sanaz Sadat Mahmoodian, Ehsan Mosa Farkhani, Akram Forghani Azghandi,
Volume 10, Issue 3 (12-2024)
Abstract
Introduction: Electronic health records can advance the quality of health care for society, especially mothers. On the other hand, implementation in primary care centers has faced challenges. The study was conducted to identify the experiences of health care midwives from the electronic health record system of Mashhad University of Medical Sciences known as “SINA” caring for pregnant.
Methods: This qualitative study was conducted using the thematic analysis method. The participants were healthcare midwives in the primary health centers of Mashhad. An unstructured interview approach was used to gather opinions, thus 14 midwives with one year of experience working with the “SINA” system in primary health centers were interviewed. The analysis was done as described by Braun and Clarke.
Results: The challenges of working with the system were identified and categorized three main themes of management, information and technical challenge. Management challenges consisted of two sub-themes of work process and structure, data challenges in the field of quality and volume. Two sub-themes of Network Issues and Software Usability were categorized in the field of technical.
Discussion: Healthcare systems must regularly evaluate electronic health records to adapt to changing needs. In this regard, it is necessary to pay attention to users and meet their needs, redesign the work process, and increase cooperation between healthcare providers, policymakers, and developers. Also, the functional implementation of the referral system, the creation of electronic system capabilities, and the ability to interact and transfer information with other country-level systems are necessary for the “SINA” system.
Dr Behrouz Alizadeh Savareh, Mrs Zahra Bagheri, Dr Azadeh Bashiri,
Volume 10, Issue 4 (12-2024)
Abstract
Introduction: With the increasing elderly population, their quality of life is affected. This study examines remote monitoring technologies to improve home care for the elderly.
Method: This narrative review study was conducted in 2023 using a library method and searching for keywords related to Tele-monitoring, home care and elderly, in databases such as PubMed, Google Scholar, Scopus, and ScienceDirect.
Findings: Twenty articles were reviewed, identifying nine technologies. Seven articles focused on remote monitoring systems, seven on smart homes and IoT, two on wearable devices, and the rest on mobile health, telephone support, AI, sensors, and robotics. Collecting and monitoring vital signs were the most important functions of remote monitoring technologies. Fifteen studies showed positive results, including reduced healthcare costs and improved patient quality of life.
Conclusion: Tele-monitoring technologies create effective communication between the elderly and healthcare providers, monitor vital signs, medication intake, activity, and emotional conditions, predict health status, and provide warnings in case of danger. These technologies reduce hospitalizations, costs, and caregiver burden, improve healthcare outcomes, and enhance the well-being and quality of life of the elderly.
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