Journal of Education and Health Promotion

Abstract BACKGROUND: The widespread occurrence of COVID‑19 has caused people to seek information
from various sources such as virtual social networks, which can positively or negatively affect one’s
mental status. In this article, we present the role of virtual social networks in shaping people’s attitudes
toward COVID‑19 in Iran.
MATERIALS AND METHODS: This is an applied descriptive study, in which 1010 users of virtual
social networks were surveyed through an electronic questionnaire. Data were analyzed with SPSS,
Excel, and Rapid Miner software. The FP‑growth technique was used to investigate the concurrence
of choices in multiple‑choice questions, and the Mann–Whitney and the Kruskal–Wallis tests were
used to determine the correlation of the mean of each dimension with demographic data. Moreover,
the Wilcoxon signed‑rank, the Shapiro–Wilk, and the Kolmogorov–Smirnov tests were used.
RESULTS: Virtual social networks use increased significantly (40%) after the COVID‑19 outbreak.
According to users, the greatest psychological impact of virtual social networks was the induction
of anxiety (46.43%) and the most common use was to learn about COVID‑19 prevention and
treatment (69.3%). Based on the findings, there were no significant differences between the
“awareness,” “behavior intention,” and “attitude and trust” and the users’ marital status, age group,
educational degree, and gender.
CONCLUSION: Although social networks have enriched the public knowledge, they increased the
individuals’ anxiety mostly because of controversial news and disperse of misinformation which in turn
misled the users. The social networks play an important role in directing the behavioral inclinations.
Accordingly, it is recommended that the authorities in healthcare system establish authentic and
formal webpage in these social networks to manage controversial and voluminous information.

Abstract

Abstract BACKGROUND: The successful application of the information systems in the health‑care domain
requires a reasonable recognition of the factors affecting the acceptance and use of such systems.
The study aimed to investigate the factors affecting the acceptance and use of an integrated health
system (IHS) in Isfahan primary health centers.
MATERIALS AND METHODS: It was an applied and descriptive–analytical survey conducted in
Isfahan, Iran. Research population included all IHS’s users in the health centers no. 1 and 2 of
Isfahan city from which a sample of 320 individuals were selected in total. Data were collected using a
questionnaire developed based on the Unified Theory of Acceptance and Use of Technology model.
Data were analyzed using partial least squares (PLS) method and SmartPLS software.
RESULTS: The users’ behavioral intention to use the IHS system was influenced by performance
expectancy, effort expectancy, and social influence, but it was not significantly related to facilitating
conditions. Behavioral intention to use the IHS also had a significant relationship with the use of
system. Furthermore, performance expectancy was the most important predictor.
CONCLUSIONS: According to the findings, if the system users perceive the positive role of system
in performance improvement, its convenience to use, and positive attitude of others toward it, their
willingness to accept and use system will increase. Furthermore, it was important for the users that
the system helps them in resolving their daily work‑related problems and making rational decisions.

Abstract CONTEXT: The advent of picture archiving and communication system (PACS) as medical image
information system represent a major change of work pattern for radiologists and physicians and
has proved to be a substantial challenge to the organization.
AIMS: The study aimed to investigate the factors affecting the use of PACS through the unified
theory of acceptance and use of technology model.
SETTINGS AND DESIGN: It was an applied and analytical study.
SUBJECTS AND METHODS: Ninety questionnaires were distributed in Kashani hospital of Esfahan
which implemented web‑based PACS, and 45 usable questionnaires were returned. The questionnaire
consists of scales for performance expectancy (PE), effort expectancy, facility condition, social
influences, and behavioral intention (BI) and was developed by the author comparing the similar
studies in which validity was confirmed by a committee of experts and the reliability was calculated
using a Cronbach’s α (α = 0.946).
STATISTICAL ANALYSIS USED: Data were analyzed using SPSS version 20. The statistical tests
for data analysis were Pearson’s correlation and multiple regression analysis.
RESULTS: The findings suggested a direct correlation between BI and factors of PE (P < 0.001,
r = 0.788), effort expectancy (P < 0.001, r = 0.564), social influences (P = 0.001, r = 0.472), and
facility condition (P < 0.001, r = 0.477).
CONCLUSIONS: According to the findings, only the PE is sufficient for predict and evaluation of
user behavior toward PACS. The results could be useful in terms of designing new systems and
understanding users’ need.

Abstract INTRODUCTION: Electronic medical record system (EMRS) is a valuable system for safe access
to the patient’s data and increases health care quality. Manpower is one of the requirements for
EMRS, among which manager is the most important person in any hospital. Taking into account
manager’s positive attitude and good commitments, EMRS will be implemented successfully. As
such, we decided to assess manager’s attitude and commitment toward EMRS in Isfahan hospitals
in the year of 2014.
AIM: This article aimed to determine the hospital managers’ attitude and commitment toward the
implementation of EMRS.
MATERIALS AND METHODS: The present article is an applied analytic study. Research society
consisted of the managers of all the hospitals in Isfahan that include hospitals affiliated to Isfahan
University of Medical Sciences, private, and social security hospitals. This study was done in 2014.
Data collection tools included a questionnaire for which reliability and validity were determined. Data
were analyzed by means of SPSS 20.
RESULTS: Average score for the managers’ attitude toward EMRS in the city of Isfahan was 77.5
out of 100 and their average score for commitment was 74.7. Manager’s attitude in social security
hospitals was more positive than the private and governmental ones (83.3%). In addition, the amount
of commitment by the managers in social security hospitals was higher than the same in private and
governmental hospitals (86.6%).
CONCLUSION: At present, managers’ attitude and commitment in Isfahan hospitals toward EMRS
are very high and social security hospitals show more readiness in this respect.

Abstract Background: The rate of hospital deductions is a commonly cited concern among teaching
hospitals in Iran. The objective of the present study is to access the effect of the quantitative
and qualitative analysis of inpatient medical records on deductions and identifying the major
resources of deductions. There are currently no published interventional studies that have
investigated this issue quantitatively. Materials and Methods: In an interventional study,
we reviewed all the 192 patient’s medical records (PMRs) for any documentation errors, to
determine the rate of deductions. We conducted a pilot of 30 cases prior to the actual survey.
Nonprobability‑based consecutive sampling was used. The main study was conducted in three
phases: 1. Primary evaluation; 2. Training, performance of intervention and corrective actions;
and 3. Final assessment. Comprehensive assessments of medical records and follow‑up of
error correction were carried out systematically and according to the pre‑set schedule. Pre‑ and
post‑intervention assessments were compared in order to evaluate the effect of the intervention.
Data were analyzed using the SPSS‑20 statistical software. Paired‑sample t‑test was used to
compare changes in deduction scores before and after the intervention. Differences at a P value
less than 0.05 were considered statistically significant. Results: In the initial survey of 800 PMRs,
nearly one quarter (24%) (Or 192 cases) had at least one type of deduction. The three top types
of deductions were Laboratory (47.9%), Medical radiation (45.3%), and Physician visit (35.9%).
The results showed a 2.7‑ to about 36‑fold lower rate of hospital deductions (average: 6.4‑fold;
reduction from 21131 to 3285 US dollars). Conclusion: All in all, the results of the present study
indicated that educational interventions and quantitative and qualitative analysis of inpatient
medical records are very beneficial and effective in the reduction of medical record deductions.

Abstract Background: Quality is one of the most important criteria for the success of an information
system, which refers to its desirable features of the processing system itself. The aim of this
study was the analysis of system quality of hospital information systems (HIS) in teaching
hospitals of Isfahan based on the DeLone and McLean model. Materials and Methods: This
research was an applied and analytical‑descriptive study. It was performed in teaching hospitals
of Isfahan in 2010. The research population consisted of the HIS’s users, system designers and
hospital information technology (IT) authorities who were selected by random sampling method
from users’ group (n = 228), and system designers and IT authorities (n = 52) using census
method. The data collection tool was two researcher‑designed questionnaires. Questionnaires’
reliability was estimated by using Cronbach’s alpha was calculated. It was 97.1% for the
system designers and IT authorities’ questionnaire and 92.3% for system users’ questionnaire.
Results: Findings showed that the mean of system quality score in a variety of HIS and among
different hospitals was significantly different and not the same (P value ≥ 0.05). In general,
Kosar (new version) system and Rahavard Rayaneh system have dedicated the highest and
the lowest mean scores to themselves. The system quality criterion overall mean was 59.6%
for different HIS and 57.5% among different hospitals respectively. Conclusion: According to
the results of the research, it can be stated that based on the applied model, the investigated
systems were relatively desirable in terms of quality. Thus, in order to achieve a good optimal
condition, it is necessary to pay particular attention to the improving factors of system quality,
type of activity, type of specialty and hospital ownership type.

Abstract Context: Addiction, as a social problem, is a phenomenon that causes structural changes in
cultural, social, political, and economic system in society. Prevention of this problem means
decrease of risk factors and increase of protective factors; and recognition of these factors is
possible with the help of update, accurate, and complete information in information systems.
Aims: The aim of this study was to compare substance dependence treatment information
system (SDTIS) in America, England, and Iran. Materials and Methods: This research was an
applied and comparison-descriptive study, in which SDTIS was compared in America, England,
and Iran. These countries were chosen based on available information on the Internet and also
on the development of these countries in the health information management field. Information
resources included library resources, electronic resources, and expert people (Health Information
Management, Medical Records Education, Psychologist, Psychiatrist, and Medical Informatics).
The data collection tool was the data raw form, whose reliability was proved by expert people.
Statistical Analysis Used: Findings were analyzed by theory and descriptive method. Results:
America and England had the SDTIS. Their systems had special characteristics such as goals,
scope, special method for collecting, processing, reporting, quality and validity control, and
confidentiality principles. However, there was no such system in Iran and the present situation in
Iran has many differences with similar situations in the studied countries. Conclusion: Presence
of an information system in the substance dependence treatment field helps to prevent, control,
and treat addicted people. Hence, we try to submit a suitable model for implementing this system.

Abstract Introduction: Simultaneous with the rapid changes in the technology and information
systems, hospitals interest in using them. One of the most common systems in hospitals is
electronic medical record (EMR) whose one of uses is providing better health care quality via
health information technology. Prior to its use, attempts should be put to identifying factors
affecting the acceptance, attitude and utilizing of this technology. The current article aimed
to study the effective factors of EMR acceptance by technology acceptance model (TAM) at
central polyclinic of Oil Industry in Isfahan. Materials and Methods: This was a practical,
descriptive and regression study. The population research were all EMR users at polyclinic
of Oil Industry in 2012 and its sampling was simple random with 62 users. The tool of data
collection was a research‑made questionnaire based on TAM. The validity of questionnaire
has been assigned through the strategy of content validity and health information technology
experts’ views and its reliability by test‑retest. Findings: The system users have positive attitude
toward using EMR (56.6%). Also, users are not very satisfied with effective external (38.14%)
and behavioral factors (47.8%) upon using the system. Perceived ease‑of‑use (PEU) and
perceived usefulness (PU) were at a good level. Conclusion: Lack of relative satisfaction with
using of EMR derives from factors such as appearance, screen, data and information quality
and terminology. In this study, it is suggested to improve the system and the efficiency of the
users through software’ external factors development. So that PEU and users’ attitude to be
changed and moved in positive manner.

Abstract Introduction: One of the major issues in hospitals is the period for which the medical records are
retained. Health information management professionals traditionally have performed retention
and destruction functions using all media, including paper, images, optical disk, microfilm, DVD,
and CD-ROM. Health information management departments must maintain a specific program
to retain and destruct the records. The purpose of this paper is to investigate the retention and
destruction process of medical records in the hospitals in Isfahan and codifying the appropriate
guidelines. Materials and Methods: The research was conducted as a cross-sectional descriptive
study in 30 hospitals in Isfahan. The data was collected using a Check List. Also 30 medical
records experts’ viewpoints were obtained using the Delphi technique. Data entry and statistical
analysis was performed using SPSS. Results: The findings indicated that 53.8% of the study
population maintained a written policy. A 34.6% maintained a written policy to destruct medical
records. And 50% announced that no instructions had been given to the hospitals by qualified
authorities to destruct the medical records. Discussion: The majority of the hospitals are still
unclear about the retention period of medical records, which could be due to not to mention the
retention period for most medical records by the country’s National Literature and lack of policy
and procedure in hospitals. Conclusions: According to the legislations, hospitals are bound to
retain the inpatients’ records for full 15 years but based on the findings of this research, less than
half of the study population retained the inpatients’ records for the period mentioned.