Farzianpour Fereshteh, Shojaei Saeed, Arab Mohammad, Foroushani Abbas Rahimi
Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, Iran.
Acta Inform Med. 2016 Apr;24(2):124-9. doi: 10.5455/aim.2016.24.124-129. Epub 2016 Mar 26.
Information systems are "computer systems that collect, store, process, retrieve, show, and provide timely information required in practice, education, management, and research". The purpose of these systems is to support hospital activities in practical, tactical, and strategic levels in order to provide better service to patients. This study aimed to evaluate the communication and information system (MCI) in public hospitals in Sabzevar city in 2014 from the perspective of human resources according to international standards of the Joint Commission Accreditation Hospital (JCAH).
This study was a practical, descriptive, cross-sectional study. The study population consisted of Sabzevar nurses who used hospital information system. Sampling was done by classification method and in proportion to the number of nurses in each health care units in hospitals in 2014. The sample size was 200 and after referring to hospitals, 200 questionnaires were completed. Sample size was calculated by the formula n=Z(2)P (1-P)/d(2) with P=0.5, α=0.05, d=0.05, and Z=1.96. Data collection tool was the questionnaire of assessment of hospital information systems of JCAH, which has 124 specific questions, including 6 areas. To assess the effect of demographic variables with MCI standards of two questionnaires (feasibility and implementation), the following steps were taken. 1. Kolmogorov-Smirnov test was used to determine whether responses were normal or not. 2. In case of normal data, t-test was used for dual groups and one-way ANOVA test for groups of three or more. 3. If not normal, Mann-Whitney test was used for dual groups and Kruskal-Wallis test for groups of three or more.
Research findings show the mean results of feasibility and implementation of all 6 areas of international standards MCI have feasibility in three hospitals in Sabzevar in 20 sections (H1=105.01±10.468), (H1=196.31±4.662), (H2=104.26±9.099), (H2=195.33±3.778) (H3=106.48±11.545) and (H3=197.57±4.943), respectively.
The results showed that the mean feasibility and implementation of all six areas of MCI international standards is practical in three hospitals in Sabzevar in 20 wards. Also, 50% of users in clinical departments, physicians, and nurses agreed to appropriateness of the hospital information and communication systems for doing their duties.
信息系统是“收集、存储、处理、检索、展示并提供实践、教育、管理及研究所需及时信息的计算机系统”。这些系统的目的是在实践、战术和战略层面支持医院活动，以便为患者提供更好的服务。本研究旨在根据联合委员会医院评审（JCAH）的国际标准，从人力资源角度评估2014年萨卜泽瓦尔市公立医院的通信与信息系统（MCI）。
本研究为实用性描述性横断面研究。研究人群包括使用医院信息系统的萨卜泽瓦尔护士。采用分类抽样法，根据2014年各医院每个医疗单位护士人数进行抽样。样本量为200，在走访医院后，完成了200份问卷。样本量通过公式n = Z(2)P(1 - P)/d(2)计算得出，其中P = 0.5，α = 0.05，d = 0.05，Z = 1.96。数据收集工具为JCAH医院信息系统评估问卷，该问卷有124个具体问题，涵盖6个领域。为评估人口统计学变量对两份问卷（可行性和实施情况）MCI标准的影响，采取了以下步骤。1. 使用柯尔莫哥洛夫 - 斯米尔诺夫检验确定回答是否呈正态分布。2. 对于正态数据，两组使用t检验，三组及以上使用单因素方差分析。3. 若数据非正态，两组使用曼 - 惠特尼检验，三组及以上使用克鲁斯卡尔 - 沃利斯检验。
研究结果表明，国际标准MCI所有6个领域的可行性和实施情况的平均结果显示，萨卜泽瓦尔市三家医院在20个科室具有可行性，分别为（H1 = 105.01 ± 10.468），（H1 = 196.31 ± 4.662），（H2 = 104.26 ± 9.099），（H2 = 195.33 ± 3.778），（H3 = 106.48 ± 11.545）和（H3 = 197.57 ± 4.943）。
结果表明，MCI国际标准所有六个领域的平均可行性和实施情况在萨卜泽瓦尔市三家医院的20个病房中是切实可行的。此外，临床科室50%的用户、医生和护士都认为医院的信息与通信系统适合履行其职责。
