112 2008-1200 Iran University of Medical Sciences 798 Metadata Elements of Dublin Core and Those of Central Libraries Websites of Medical Universities in Iran: A Comparative Study Abazari Z Babaei K 1 4 2011 14 43 7 18 06 06 2011 Introduction: Considering the importance of library websites in the establishment of communication and provision of services for their users, it is crucial to include those features in these websites which can lead to increased dynamism and optimal communication. The present study aimed at comparing Metadata elements of Dublin Core with those of the websites of Central Libraries of Medical Universities in Iran. Methods: In this descriptive Survey, 16 websites of the central libraries of medical universities in Iran were evaluated using Internet Explorer and Netscape browsers. The Metadata elements of the HTML pages of these websites were extracted from the Source tab of View menu and were inserted in a checklist. Results: All the websites under study were designed on the basis of the general Markup language rather than Dublin core Metadata elements. It was also found that web designers preferred to focus on the content of the source in the first place followed by its physical appearance and ownership of the ideas, consecutively. Discussion: Web designers of the central libraries of medical universities in Iran employ Meta tags more than specific Metadata such as those of Dublin Core. Lack of significant difference between ranking of web pages used by Meta tags and general Metadata, confirmed in some studies, could be due to web designers’ reluctance to employ the elements of specific Metadata the equivalents of which are found in Dublin Core.
799 The Effect of Employee Training on the Amount of Insurance Fractions at Firoozgar Teaching Hospital: 2008-2009 Khalesi N Gohari MR Vatankhah S Abbasimani Z 1 4 2011 14 43 19 26 06 06 2011 Introduction: Due to the low tariff of diagnostic and treatment services in hospitals as well as the high costs of delivering the health care services, the necessity of receiving all incomes from the insurance organizations can be justified. The purpose of this study was to investigate the effect of employee training on the amount of insurance fractions at Firoozgar Teaching Hospital. Methods: The present study was longitudinal, analytical, cross-sectional, and applied in nature. The population consisted of the insurance documents of all hospitalized patients insured by the two insurance organizations of ‘Social Security’ and ‘Treatment Services’ (1685 and 1330 files, respectively) in Firoozgar Teaching Hospital during spring 2007 and spring 2008. Data were processed by SPSS software and were analyzed using paired t-tests. Results: The average percentage of management errors in insurance documents was 1.38 and 3.25 before and after the training, respectively. Furthermore, the amount of fractions decreased from 9.13 to 9.6 before and after the training, respectively. The effect of training on errors was confirmed considering both insurance organization types (P ≤0.001). Discussion: Employee training significantly decreased the number of errors in insurance documents and the amount of insurance fractions at Firoozgar Teaching Hospital. Obviously, the administration of continuous and systematic educational programs can enhance the employees’ efficiency and partnership in decreasing the insurance fractions resulting in developing positive interactions with the representatives of the insurance organizations. 800 The Impact of Family Physician Program on Mother and Child Health Indices in Rural Population Auspices of Mashhad University of Medical Sciences and Health Care Services, Iran 2009 Raeissi P Ebadi Fard Azar F Roudbari M Shabani kia HR 1 4 2011 14 43 27 36 06 06 2011 Introduction: The implementation of Rural Insurance and Family Physician Programs with the intention of reforming and improving the delivery of health care services nationwide started in 2005. However, the functionality of these programs has not been investigated yet. This study was done to determine the effect of Family Physician Program on mother and child health indices for rural population auspices of Mashhad University of Medical Sciences and Health Care Services (MUMS). Methods: The mean values of eight health indices of mothers and children living in 19 rural districts (Khorasan Razavi Province) of MUMS four years before and three years after the implementation of Family Physician Program (2001-2004 and 2005-2007, respectively) were compared using Analysis of Variance. The data were gathered by the employees of rural health houses (Behvarzes). As the program was being implemented in all rural areas simultaneously, there was no possibility to form any control group. Therefore, the mean values of indices for the experimental group before and after the program were compared. Results: Although the results did not show any significant difference between the mean values of indices before and after the implementation of the program, the trend of indices for the seven years of the study (2001-2007) confirmed the positive impact of the program. Discussion: The overall improvement observed in mother and child indices after the implementation of Family Physician program can be viewed as the promising future outlook of the program to bring about further health improvements for the rural population. 801 The Role of Asymmetric Information in Induced Demands: A Case Study of Medical Services Abdoli Gh Varharami V 1 4 2011 14 43 37 42 06 06 2011 Introduction: According to physician-induced demand (PID) hypothesis, a physician can induce a patient to undergo more intensive medical treatment based on the fact that the physician has more medical information than the patient. Investigations demonstrated that non-salaried physicians have more incentives to motivate the patients to use unnecessary health care services. In this paper, PIDs of staff and non-staff physicians have been compared. Methods: 300 questionnaires were completed by physicians living in Tehran. 70 of these questionnaires were omitted from the study since the related respondents were staff and had private offices simultaneously. Visit length and the average number of tests for each patient were considered as the dependent variables while the patient’s gender and age as well as the physician’s degree, years of experience, preference for income to leisure, and performing special services were the explanatory variables. Logit model was used for data analysis. Results: In general, average number of tests and visit length depended significantly on patient’s age and gender. However, in the case of the non-staff physicians, preference for income to leisure, years of experience, and doing special services affected the number of the tests and visit length for the patients. It was also found that general physicians tend to induce more demands for using health and treatment services than non-staff physicians. Discussion: To lessen the unnecessary health care expenses induced by non-staff physicians, it is recommended to enact new laws to supervise the performance of these physicians. 802 Identifying Priorities of Policymaking for E-Health Development in Iran Faghihi M Memarzadeh-Tehran Gh 1 4 2011 14 43 43 50 06 06 2011 Introduction: E-health planning in Iran suffers from some shortcomings which could be overcome by identifying the priorities of policymaking. The purpose of this study is to identify, categorize, and prioritize the indices of e-health policymaking in Iran. Methods: Through reviewing the related research, the indices were identified and categorized. The list of the indices was revised by 38 e-health experts. The data, collected by means of questionnaires, were analyzed through Freedman Test in SPSS. Results: Having reviewed the related studies, three categories of indices were identified: infrastructures, policies, and strategies. The survey of infrastructures of e-health development showed that the legal and legislative provision had the highest priority. In the area of policies, it was found that the highest priority was related to the integration of e-health activists and providers. Finally, in the area of strategies of e-health development, public and affordable access based on people’s needs showed the highest priorities. Discussion: Enactment of laws of privacy and laws facilitating private sector activities, coordination between e-health activists and provision of access to quality and public services should be among the priorities of policymakers. 803 Identification and Ranking of Factors Affecting Quality Improvement of Health & Treatment Services Using Multiple Attribute Decision Making (MADM): A Case Study Mirfakhraddiny H Farid D Tahari Mehrjardi MH Zareei Mahmod Abadi M 1 4 2011 14 43 51 62 06 06 2011 Introduction: The sector of health services has a special status compared to other sectors in which even minor mistakes can be irreparable. Therefore, offering services with optimum quality and professional standards is of great importance. The purpose of this study was to identify and prioritize the factors affecting the quality improvement of services in health and treatment centers of Yazd using multiple attribute decision making. Methods: The study was descriptive and cross-sectional in nature. 55 health care receivers, who were referred to health care centers of Yazd at least once, were selected. A questionnaire, with alpha Cronbach coefficient slope of 78%-86%, including all aspects of the service quality was used. Results: The factors affecting quality improvement were identified and subsequently ranked using the techniques of TOPSIS, SAW, and ELECTERE. Considering the fact that the results of the implementation of the above-mentioned methods did not reach a general consensus, Copeland merging technique was applied. The results of the ranking showed that the staff’s knowledge and capability enjoyed more priority than the other factors. Discussion: The managers of health and treatment centers will be able to prioritize the factors affecting quality improvement of health and treatment services using multiple attribute decision making. This can lead to the quality improvement of health care services. 804 Qualitative Evaluation of Central Library's Web Sites of Medical Universities in Iran with WEBQEM Alibeyk MR Jamshidi Orak R Haji Zeinolabedini M Pashazadeh F 1 4 2011 14 43 63 76 06 06 2011 Introduction: The homepage is the initial place at which the users are directed towards having access to the available resources. This makes web designing of high importance to university administrators and authorities. The purpose of this study was to conduct a qualitative evaluation of websites with WEBQEM in libraries of Medical Universities in the Islamic Republic of Iran. Methods: This study was a descriptive survey which was conducted on 24 websites. Data were gathered on the basis of WEBQEM checklists. Data analysis was performed by using SPSS software version 13. The evaluation was carried out by applying four criteria of WEBQEM. Results: The websites' reliability was evaluated as "Very Good", with the average score of 0.82, and its efficiency as "Good" with the average score of 0.64. Usability and functionality scored an average of 0.5 and 0.52, respectively. Finally, half of the websites, on which this study was conducted, were evaluated as "Good "while the other half were as "Average". Discussion: Considering the average scores obtained by using the four main criteria of the study, it was conceived that the in terms of functionality and usability of these web sites had some shortcomings. Although reliability and efficiency scored average, some of the websites were not of the expected quality by the main criteria. 805 Application of Quality Management System Criteria for Assessing Medical Records Departments in Teaching Hospitals of Iran University of Medical Sciences 2008 Mohammadi A Ahmadi M Gohari MR 1 4 2011 14 43 77 86 06 06 2011 Introduction: Quality management is an intelligent, steady and continuous procedure with a synergic effect on organization goals resulting in customer satisfaction, increased efficiency and enhanced ability to compete in the market. The procedure is considered as an improvement in traditional methods of business and an established technique which ensures organization survival in today’s competitive world. The current study aimed at examining medical records departments in Teaching Hospitals of Iran University of Medical Sciences (IUMS) applying Quality Management System Criteria. Methods: It was a descriptive, cross-sectional study. The statistical population included medical records departments of ten IUMS Teaching Hospitals. Data collection was done through interview, observation and five checklists which were in accordance with major criteria of Quality Management System mentioned in ISO 9001- 2000 standard. Descriptive statistics was used for data analysis. Results: The findings showed that resources management with 77% and the measurement of criteria, analysis and process improvement with 47% gained the highest and the lowest scores, respectively. The rates of quality management system, management accountability, and service production were 57%, 56%, and 61%, respectively. The overall average of all criteria applied at Iran University teaching hospitals was 60%. Discussion: The unacceptable 60% rate of conformity of medical records departments system with the expectations of quality management system can be promoted by adjusting the quality of the functions of these departments with the defined requirements of Quality Management System.