چكيده فارسي :
ﺯﻣﻴﻨﻪ ﻭ ﻫﺪﻑ: ﺍﻣﺮﻭﺯﻩ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﻓﻨﺎﻭﺭﻱ ﺍﻃﻼﻋﺎﺕ، ﺍﺛﺮ ﻣﺜﺒﺘﻲ ﺩﺭ ﻧﻈﺎﻡ ﺳﻼﻣﺖ ﺑﺨﺼﻮﺹ ﺩﺭ ﺯﻣﻴﻨﻪ ﮐﻨﺘﺮﻝ ﺑﻴﻤﺎﺭﻱ ﻫﺎ، ﺗﺸﺨﻴﺺ، ﻣﺪﻳﺮﻳﺖ ﺑﻴﻤﺎﺭﺍﻥ ﻭ ﺁﻣﻮﺯﺵ ﺩﺍﺷﺘﻪ ﺍﺳﺖ، ﻭﻟﻲ ﻋﻠﻴﺮﻏﻢ ﺗﻮﺳﻌﻪ ﮐﺎﺭﺑﺮﺩﻫﺎﻱ ﻣﺨﺘﻠﻒ ﻓﻨﺎﻭﺭﻱ ﺍﻃﻼﻋﺎﺕ ﺩﺭ ﺗﻤﺎﻡ ﺟﻨﺒﻪ ﻫﺎﻱ ﺑﺎﻟﻴﻨﻲ ﻭ ﺍﻓﺰﺍﻳﺶ ﺍﻃﻤﻴﻨﺎﻥ ﻭ ﮐﺎﺭﺍﻳﻲ، ﻫﻨﻮﺯ ﺍﻳﻦ ﻓﻨﺎﻭﺭﻱ ﺩﺭ ﺯﻣﻴﻨﻪ ﻫﺎﻱ ﭘﺰﺷﮑﻲ ﻭ ﺩﺭﻣﺎﻧﻲ ﺑﻪ ﻃﻮﺭ ﮐﺎﻣﻞ ﻓﺮﺍﮔﻴﺮ ﻧﺸﺪﻩ ﻭ ﭼﺎﻟﺶ ﻫﺎ ﻭ ﻣﻮﺍﻧﻊ ﺯﻳﺎﺩﻱ ﺩﺭ ﭘﺬﻳﺮﺵ ﻭ ﺑﮑﺎﺭﮔﻴﺮﻱ ﺁﻥ ﻭﺟﻮﺩ ﺩﺍﺭﺩ. ﺑﺮ ﺍﻳﻦ ﺍﺳﺎﺱ ﺩﺭ ﺍﻳﻦ ﭘﮋﻭﻫﺶ، ﭼﺎﻟﺶ ﻫﺎﻱ
ﺑﮑﺎﺭﮔﻴﺮﻱ ﻓﻨﺎﻭﺭﻱ ﺍﻃﻼﻋﺎﺕ ﺩﺭ ﺑﻴﻤﺎﺭﺳﺘﺎﻥ ﻫﺎﻱ ﺗﺎﺑﻌﻪ ﺩﺍﻧﺸﮕﺎﻩ ﻋﻠﻮﻡ ﭘﺰﺷﮑﻲ ﺷﻬﻴﺪ ﺑﻬﺸﺘﻲ ﻣﻮﺭﺩ ﺑﺮﺭﺳﻲ ﻗﺮﺍﺭ ﻣﻲ ﮔﻴﺮﺩ.
ﻣﻮﺍﺩ ﻭ ﺭﻭﺵ ﻫﺎ: ﺍﻳﻦ ﭘﮋﻭﻫﺶ ﺍﺯ ﻧﻮﻉ ﺗﻮﺻﻴﻔﻲ ـ ﮐﺎﺭﺑﺮﺩﻱ ﺍﺳﺖ. ﺟﻤﻊ ﺁﻭﺭﻱ ﺩﺍﺩﻩ ﻫﺎ ﺑﺎ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﺩﻭ ﺩﺳﺘﻪ ﭘﺮﺳﺸﻨﺎﻣﻪ ﺳﺎﺧﺘﺎﺭﻣﻨﺪ ﻭ ﺑﻪ ﺭﻭﺵ ﻣﺸﺎﻫﺪﻩ ﺳﻴﺴﺘﻢ ﻫﺎ ﻭ ﻣﺴﺘﻨﺪﺍﺕ ﻭ ﻣﺼﺎﺣﺒﻪ ﺑﺎ ﻣﺪﻳﺮﺍﻥ ﻓﻨﺎﻭﺭﻱ ﺍﻃﻼﻋﺎﺕ ﭘﻨﺞ ﺑﻴﻤﺎﺭﺳﺘﺎﻥ ﺁﻣﻮﺯﺷﻲ ﺍﻧﺠﺎﻡ ﮔﺮﺩﻳﺪ ﻭ ﺩﺍﺩﻩ ﻫﺎﻱ ﺣﺎﺻﻞ ﻭﺍﺭﺩ ﻧﺮﻡ ﺍﻓﺰﺍﺭ SPSS ﺷﺪﻩ ﻭ ﺑﺎ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﺁﻣﺎﺭ ﺗﻮﺻﻴﻔﻲ
ﻣﻮﺭﺩ ﺑﺮﺭﺳﻲ ﻗﺮﺍﺭ ﮔﺮﻓﺖ.
ﻳﺎﻓﺘﻪ ﻫﺎ: ﺑﺮ ﺍﺳﺎﺱ ﻳﺎﻓﺘﻪ ﻫﺎﻱ ﺍﻳﻦ ﭘﮋﻭﻫﺶ، ﺍﺯ 14 ﺣﻮﺯﻩ ﮐﺎﺭﺑﺮﻱ ﻓﻨﺎﻭﺭﻱ ﺍﻃﻼﻋﺎﺕ، ﮐﻠﻴﻪ ﺑﻴﻤﺎﺭﺳﺘﺎﻥ ﻫﺎ ﺩﺍﺭﺍﻱ ﭘﺮﻭﻧﺪﻩ ﭘﺰﺷﮑﻲ ﺍﻟﮑﺘﺮﻭﻧﻴﮑﻲ ﺍﻟﺒﺘﻪ ﻧﻪ ﺑﻪ ﺷﮑﻞ ﮐﺎﻣﻞ، 3 ﺑﻴﻤﺎﺭﺳﺘﺎﻥ ﺩﺍﺭﺍﻱ ﺁﺭﺷﻴﻮ ﺗﺼﺎﻭﻳﺮ ﺭﺍﺩﻳﻮﻟﻮﮊﻱ، 2 ﺑﻴﻤﺎﺭﺳﺘﺎﻥ ﺩﺍﺭﺍﻱ ﺷﺒﮑﻪ ﺍﻃﻼﻋﺎﺕ ﺑﻬﺪﺍﺷﺘﻲ ﺟﺎﻣﻌﻪ ﻧﮕﺮ ﻭ ﺗﻠﻔﻦ ﮔﻮﻳﺎ ﻭ ﻳﮏ ﺑﻴﻤﺎﺭﺳﺘﺎﻥ ﻧﻴﺰ ﺩﺍﺭﺍﻱ ﺳﻴﺴﺘﻢ ﺩﺭﻳﺎﻓﺖ
ﺍﻟﮑﺘﺮﻭﻧﻴﮑﻲ ﺷﮑﺎﻳﺎﺕ، ﺷﺒﮑﻪ ﮔﺮﺩﺵ ﺩﺍﺩﻩ ﺑﻴﻤﺎﺭﺳﺘﺎﻥ ـ ﭘﺰﺷﮏ ﻭ ﺧﺪﻣﺎﺕ ﭘﺮﺩﺍﺯﺵ ﺩﺍﺩﻩ ﺍﻱ ﺑﻮﺩﻧﺪ. ﮐﻠﻴﻪ ﻣﺪﻳﺮﺍﻥ ﻓﻨﺎﻭﺭﻱ ﺍﻃﻼﻋﺎﺕ، ﭘﻴﺸﺮﻓﺖ ﻓﻨﺎﻭﺭﻱ ﻫﺎﻱ ﮐﺎﻣﭙﻴﻮﺗﺮﻱ ﺭﺍ ﺑﻪ ﻋﻨﻮﺍﻥ ﻋﺎﻣﻞ ﻣﺤﺮﮎ ﻭ ﻓﺮﺍﻳﻨﺪﻫﺎﻱ ﭘﺰﺷﮑﻲ، ﻓﺮﺍﻳﻨﺪﻫﺎﻱ ﮐﺎﺭﻱ ﻭ ﻋﻮﺍﻣﻞ ﺍﻗﺘﺼﺎﺩﻱ ﺭﺍ ﺑﻪ ﻋﻨﻮﺍﻥ ﻣﺎﻧﻊ ﺩﺭ ﺑﮑﺎﺭﮔﻴﺮﻱ ﻓﻨﺎﻭﺭﻱ ﺍﻃﻼﻋﺎﺕ ﺩﺭ ﺑﻴﻤﺎﺭﺳﺘﺎﻥ ﻫﺎﻱ ﺧﻮﺩ ﺫﮐﺮ ﮐﺮﺩﻧﺪ. ﻫﻤﭽﻨﻴﻦ 4 ﺑﻴﻤﺎﺭﺳﺘﺎﻥ، ﺳﺎﺧﺘﺎﺭ ﺣﺮﻓﻪ ﺍﻱ ﺍﺭﺍﺋﻪ ﺧﺪﻣﺎﺕ ﻭ 3 ﺑﻴﻤﺎﺭﺳﺘﺎﻥ، ﻋﻮﺍﻣﻞ ﺍﻧﺴﺎﻧﻲ
ﺭﺍ ﺩﺭ ﭘﺬﻳﺮﺵ ﻭ ﺑﮑﺎﺭﮔﻴﺮﻱ ﻓﻨﺎﻭﺭﻱ ﺍﻃﻼﻋﺎﺕ ﺑﻪ ﻋﻨﻮﺍﻥ ﻋﺎﻣﻞ ﻣﺤﺮﮎ ﻋﻨﻮﺍﻥ ﮐﺮﺩﻧﺪ.
ﻧﺘﻴﺠﻪ ﮔﻴـﺮﻱ: ﺑﺮ ﺍﺳﺎﺱ ﻧﺘﺎﻳﺞ ﺣﺎﺻﻞ ﺍﺯ ﺍﻳﻦ ﭘﮋﻭﻫﺶ، ﺯﻣﻴﻨﻪ ﻫﺎ ﻭ ﻗﺎﺑﻠﻴﺖ ﻫﺎﻱ ﺑﮑﺎﺭﮔﻴﺮﻱ ﻓﻨﺎﻭﺭﻱ ﺍﻃﻼﻋﺎﺕ، ﺑﺴﺘﺮﻫﺎﻱ ﻣﻨﺎﺳﺐ، ﺣﻮﺯﻩ ﻫﺎﻱ ﻧﻔﻮﺫ ﻭ ﻧﻴﺰ ﻣﻮﺍﻧﻊ ﻓﺮﺍﺭﻭﻱ ﺗﻮﺳﻌﻪ ﻓﻨﺎﻭﺭﻱ ﺍﻃﻼﻋﺎﺕ ﺍﺯ ﺩﻳﺪﮔﺎﻩ ﻣﺪﻳﺮﺍﻥ ﺍﺭﺷﺪ ﻭ ﻣﺘﺨﺼﺼﻴﻦ ﺍﺭﺷﺪ ﺍﻃﻼﻋﺎﺕ ﺩﺭ ﺑﻴﻤﺎﺭﺳﺘﺎﻥ ﻫﺎﻱ ﺗﺤﺖ ﻣﻄﺎﻟﻌﻪ ﺷﻨﺎﺳﺎﻳﻲ ﮔﺮﺩﻳﺪ. ﺑﺪﻳﻦ ﺗﺮﺗﻴﺐ، ﻋﻮﺍﻣﻞ ﺍﺛﺮﮔﺬﺍﺭ ﺑﺮ ﺍﺗﺨﺎﺫ ﺳﻴﺎﺳﺖ ﺍﻳﻦ ﺑﻴﻤﺎﺭﺳﺘﺎﻥ ﻫﺎ ﺩﺭ ﻣﻮﺭﺩ ﮐﺎﺭﺑﺮﻱ ﻫﺎﻱ ﻓﻨﺎﻭﺭﻱ ﺍﻃﻼﻋﺎﺕ ﻣﺸﺨﺺ ﺷﺪ ﮐﻪ ﻣﻲ ﺗﻮﺍﻧﺪ ﺯﻣﻴﻨﻪ ﻫﺎﻱ ﺑﻬﺮﻩ ﻭﺭﻱ ﺍﺯ ﻣﻨﺎﺑﻊ ﺑﻴﻤﺎﺭﺳﺘﺎﻧﻲ ﺭﺍ ﻓﺮﺍﻫﻢ ﻭ ﺑﺎ ﮐﺎﻫﺶ ﻫﺰﻳﻨﻪ ﻭ ﮐﻮﭼﮏ ﺳﺎﺯﻱ ﺣﺠﻢ ﺧﺪﻣﺎﺕ ﻣﺆﺳﺴﺎﺕ ﻣﺮﺍﻗﺒﺘﻲ، ﻓﺮﺻﺖ ﻫﺎﻱ ﺷﻐﻠﻲ ﺟﺪﻳﺪﻱ ﺭﺍ ﺑﺮﺍﻱ ﺷﺎﻏﻠﻴﻦ ﻣﺮﺍﻗﺒﺖ ﺳﻼﻣﺖ ﺍﻳﺠﺎﺩ ﮐﻨﺪ. ﻫﻤﭽﻨﻴﻦ ﺩﺭ ﺍﻭﻟﻮﻳﺖ ﺑﻨﺪﻱ ﮐﻼﻥ ﺑﻮﺩﺟﻪ ﺩﺭ ﺳﻄﺢ ﻭﺯﺍﺭﺕ ﺑﻬﺪﺍﺷﺖ ﺑﻪ ﻋﻨﻮﺍﻥ ﻣﺒﻨﺎﻱ ﺳﺮﻣﺎﻳﻪ ﮔﺬﺍﺭﻱ ﻓﻨﺎﻭﺭﻱ ﺍﻃﻼﻋﺎﺕ ﺩﺭ ﺑﻴﻤﺎﺭﺳﺘﺎﻥ ﻫﺎ ﻣﻮﺭﺩ ﺗﻮﺟﻪ ﺳﻴﺎﺳﺖ ﮔﺬﺍﺭﺍﻥ ﻗﺮﺍﺭ ﮔﻴﺮﺩ.
چكيده لاتين :
Introduction & Objective: Today, the use of information technology (IT) has had positive impact on
health systems, especially in the field of disease control, diagnosis, patient management and education. But
despite the various developed applications of IT in all aspects of clinical and increase confidence and
efficiency, this technology is not yet fully penetrate in medical and treatment field and there are many
challenges and obstacles in accepting and applying it. Accordingly, this study examined challenges of IT
applications in hospitals affiliated with Shaheed Beheshti University of Medical Sciences.
Materials & Methods: Current research is descriptive-applied. Data were collected using two
structured questionnaires and by viewing systems and documents and interviewing with managers of IT in 5
teaching hospitals. Compiled data were examined by SPSS software by using descriptive statistics.
Results: Based on findings, from 14 areas of IT applications, all hospitals have electronic medical
records but not fully formed, 3 hospitals have picture archiving system, 2 hospitals have community based
health information networks, and answering phone and only one of them has e-complaints system, Physician-
Hospital data network and data processing service.
All IT managers noted advancing in computer technology as a stimulating factor and medical processes,
business processes and economic factors as obstacles in applying IT in their hospitals. Also, 4 hospitals noted,
the professional structure, and 3 hospitals noted the human factors as stimulating factors in the acceptance and
use of IT.
Conclusions: Based on the results, fields and the capabilities of applying IT, areas of influence and the
obstacles facing the development of IT from professionals and senior information managers' view were
identified. Thus, the factors influencing the policy making of these hospitals in IT applications was specified
factors which can provide grounds for use of the efficient hospital resources, and thus cause cost reduction and
downsizing care of services and therefore can create new employment opportunities for health care workers.
Also, in prioritizing the macro-level budget in Ministry of Health, it can be considered as a basis for
investment in hospital IT policies.
