[Consumer's satisfaction with admission services in teaching hospitals affiliated to Kashan University of Medical Sciences 2006]

Patients' satisfaction indicates the accurate care providing, and is considered as an important indicators of health care quality. Patients' satisfaction with admission services is quite important. This study aimed at determining the level of consumers' satisfaction with admission services and its related determinants in teaching hospitals affiliated to Kashan University of Medical Sciences. In this descriptive-analytic study, 384 patients or their relatives were interviewed using a questionnaire. Data analysis was done through descriptive and analytic statistics such as: percent, means, SD, t-test, X2 and ANOVA test. Totally 46.2% the consumers' perceived services of admission unit good. They were completely satisfied with the waiting time [8.03A1.43 points of 10], and with the staff behavior [15.78A2.9 points of 20]. They were also satisfied with the staffs' responses to their questions [14.6A2.7 points of 20], and with equity in admission turn [4.41A1.6 points of 10]. Satisfaction was significantly related to patients' job, length of stay and sex. Also patients' satisfaction with staffs' responses was significantly less than from that of their relatives [p<0.05]. Generally, patients or their relatives were satisfied with admission services. Of course, the admission staffs could response better to satisfying their questions, especially on consent forms, pay more attention to females, and old patients as all theses will lead to more the patients' satisfaction

[Comparative study on EHR content, structure, and terminology standards in selected organizations and design a model for Iran]

Electronic health record [EHR] is defined as digitally stored healthcare information about an individual's life time with the purpose of supporting continuity of care, education, and research. Major issue that needs to be addressed in order to accomplish with sharing and exchange is the development and use of content and structure standards in the EHR. Based on, this investigation has done on EHR content, structure and vocabulary standards and designs a suitable model for Iran. This cross section comparative study was conducted in the year 2005-2006. The means for collecting data were check list and questionnaire. Participants include ASTM, HL7, and CEN TC. Data analysis was done by way of qualitative methods and comparative tables. Based on the standards advantages and limitations, a model was recommended. Using Delphi systems, a workable model for content, structure, and vocabulary of EHR was presented. Study shows that there are three main organizations that create standards related to EHR: HL7, CEN TC251, and ASTM E31. HL7 dose not have a compressive standards for content and structure, but in two sections, namely the Clinical Document Architecture [CDA] and the Document Ontology Task force [DOTF] proposal give some ideas regarding EHR and used vocabulary standards such as SNOMED, LOINC, and UMLS. CEN TC 251 defines the structure of an EHR but not it's content. Pre-standard ENV13606-1 suggests structure EHR and ENV13606-2 partially suggests some content of the EHR and dose not any vocabulary standard. ASTM E1384 "Standard Guide for Content and Structure of the Electronic Health Record" partially defines an EHR content and structure and used vocabulary standards such as ICD9, SNOMED, READ. Theses organizations paid a lot attention to the structure, content, and vocabulary standards. Based on theirs weakness and capabilities, a model was recommended and finalized using the Delphi technique