[Information needs study on electronic health records of diabetic patients from nephrologists' perspective]

Determining the information needs of stakeholders, including dialytic patients is of great importance in designing a better electronic health record at the national level. In this study various information needs on Electronic Health Records of dialytic patients from nephrologists' viewpoints were investigated. In his descriptive cross sectional study, research population included 25 nephrologists who were working in dialysis centers in Tehran. A seven part questionnaire including demographic information, public, diagnosis, treatment, history, status and others related to the types of information needs on electronic records of dialytic patients was used. Sample population rated essential items from one to ten. Data analysis was done with SPSS by taking the mean rating given to each case. In ranking, the highest means reported, were first names and family names in medical documentation [9.2], blood groups and number of medical documentation [9.5], test and test results [9.7], type of dialysis [9.8], history of abdominal surgery and transplantation [9.6], cause of kidney failure [6.9], recommendations after discharge and clinical alerts [8.4], and the lowest average belonged to marital status [6.4], electronic signature [7.5], radiology results [9], date of installing catheter [8.8], family history [8.4], congenital anomalies [8.4] and financial report [6.8]. In designing electronic health records of dialytic patients documentation number, blood group, test and test results, type of dialysis, history of surgery and transplantation, cause of kidney failure, discharge recommendations and clinical alerts need to be prioritised. Producing electronic health records for dialytic patients based on the stakeholders' needs is highly important, therefore it is necessary that essential measures be adopted in this area

[Estimation of willingness to pay for mammographic breast cancer screening tests among women in Tehran, based on contingent valuation method: 2010]

Routine mammography screening and clinical breast examination are effective measures in reducing breast cancer mortality. Contingent valuation method [CVM] is a method for willingness to pay [WTP] estimation for cost benefit analysis in economics. In this study, the mean and the function of WTP for mammographic screening for breast cancer were estimated with CVM. This cross-sectional study was descriptive-analytic in nature. A questionnaire was used to collect data from/ for the households in Tehran selected by stratified sampling in 2010. The correlation between WTP questions and the annual household income was measured for internal validity. There were other questions selected from National Health Accounts questionnaire, a standard questionnaire. The data were analyzed by STATA software [version 11] using Ramsey RESET test, David Sen - Mackinnon test, likelihood ratio test and maximum likelihood method to estimate the bivariate probit model and the marginal effects of variables with Z-ratios. The answer to the first bid was "yes" for some 46% of respondents while about 20% of respondents said "yes" to the upper amount. The probability of positive response for both bids was 0.159 and the average WTP was 300,000 Rails. Women, experiencing mammography in the last 4 years, answered "yes" to both bids with probability of 0.14. If the cost of mammogram were less than 300 thousand Rails for each person, there would be a higher WTP for screening mammography suggesting that individuals, in higher socioeconomic class, have higher WTP for mammographic screening

[ comparative investigation of the access levels and confidentiality of medical document in Iran and selected countries]

Undoubtedly, the medical record is one of the most important documents containing the most sensitive information on the public health and treatment. As a matter of fact, protecting the confidentiality of the recorded information and the documents there in should be given top priority. Thus, given the importance of the confidentiality of medical document, and their impact on the better performance of hospitals, this study investigates the access levels and confidentiality of medical documents in Iran and selected countries and makes and effort to identify the existing gap. This study is a descriptive- comparative one which use a cross- sectional style. The research sample includes Canada, Australia, USA, and England. It is because these countries have made considerable progress in the confidentiality of medical documents. The study data were gathered via interned and communication with professionals and relevant organizations in the countries. In the case of Iran, the data were collected, using library studies. It is concluded that there is no integrated organization for the management of medical documents and the development of its standards. 1] The status of medical documents, confidentiality and access levels of medical documents in Iran are far from world standards. 2] the lack of consistency between the performance of medical documents in Iran hospitals and standard activities in developed countries has resulted in the gap between existing activities and stated purposes. 3] The countries under study have made great progress in confidentiality of medical record. It is evident that due to extended application of medical records for several intention including medical consultations, authentication in legal cases, third parties and health researches, addressing privacy principles is essential. Meanwhile utilization of records content for above mentioned objective also is important and it must be taking correct action while interference patient private and public right. With studied countries will be useful to develop and correct national health care rules for effective management of vital medical information