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:: Search published articles ::
Showing 3 results for Physician

Mahrnaz Mashoufi, Khalil Rostami, Afrooz Mardi ,
Volume 6, Issue 1 (4-2006)
Abstract

  Background & Objectives: With respect to the importance of observing principles of documentation of medical records for educational, treatment, research, legal and statistical uses, the correct, complete and timely registration of this information can play a crucial role in the production of necessary data for these kinds of researches. This study was performed to investigate the process of documentation of medical records of the patients in hospitals under Ardabil university of medical sciences.

  Methods: In this research 370 medical records from eight hospitals under Ardabil university of medical sciences were studied. In each hospital samples were selected randomly based on the number of patients hospitalized in one year. Then according to admission and discharge sheets a certain checklist was completed. The information under study included dignosis, treatment, surgery, cause of the accident, patient condition on dircharge, postdischarge advice and cause of death (whether recorded or not) which were identified in the check list. The data were analyzed by SPSS using descriptive statistics.

  Results : The findings showed that primary, interim and final diagnosis and treatment measures were recorded 71.9%, 58.9% ,60.8% and 52% respectively in the records studied. Althougt 12.7% of these patients were hospitalized dueto accidents, damage and poisoning, only in 8.5% of them the external causes were recorded. In 68% of the records, condition on discharge and in 76.3% of them recommendation on discharge had not been recorded. 3.5% of the records were related to dead patients, but only in 31% of them the main cause and in 8% underlying cause of death was recorded. In general, in 5 2.4% of these records the correct methods of medical recording were not observed by physicians.

  Conclusion: The results indicated that the process of documentation of medical record by physicians as the main presenters of health care services was performed incompletely. This can lead to the loss of valuable information about the hospitalized patients. It can also have negative impacts on the course of therapy. As a result, the authorities, physicans and specialists in medical recording should pay special attention to this problem.


Shafi Habibi , Jabraeil Farzi, Rasool Lotfollahzadeh,
Volume 8, Issue 2 (6-2008)
Abstract

  Background & Objective: General physicians require a number of different resources to cover the broad scope of their practice. A critical point in their medical practice is timely access to the wide variety of clinical information sources that contribute to patient care decisions. The aims of this study were to assess information seeking behavior of Ardabil general physicians and their approach towards electronic sources.

 Methods: This study was done using Questionnaire research method. A total of 191 questionnaires were distributed among GPs and 167 relevant questionnaires were gathered. Data were analysed applying SPSS.

 Results: 75% of general physicians had access to internet. The majority of them were in search of information for Keeping themselves up-to-date and solving medical problems (78.4%). General physicians' first priority was text books, and the second priority was continuing medical education courses for meeting information needs. They used mostly books followed by medical journals as formal channels, and updated their information taking part in continuing medical education courses followed by congresses and seminar as informal channels. As obstacles to finding necessary information they reported lack of adequate time (61.7%), near to half of them (47.3%) reported lack of sufficient information resources in libraries, and unfamiliarity with medical databases (40%).

 Conclusion: General physicians are aware of the importance of internet in accessing information, but they did not use it as an important tool to answer questions rising in practice. The majority of general physicians used books to access information followed by continuing medical education courses, and used internet in the sixth rate. The majority of them used low rate the internet, electronic resources, and medical databases because of inadequate familiarity with them. General physicians need training in internet, web search tools and search methods, and medical databases.


Fatemeh Hajibabaee, Seyedeh Khadijeh Moghimi Darzi, Farnaz Khatami, Hadis Ashrafizadeh, Amirahmad Shojaei,
Volume 21, Issue 3 (10-2021)
Abstract

Background & objectives: Considering the importance of professional commitment in medical services, it is necessary to provide an appropriate questionnaire to measure professional commitment and behavior. Therefore, the present study was conducted with the aim of investigating the psychometric properties of the questionnaire "Patients' views regarding the observance of professional behavior by specialist doctors".
Methods: The present study is a psychometric research that was conducted in four phases. The first phase of this study was based on a professional behavior tool guide, review of texts and collection of experts' opinions. in  the second phase , determining the validity of items in the form of the face and content validity, in the third phase , the pilot study, and in the fourth phase,instrument reliability was conducted in two ways: internal consistency and instrument stability.
Results: A pool of 50 items was formed to design the questionnaire. After interviewing the study population and removing overlapping items, the number of items was reduced to 31 items. The results of CVR calculation showed that out of the total of 31 items, 13 items had a cutoff point less than 0.42, which were removed, and 18 items with a CVR score > 0.62 remained according to the opinion of the research team. In the face validity stage, the Impact factor < 1.5 was used as the basis for exclusion, and all the items had a high impact factor, and finally, the draft of the questionnairewas approved with the same 18 items. Cronbach's alpha coefficient was 0.88 and the internal correlation coefficient of the questionnairewas 0.93, which indicated the appropriate reliability of the questionnaire.
Conclusion: Based on the results of the present study, the questionnaire on "Patients' views regarding the observance of professional behavior by a specialist physician" in Iranian society has the necessary content and face validity and adequate reliability. By using this questionnaire, hospital officials can check the status of professional ethics of their specialist physician from the patients' point of view and take effective measures to eliminate the shortcomings.
 

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مجله دانشگاه علوم پزشکی اردبیل Journal of Ardabil University of Medical Sciences
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