Access To Healthcare Information Research Articles

ChatGPT for Patients: A Comprehensive Study on Atrial Fibrillation Awareness.

Due to the intricate nature of atrial fibrillation (AF), the diagnostic process often gives rise to a spectrum of concerns and inquiries. A 20-question survey on AF, covering general concerns, diagnosis, treatment, and post-diagnosis inquiries, was conducted via Google Forms (Google LLC, Mountain View, CA, USA). The questions were input into the Chat Generative Pre-trained Transformer (ChatGPT) system (OpenAI LP, San Francisco, CA, USA) in November 2023, and the responses were meticulously collated within the same Google Forms. The survey, involving 30 experienced physicians, including 22 cardiologists and 8 hospitalists, practicing for an average of 18 years, assessed artificial intelligence (AI)-generated responses to 20 medical queries. Out of 600 evaluations, "excellent" responses were most common (29.50%), followed by "very good" (26%), "good" (19.50%), and "fair" (17.3%). The least common response was "poor" (7.67%). Questions were categorized into "general concerns," "diagnosis-related," "treatment-related," and "post-diagnosis general questions." Across all categories, >50% of experts rated responses as "excellent" or "very good," indicating the potential for improvement in the AI's clinical response methodology. This study highlights the efficacy of ChatGPT as an AF informational resource, with expert-rated responses comparable to those of clinicians. While proficient, concerns include infrequent updates and ethical considerations. Nevertheless, it underscores the growing role of AI in health care information access.

Relevance Of Artificial Intelligence In Healthcare: An Exhaustive Review

Relevance Of Artificial Intelligence In Healthcare: An Exhaustive Review

A lightweight chaos-based encryption scheme for IoT healthcare systems

The Internet of Things (IoT) has transformed the healthcare industry by enabling new services and capabilities through connected devices and sensors. These devices, such as smartwatches and fitness tracker bands, can monitor various health metrics such as heart rate, blood pressure, and sleep quality. However, the security of these systems is a critical concern, as the unauthorized disclosure or access of healthcare information could have serious consequences for patients. This information can include personal and medical data, diagnostic and treatment information, as well as private locations. Lightweight encryption schemes are commonly used in IoT systems to protect this sensitive data. These schemes are designed to be fast and efficient, allowing them to encrypt and decrypt data in real-time, which is important for systems with limited computing power or storage capacity. In the last decade, there has been a significant increase in research and development in chaos cryptography. Due to chaotic systems’ unpredictable and sensitive nature, they can provide robust cryptographic schemes for data transmission between embedded devices. This makes it difficult for attackers to intercept and manipulate the data. Therefore, this work proposes a chaos-based lightweight encryption scheme for IoT healthcare systems with a primary application in the encryption of wearable devices. The proposed encryption scheme is based on a 2D 4-scroll chaotic attractor system, uniquely characterized for this work. The scheme is tested on an ARM-based microcontroller for encrypting PPG (Photoplethysmogram) biosignal data. The obtained results show that the chaos-based lightweight encryption scheme effectively improves the security of healthcare IoT systems while maintaining the real-time flow of data.

Ethical Concerns in Accessing Healthcare Information from Social Media by Patients with Terminal Diseases in Kenya: Opportunities and Challenges

Purpose: This paper investigated the ethical concerns in in accessing healthcare information from social media by patients with terminal diseases, opportunities and challenges: Kenyan experience.
 Methodology: It had 3 objectives to: a) determine ethical concerns in accessing healthcare information from social media; b) evaluate the opportunities patients with terminal diseases have in accessing healthcare information from the social media; c) investigate the challenges patients with terminal diseases have when accessing healthcare information from the social media. The study was desk review; that involved identifying and scanning relevant literature, analysis of the secondary data; creation a reference list and organization of the documents.
 Findings: The study findings were: all the articles 100% confirmed core ethical issues in accessing healthcare information: patients’ anonymity, confidentiality, privacy, physicians’ professionalism, and data protection; 98% agreed on imperative response by physicians to patient concerns. Social media presents opportunities to patients: 51% access, and shared (50%) healthcare information; 44% made decisions; 46% were empowered and their capacity build; 51% accessed experts advise; 48% joined social support-groups. There were challenges in accessing healthcare information: 50% accessing misinformation; 36% technological illiteracy, 48% personal data security.
 Unique Contribution to Theory Policy and Practice: The study concluded that social media presents enables accessing and sharing of healthcare information. However, for effectiveness ethical concerns like: patients’ confidentiality and privacy, physicians’ professionalism, and protection of patients’ data. Stakeholders need to work together to eliminate the ethical issues and challenges faced by patients using social media as a source of healthcare information.

The efficacy and reliability of English YouTube videos as a source of information for pregnant rheumatoid arthritis patients.

Online platforms are used by many patients to access health care information, but the quality and accuracy of information on these platforms are unknown. Our goal was to assess the quality and reliability of YouTube video content for pregnant rheumatoid arthritis (RA) patients. YouTube was searched on January 13, 2022, using the keywords "rheumatoid arthritis pregnancy," "rheumatoid arthritis conception," "rheumatoid arthritis fertility" and "rheumatoid arthritis breastfeeding". The top 200 videos were viewed. Two rheumatologists then categorized the videos into useful and misleading groups. Videos were excluded if they were irrelevant or duplicates. To assess the reliability and quality of the videos, a modified DISCERN tool and the Global Quality Score (GQS) were applied. Patient interaction was assessed using predictors of video popularity such as the like ratio, view ratio, and video power index scales. A total of 54 videos were examined; the majority (51.8%) of them were uploaded by health information websites. A total of 94.4% of the videos were useful, and 5.5% were misleading. All three misleading videos were uploaded by patients. The GQS, the modified DISCERN score, and usefulness differed significantly by uploader source (p < 0.001 for both). According to the GQS evaluation, health information websites were the source of high-quality videos with more useful information and higher modified DISCERN scores. The GQS and modified DISCERN score had moderately negative (r = -.526, r = -.548, respectively) and very significant (p < 0.001 for both) correlations with the assessment of usefulness. Almost all YouTube videos for pregnant RA patients were educational and useful. Similar patient interactions in videos with misleading and useful information showed that patients were unable to differentiate between videos based on video quality. Patients should be informed about the importance of video sources when viewing YouTube videos. Key Points • Most YouTube videos for pregnant RA patients were useful, were uploaded by health information websites and had physicians as the speakers • All misleading YouTube videos were uploaded by patients using their own accounts • In terms of patient interactions, there was no noticeable difference between useful and misleading videos • When dealing with a sensitive topic such as pregnancy, patients should be educated on the importance of video sources.

Assessment of usefulness and reliability of YouTube™ videos on denture care.

The world's population is in a demographic transition with a rising ageing population. Tooth loss is frequent among older people resulting in the replacement of natural teeth using complete or partial dentures. YouTube™ is the second most popular website in the world and is being increasingly used to access health care information. The aim of this study is to evaluate the usefulness and reliability of the information in YouTube™ videos regarding denture care. The YouTube™ website was used to systematically search for videos using the keyword 'denture care'. Videos meeting the eligibility criteria were assessed separately by two independent researchers. The usefulness of the videos was assessed using the Global Quality Assessment Scale and a customized usefulness scoring scheme. Based on these scores, the usefulness of the videos was categorized as low, medium and high. A modified DISCERN tool (mDISCERN) was used for assessing reliability with scores ranging from 0 to 5. Other video characteristics like source/ownership of the videos, duration, views, likes, dislikes, number of days posted, like ratio, view ratio, interaction index and Video Power Index were also obtained. Statistical analysis was carried out using the Kruskal-Wallis test, Spearman correlation test and multiple linear regression analysis. A total of 120 videos were included. Based on the usefulness score, the usefulness of 65.8% of videos were classified as low, 32.5% were medium and 1.6% had high usefulness. The mDISCERN score for 74.2% of videos was 2 or below 2 indicating that the majority of videos had low reliability. Video characteristics did not differ significantly according to the usefulness of videos. Videos uploaded by dentists or dental hygienists had significantly higher usefulness scores (p < 0.001) in comparison to videos uploaded by other sources. However, reliability scores did not differ based on the sources of the videos. Video reliability was found to have a significant (B = 2.08, p < 0.001) positive association with video usefulness. YouTube™ cannot be recommended as the only source of information for denture care as most videos received low usefulness and reliability ratings in our study. Dentists and dental health professionals could take an active part in enhancing denture care-related content on YouTube™ and enable patients to have adequate and reliable knowledge of denture hygiene practices.

Cancer-related information behavior among Black and Hispanic populations in an NCI-designated comprehensive cancer center catchment

ObjectiveThis study aims to better understand health behaviors, particularly health information seeking, and how this impacts cancer care within underserved minority populations in a specific catchment area in Florida. MethodsWe conducted an analysis of survey data from a 2019 community health survey conducted by the Moffit Cancer Center (MCC). We utilized the Comprehensive Model of Information Seeking (CMIS) as a framework and performed structural equation modeling (SEM) and related statistical analyses. ResultsOur findings confirm that characteristics and demographics present a positive relationship to Online Health Information Seeking (OHIS). We also found that Utility had a negative significant relationship to OHIS. ConclusionsWe concluded that the CMIS is a useful framework for studying cancer-related information seeking, and that when properly executed in the confines of a study, can lend itself to in-depth statistical analyses as found in SEM. ImplicationsThe SEM revealed the CMIS to be promising with results in our analysis worthy of further investigation of cancer care and healthcare information access considering undeserved and minority populations. Practice ImplicationsModels such as the CMIS can be useful for understanding information seeking behaviors and to design information and communication interventions to improve access and health outcomes.

Mi Plan: Using a Pediatric-Based Community Health Worker Model to Facilitate Obtainment of Contraceptives Among Latino Immigrant Parents with Contraceptive Needs.

Bilingual community health workers (CHWs) play an important role in helping Latino immigrants with limited English proficiency (LEP) access health care services and information. Contraceptive health care services and Spanish-language contraceptive information are particularly challenging to access for uninsured LEP immigrants. Contraceptive and reproductive care are longitudinal health needs, and pediatric settings pose a unique opportunity to address these needs among parents whose children access pediatric care. The purpose of this study was to pilot the feasibility of a CHW to support parental contraceptives needs within a pediatric setting serving a high number of Latino immigrant families. This article describes Mi Plan/My Plan, a CHW contraceptive counseling and resource navigation pilot program. The research team conducted a retrospective analysis of demographic and contraceptive use data from a 15-month CHW pilot within an urban, primary care pediatrics clinic. The CHW provided contraceptive counseling, referral, and appointment coordination. The outcome was desired contraceptive method obtainment within three months of counseling. All 311 individuals counseled were Latina mothers with median child age of 3 months. At baseline, 64.3% were using contraception and 76.5% desired to start or change their current method. Among those who desired a change, 47.9% (114/238) obtained their desired method within three months of initial counselor contact. Bilingual CHW contraceptive counseling and care coordination is feasible and acceptable in a pediatric setting serving a high number of Latino immigrant families. CHWs in pediatric settings support health care access equity and are relevant to optimal maternal and child health.

75 Years of India’s Independence: How Have Doctors Evolved Reading Medical and Scientific Content? A Cross-Sectional Survey to Decipher Unmet Needs, Opportunities and Future Directions

Information is now a commodity that can be accessed, serviced, or traded with minimal effort and maximum ease. The Healthcare and Medical information news that keeps the provider and the receiver aware and updated about the diseases and its therapy is no different. However, that also comes with an issue of information overload for the humongous volumes of research in this field, coupled with increasing publications. As India celebrates its 75 years of Independence, we targeted to understand the evolution in the information access, consumption &amp; utilization journey of the HCPs. A secondary research and pan India survey with 680 Healthcare professionals was conducted to uncover the trends and the evolution of healthcare information access over these years. MedShots figured as the top medical news aggregating platform, followed by MedScape. Educational/CME platforms are the preferred sources for gathering information and 64% of the respondents spent more than 10 minutes each day reading medical updates. 58.3% of respondents agreed that Digitalization and sharing of information through mobile applications is comfortable and 86.30% of survey respondents preferred content on Clinical practice guidelines and recommendations, with 57.1% also expecting such platforms to support clinical/therapeutic decision making. The results have reinforced the higher level of acceptance &amp; adaptation in the HCPs towards digitalization of the information access. While the medical information/news aggregating platforms remain helpful in updating the knowledge of HCPs in clinical decision-making, the study provides future directions to make the experience of information access &amp; consumption more integral to the knowledge journey of HCPs.

Development and Implementation of the AIDA International Registry for Patients With Undifferentiated Systemic AutoInflammatory Diseases

ObjectiveThis paper points out the design, development and deployment of the AutoInflammatory Disease Alliance (AIDA) International Registry dedicated to pediatric and adult patients affected by Undifferentiated Systemic AutoInflammatory Diseases (USAIDs).MethodsThis is an electronic registry employed for real-world data collection about demographics, clinical, laboratory, instrumental and socioeconomic data of USAIDs patients. Data recruitment, based on the Research Electronic Data Capture (REDCap) tool, is designed to obtain standardized information for real-life research. The instrument is endowed with flexibility, and it could change over time according to the scientific acquisitions and potentially communicate with other similar tools; this platform ensures security, data quality and data governance.ResultsThe focus of the AIDA project is connecting physicians and researchers from all over the world to shed a new light on heterogeneous rare diseases. Since its birth, 110 centers from 23 countries and 4 continents have joined the AIDA project. Fifty-four centers have already obtained the approval from their local Ethics Committees. Currently, the platform counts 290 users (111 Principal Investigators, 179 Site Investigators, 2 Lead Investigators, and 2 data managers). The Registry is collecting baseline and follow-up data using 3,769 fields organized into 23 instruments, which include demographics, history, symptoms, trigger/risk factors, therapies, and healthcare information access for USAIDs patients.ConclusionsThe development of the AIDA International Registry for USAIDs patients will facilitate the online collection of real standardized data, connecting a worldwide group of researchers: the Registry constitutes an international multicentre observational groundwork aimed at increasing the patient cohort of USAIDs in order to improve our knowledge of this peculiar cluster of autoinflammatory diseases. NCT 05200715 available at https://clinicaltrials.gov/.

Towards Understanding Disparities in Using Technology to Access Health Care Information: African American Veterans’ Sociocultural Perspectives on Using My HealtheVet for Diabetes Management

ABSTRACT The digital divide, a racial disparity in computer and internet use, persists among Veterans. This study examined African American Veterans’ experiences with and attitudes about using My HealtheVet (MHV), the online patient portal used in the Department of Veterans Affairs (VA) health care system. Semi-structured interviews were conducted with 35 non-Hispanic African American Veterans about preferences for health information, use of web-enabled devices, and experiences with and preferences for using MHV. Twenty-nine men and 6 women, ranging 35 to 73 years old, participated in this study. About 75% (n = 26) had completed some college or more, and about 75% (n = 26) considered their families financially comfortable. Ninety-one percent (n = 32) of participants were aware of MHV, and 78% (n = 25) of those who were aware reported having enrolled for an account. Data revealed participants valued that MHV provided realistic solutions to cumbersome aspects (e.g., phone call hold-times) of receiving care at the VA. However, participants admitted to not using the patient portal at all or to its full potential for two reasons: a) preference for their pre-MHV routine, b) distrust in the institutional, technological, and organizational aspects surrounding MHV. By highlighting the sociocultural aspects of patient portal use, this study provides a meaningful explanation for barriers and facilitators of health information technology adoption, particularly for MHV among African American Veterans, and ways practitioners may influence uptake.

Comparison of User-Oriented Information Services on the Websites of Large Hospitals in China and the United States: Cross-sectional Study.

BackgroundMany people use the internet to access health care information to support health care decisions, and hospital websites can be the first point of contact to provide health care information services for consumers. However, little is known about the current information services provided by the websites of large Chinese hospitals.ObjectiveThe aim of this study is to evaluate and compare the information services of the websites of large hospitals in China and the United States. We hope that our findings will benefit hospital managers worldwide in providing service information on the web.MethodsThis study adopted a cross-sectional analytical approach to evaluate the websites of large hospitals in China and the United States in 2020. A total of 300 large hospitals were randomly selected, of which half were in China and half were in the United States. Based on the 7Ps marketing mix, we identified 39 items that represent typical hospital website information services, covering the following seven dimensions: product, price, place, propagation, people, process, and physical evidence.ResultsMost of the items (34/39, 87%) related to information services offered by hospital websites were less covered in China than in the United States; however, 5 items (appointments by a third-party platform, mobile payment, hospital value, hospital environment display, and physicians’ profiles) had higher coverage in China. The average scores for hospital websites in China and the United States were 13.25 (SD 2.99) points and 23.16 (SD 2.76) points, respectively. Generally, high scores were given to the south areas of China and north areas of the United States.ConclusionsHospital websites in China lagged behind those in the United States with regard to information services offered. We recommend that hospital managers in China place more emphasis on the people, product, and propagation dimensions of the 7Ps marketing mix in the construction of information services on hospital websites. Through the comparison of the websites of large hospitals in China and the United States, our study findings can provide suggestions for forming standard hospital website construction guidelines worldwide.

Impact of Telemedicine Modalities on Equitable Access to Ambulatory Gastroenterology Care

Impact of Telemedicine Modalities on Equitable Access to Ambulatory Gastroenterology Care

Health Information Seeking Among Immigrant Families in Western Canada

PurposeStudies on immigrant populations' access to healthcare in Canada tend to focus on adults and usually concentrate on specific ethnic groups, particularly South Asians and Chinese. This study sought to present the experiences of immigrant parents when they access health services for their children focusing specifically on the various sources of information that they used to improve their children's health. Design and methodThis qualitative study was carried out in Edmonton, Alberta between April to October 2018. Fifty parents, chosen using purposive sampling participated in one-on-one semi-structured interviews. Interviews were recorded digitally, transcribed verbatim, and analyzed thematically. ResultsWe developed three main themes from the data: Accessing social networks for informational support, the role of professionals in accessing health care information, and navigating and evaluating information sources. The study demonstrates that immigrant families consulted various sources of information in order to meet their children's healthcare needs. The most common source was the Internet followed by friends and family members, and health care professionals. DiscussionFindings suggest that health information that is disseminated using the Internet needs to be made available in multiple languages to facilitate communication to persons who are not fluent in English nor French. Also, policy makers and health care professionals must increase focus on informal sources of health care information.

Exploring Website Preferences for African American Women: An Evaluation of an Internet-Based Source of Health Information on Eating Healthy and Being Active

INTRODUCTION: Internet-based health interventions continue to be popular and effective, and one area of focus of such interventions is weight loss. Although African-American women are regular users of Internet-based health interventions, there is a dearth of research regarding Internet usage and website preferences of this group. The purpose of this study was to explore the relationship between website attributes that influence African American women to use health-related websites, their stage of change for using the Internet to access information on health care, and predictor variables for website ratings. &#x0D; &#x0D; METHODS: The study used a backwards stepwise regression analysis to determine the best predictor of high ratings of the Eat Healthy - Be Active web portal and the Rating and Evaluating Health Care Websites Survey to measure website attitudes and beliefs and stage of change for using the computer and Internet to access health care information. The participants were 206 African American women who use the Internet.&#x0D; &#x0D; RESULTS: The regression analysis indicated that the predictor variables were education level, BMI, and weight. &#x0D; &#x0D; CONCLUSION: This study demonstrates that various factors influence the effectiveness of Internet-based interventions targeted at African-American women. Future research should continue to explore these factors, particularly for groups with higher rates of preventable diseases.

IDENTIFYING AND PRIORITIZING FACTORS EFFECTIVE ON HOSPITAL SERVICES QUALITY FROM THE PATIENT ATTENDANTS VIEW USING FUZZY AHP TECHNIQUE IN 2017

Objective: Hospitals play a very significant role in providing healthcare services and supplying the society's health. So, the method of evaluating hospitals services quality has a special importance. The aim of this study is to identify and prioritize factors effective on hospitals services quality from view of patients' attendants in Zeinab Hospital of Shiraz City. This study is applied in respect of objective and in respect of method, it is descriptive- applied and qualitative method has been used. The statistical population of this study is patient's attendants referring to Zeinab Hospital in 2017. Methods: For prioritizing indicators, fuzzy AHP questionnaire was used. For data analysis, Excel software was used. The study results indicate that among indicators effective on hospital services quality from patient attendants view, the access indicator with weight of 0.3373 and the general services indicator with weight of 0.3327 were located in the first and second priority respectively and the environmental indicator with weight of 0.1629 was identified as the least significant indicator respectively. Also, among subcategories of access component, sub-branches of access to medical team with weight of 0.4003 and access to round the clock services with the weight of 0.3304 were in the first and second rank respectively. Results: Among subcategories of general services indicator, subcategories of low cost with weight of 0.3623 and hospital responding to patients needs with weight of 0.3304 were the most effective sub-branches. Among subcategories of communicational component, personnel liability with weight of 0.5836 and sub-branch of personnel correct contact with patients with weight of 0.2773 were in the first and second priority respectively and finally relating to environmental component two indicators of services and facilities being up-to-date with weight of 0.4140 and having parking were in the first and second priority. Conclusion: Decision makers and managers of Zeinab Hospital should more notice the indicators of access and general services due to their significance and impact on hospital services as one of Zeinab Hospital operational approaches for promoting and improving services quality. Peer Review History: Received 20 April 2018; Revised 28 April; Accepted 9 May, Available online 15 May 2018 UJPR follows the most transparent and toughest ‘Advanced OPEN peer review’ system. The identity of the authors and, reviewers will be known to each other. This transparent process will help to eradicate any possible malicious/purposeful interference by any person (publishing staff, reviewer, editor, author, etc) during peer review. As a result of this unique system, all reviewers will get their due recognition and respect, once their names are published in the papers. We expect that, by publishing peer review reports with published papers, will be helpful to many authors for drafting their article according to the specifications. Auhors will remove any error of their article and they will improve their article(s) according to the previous reports displayed with published article(s). The main of it is ‘to improve the quality of a candidate manuscript’. Our reviewers check the ‘strength and weakness of a manuscript honestly’. There will increase in the perfection, and transparency. Received file: Reviewer's Comments: Average Peer review marks at initial stage: 6.5/10 Average Peer review marks at publication stage: 8.5/10 Reviewer(s) detail: Dr. O.J Owolabi, University of Benin, Nigeria, owolabi@uniben.edu Dr. Omid Gholami, Sabzevar University of Medical Sciences, Iran, omidghphd@gmail.com Similar Articles: THE EFFECT OF TRAFFIC FACTORS AND TECHNOLOGY FACTORS ON CHRONOLOGICAL DELAY OF EMERGENCY (115) ON THE BESIDES OF INJURED PEOPLE IN BOYER AHMAD CITY IN 2017 EXAMINING THE IMPACT OF ACCESS TO HEALTHCARE INFORMATION IN PROVIDING SERVICE IN HOSPITAL LEVEL OF HORMOZGAN PROVINCE THE IMPACT OF HOSPITAL INFORMATION SYSTEM ON THE WORKING PROCESS OF IMAM JA’FAR SADIQ HOSPITAL, ALBORZ PROVINCE - 2016

Social Media: A Double Edged Sword for Accessing Health Care Information

Technology has improved speed and ease of communication using various platforms. Recent improvements in technology using Social Media (SM) has dramatically changed the way communication happens. Success stories of Facebook, Twitter, LinkedIn, WhatsApp, blog sites are some examples of how different media are used by people to communicate using digital technology and social media. Access to information, including healthcare, using SM is on the rise owing to its ease and accessibility. Since people have the provision to share their views, experiences, voice opinions and share knowledge on different aspects of healthcare using social media, patients, caregivers and health professionals have started accessing health related information more frequently using SM. SM has inherent limitation to be misinterpreted, misinformed, mis-represented when not used properly. Patients are increasingly turning to internet and online sources for accessing health information. Poor quality of information, damage to professional image, breaches of patient privacy, violation of patient-healthcare professional boundaries, licensing issues and legal issues are identified as challenges to the use of SM for health information by various researchers. Due to advances in technology it has become easy to access information using SM, which could be a double edged sword. This narrative review tries to highlight advantages and loopholes in using SM for accessing healthcare information. The objective of the current study is to understand use of SM for accessing healthcare based on empirical evidence drawn from studies carried out in both developed and developing countries. Studies show that correct, timely and authentic information related to various aspects of healthcare should to be shared through SM whereas incorrect and misleading health information on SM could be harmful, if not catastrophic. Governments and apex bodies involved in healthcare regulation shall have regulations as well as SM presence.

Evaluation of the readability, validity, and user-friendliness of written web-based patient education materials for aphasia

ABSTRACTBackground: Despite the importance of written healthcare information in improving an individual’s health status, patients may not be able to sufficiently utilize available resources because of a disparity between the accessibility of online written materials and patients’ ability to process that information. For individuals with impairments in written language comprehension, such as persons with aphasia, this disparity may be magnified. It is crucial that written health resources be cognitively accessible, accurate, and understandable for persons with aphasia.Aims: The aims of this study were to: (1) objectively measure the accessibility of current written educational materials for persons with aphasia and (2) examine the relationship between levels of readability, validity, and user-friendliness of materials accessed.Methods & Procedures: Aphasia-related webpages likely to be accessed during an Internet search were retrieved and analysed. These webpages were determined by selecting the first 10 search results generated from entering the terms: “aphasia”, “aphasia treatment”, and “aphasia help”, into Google, Bing, and Yahoo. This method resulted in 30 website resources per search engine. For each webpage, readability was evaluated using the following readability formulae: Flesch-Kincaid Reading Ease, Flesch–Kincaid Grade Level (F–K), Simple Measure of Gobbledygook, and FORCAST. Additionally, validity and user-friendliness were evaluated for each webpage using the following measures: Site, Publisher, Audience, Timeliness (SPAT) and Suitability Assessment of Materials (SAM), respectively.Outcomes & Results: A significant disparity was found between the desired and current level of readability, validity, and user-friendliness of the written information provided within the top search results related to aphasia. Based on the readability formulae output the average reading grade level of 10th grade was well above the average 5th grade reading level recommended for written materials. A third of the websites were unacceptable using the SPAT’s quality standards and overall user-friendliness was deemed poor with an average SAM score of 27.4 out of 52 total points. No relationship was found between the validity or user-friendliness of websites and their readability.Conclusions: These data clearly demonstrate inadequacies in written web-based information about aphasia across several measures and provide insight into how the presentation of this information can be improved to facilitate useful information dissemination. Highlighting these disparities is important for promoting increased consideration and improvement in the usefulness and accessibility of healthcare information for persons with aphasia.

INVESTIGATING THE OBSTACLES OF IMPLEMENTING HEALTH INFORMATION SYSTEMS FROM VIEWPOINT OF PERSONNEL OF MEHRIZ HEALTHCARE SYSTEM IN 2017

Objectives: Health centers have a special significance as one of main organizations of providing services and first line of access to services for people. These centers severely require using various means of information systems due to existence of high volume and variety of information in various fields and the best tool for managing this collection of wide and different information is Sib health information systems. The present study was conducted with the aim of investigating obstacles of implementing Sib health information system from viewpoint of personnel of Mehriz healthcare network in 2017. Methods: This study investigated the obstacles of health information system qualitatively and with content analysis method. The research environment includes Mehriz city healthcare network and the study sample was 12 managers and authorities of Mehriz health center as key authorities who entered interview with purposeful sampling method with personal consent. Data collecting tool in this study was open questions. After performing interviews and implementing them, the data obtained from interview was analyzed based on topics and subtopics. Results: The results obtained from interviews analysis showed that totally there are 5 main topics from view of Mehriz health network personnel for implementing Sib system. These topics include obstacles relating to human forces about commissioning and implementing health information system, financial obstacles before Sib health information system, legal obstacles before Sib health information system, organizational and structural obstacles of health information system, and technical obstacles (software and hardware) obstacles for health information system. Conclusion: Regarding the identified obstacles, informing about application and development of information system in health domain, holding conferences with the objective of providing the latest achievements and using people with competence in training affair and providing applied training in this field and also increasing of commitment between user and support is a suitable way of obviating obstacles. Peer Review History: Received 19 February 2018; Revised 21 February; Accepted 5 March, Available online 15 March 2018 UJPR follows the most transparent and toughest ‘Advanced OPEN peer review’ system. The identity of the authors and, reviewers will be known to each other. This transparent process will help to eradicate any possible malicious/purposeful interference by any person (publishing staff, reviewer, editor, author, etc) during peer review. As a result of this unique system, all reviewers will get their due recognition and respect, once their names are published in the papers. We expect that, by publishing peer review reports with published papers, will be helpful to many authors for drafting their article according to the specifications. Auhors will remove any error of their article and they will improve their article(s) according to the previous reports displayed with published article(s). The main purpose of it is ‘to improve the quality of a candidate manuscript’. Our reviewers check the ‘strength and weakness of a manuscript honestly’. There will increase in the perfection, and transparency. Received file: Reviewer's Comments: Average Peer review marks at initial stage: 5.5/10 Average Peer review marks at publication stage: 7.5/10 Reviewer(s) detail: Dina Abd Elfattah Eldakhs, Pharos university (PUA), Egypt, dina_eldakhs@yahoo.com Dr. Ali Abdullah A. Al-Mehdar, University of Basrah, Iraq, asia_abdullah65@yahoo.com Similar Articles: EXAMINING THE IMPACT OF ACCESS TO HEALTHCARE INFORMATION IN PROVIDING SERVICE IN HOSPITAL LEVEL OF HORMOZGAN PROVINCE

THE IMPACT OF HOSPITAL INFORMATION SYSTEM ON THE WORKING PROCESS OF IMAM JA’FAR SADIQ HOSPITAL, ALBORZ PROVINCE - 2016

Objectives: This research has been done on the impact of the hospital information system on the staffing of Imam Jafar Sadiq Hospital in Alborz in 2016. The research method is applied and in terms of data collection method, descriptive-survey method. The statistical population consisted of all employees of contractual, design and contract personnel working in Imam Jafar Sadiq Hospital. Methods: In this study, 384 people were selected using Cochran's formula, which were selected by available sampling method. The validity of the researcher-made questionnaire and their reliability were confirmed by Cronbach's alpha with a coefficient of above 0.7. In the descriptive statistics section, mean, standard deviation, frequency and percentage of frequency were used. In the inferential statistics, the inclination and elongation were used to determine the normality of the data. Results: The results of one-sample T-test and Friedman indicate that the hospital information system improves the work process of the staff members of Imam Jafar Sadiq Hospital. Conclusion: Hospital information system has the greatest impact on hospital support and administration and has had the least impact on hospital performance. It should be noted that the results are consistent with most studies performed. Peer Review History: Received 29 September 2017; Revised 16 February; Accepted 25 February, Available online 15 March 2018 UJPR follows the most transparent and toughest ‘Advanced OPEN peer review’ system. The identity of the authors and, reviewers will be known to each other. This transparent process will help to eradicate any possible malicious/purposeful interference by any person (publishing staff, reviewer, editor, author, etc) during peer review. As a result of this unique system, all reviewers will get their due recognition and respect, once their names are published in the papers. We expect that, by publishing peer review reports with published papers, will be helpful to many authors for drafting their article according to the specifications. Auhors will remove any error of their article and they will improve their article(s) according to the previous reports displayed with published article(s). The main purpose of it is ‘to improve the quality of a candidate manuscript’. Our reviewers check the ‘strength and weakness of a manuscript honestly’. There will increase in the perfection, and transparency. Received file: Reviewer's Comments: Average Peer review marks at initial stage: 4.5/10 Average Peer review marks at publication stage: 7.5/10 Reviewer(s) detail: Dr. Hebatalla Ibrahim Ahmed Abdel Hameed, Al-Azhar University, Faculty of Pharmacy (Girls), Nasr City, Cairo, Egypt, hebatalla123@yahoo.com Dr. Luisetto Mauro, AUSL PC, Piacenza Area, Italy, M.Luisetto@ausl.pc.it Similar Articles: IDENTIFYING AND PRIORITIZING FACTORS EFFECTIVE ON HOSPITAL SERVICES QUALITY FROM THE PATIENT ATTENDANTS VIEW USING FUZZY AHP TECHNIQUE IN 2017 EXAMINING THE IMPACT OF ACCESS TO HEALTHCARE INFORMATION IN PROVIDING SERVICE IN HOSPITAL LEVEL OF HORMOZGAN PROVINCE