Designing the Infrastructural Model for Smart Hospitals in Iran; a Mixed-Methods Approach
Men's Health Journal,
Vol. 7 No. 1 (2023),
22 January 2023
,
Page e15
https://doi.org/10.22037/mhj.v7i1.44861
Abstract
Introduction: The smartification of hospitals has the potential to enhance the quality of services, ensuring faster and more efficient healthcare delivery while improving the tracking and security of hospital equipment. We aimed to design an infrastructural model for smart hospitals in Iran. Methods: A mixed-methods approach was used combining qualitative Grounded Theory and quantitative descriptive-survey methods. The qualitative phase involved in-depth semi-structured interviews with 12 experts familiar with hospital smartification concepts. In the quantitative segment, 412 participants, including senior healthcare managers, IT specialists, hospital administrators, technology experts, and university faculty members, were surveyed using a structured questionnaire. Statistical analyses, including Kolmogorov-Smirnov and independent t-tests, were conducted, and a structural equation model was developed using SPSS 21 and LISREL 8.5 software. Results: In the qualitative phase, 135 initial codes and 22 subcategories were identified, eventually consolidated into six main categories: information and communication infrastructures, advanced medical technologies, hospital management, trained human resources, financial resources, and monitoring and control systems. The highest coefficient belonged to the information and communication infrastructures (F1) with a value of 94.3, while the lowest was related to monitoring and control (E5) with a value of 65.0, all indicating significant relationships among the dimensions of hospital smartification. Conclusion: Based on the findings, information and communication infrastructures; advanced medical facilities and technologies; human resources; management; monitoring and control systems; and financial resources were identified and validated as six main infrastructures of smart hospital in Iran.
- Hospital Design
- Digital Technology
- Information
- Equipment
- Infrastructure
How to Cite
References
Behbahani S, Moridani M. electronic and smart hospital are an urgent need of todays life. Journal Biomedical Engineering. 2014 Jun;(164):34-45 http;//iranbmemag.com.
Jung KY, Kim T, Jung J, Lee J, Choi JS, Mira K, et al. The effectiveness of near field communication integrated with a mobile electronic medical record system: emergency department simulation study. JMIR Mhealth Uhealth 2018Dec;6(9):e11187.
Darshan KR, Anandakumar KR. A comprehensive re-view on usage of Internet of Things (IoT) in healthcare system. Proceedings of 2015 International Conference on Emerging Research in Electronics, Computer Scienceand Technology (ICERECT); 2015 Dec 17-19; Mandya,India
Yoo S, Hwang H, Jheon S. Hospital information systems: experience at the fully digitized Seoul National University Bundang Hospital. Journal of Thoracic Disease. 2016;8(Suppl 8):S63 http://doi.org/10.21037/jtd.2016
Shaabany Y, Vafaeenajar A, Meraji M, Hooshmand E. Designing a green hospital model in Iran. Journal of Health Administration. 2018; 21(72):64-76 http://jha.iums.ac.ir/articel-1-2407-en.html
Hesam S,Vahdat SH, Masoudi Asl A,Kazemipoor M.parkinsons disease detection using biogeography-based optimiziation:computers,materials and countinu.Journal of computer, materials&Continua.2019Oct;61(1):11-26
doi:10.32604/cmc.2019.06472
Mahmoodi S, Afshar K. Modeling a smart Hospital information archeitecture based on internet of things and recommender agent. Journal of Health and Biomedical Informatics Medical Informatics Research Center . 2020Sep;7(2):133-149 available in http://jhpm.ir/article-1-443-en.pdf
GHadami L,Masoudi ASL I,Hessam S,Modiri M. Developing hospital accreditation standard:Applying Fuzzy DEMATEL,I nternational Journal of Healthcare Management.2021Jul;14(3):847-81055
doi:10.1080/20479700.2019.17023
Austin JA, Smith IR, Tariq A. The impact of closed-loop electronic medication management on time to first dose: A comparative study between paper and digital hospital environments. International Journal of Pharmacy Practice. 2018Dec;26(6):526-33. http://doi.org/10.1111/ijpp.12432
.Soopramanien A, Jamwal S, Thomas PW. Digital health rehabilitation can improve access to care in spinal cord injury in the UK: A proposed solution. International Journal of Telerehabilitation. 2020;1.3(1):124-139.
http://orcid.org/0000-0002-1334-4027doi.150/1253678.htt..//143670000.
Layeghi T.Hessam S,Mahfoozpour S,Identifying Effective Factors in making smart Hospital.2023,12(2),63-77 doi:10.22034/jhpm.12.2.61
Lian J, Yen D,Wang Y. An exploratory study to understand the critical factors affecting the decision to adopt cloud computing in Taiwan hospital. International Journal of Information Management. 2016Nov; 34(1): 28-36. http://sciencedirect.com/science/article/pii/S0268401213001138
Darokar V,Ghatge T,Wakchaur M, Pande V.The role of robots in smart heallth care system. International Research Journal of Engineering and Technology.2021Mar;8(8):3973-3979. available from http;//irjet.net/archives/v8/i8/IRJET-V818458
Rashidi Aghdam H, Yarmohamadi L, Malakooti S. [Study variety of intelligent control system techniqes in hospital for optimization of energy consumption]. Building Engineering and Housing Seienc Journal.2018 Nov.11(4):57-63. Available from http://behs.bhrc.ac.ir/article-69696869887c1e8d9b58b7d5eb82f8b138331
Soudagar H, Soudagar SH. Using solar energy and intelligent manangment system to optimize energy consumption. The fifth International Conference on Applied Research in Science and Engineering.2020Nov2;123-142 http://civilica.com/doc/1128362
Nilashi M, Ahmadi H, Ahani A, Ravangard R, Ibrahim O B. Determining the importance of hospital information system adoption factors using Fuzzy Analytic Network Process (ANP). Technological Forecasting and Social Change. 2016Jun; 111(C): 244-264. https://ideas.repec.org/a/eee/tefoso/v111y2016icp244-264.html
Guba E, Lincoln Y. Paradingmatic Controversies, Contradictions, and Emerging Confluences,Revisited.The Sage Handbook of Qualitative Research.2005;4(2):97-128 http://www.semanticscholar.org
Drashan KR,Anandakumr KR.A comperehnsive review on usage of internet of tings in healthcare system .proceeding of 2015 International Conference on Emerging Research in Electronics,Computer Science and Teechnology;2015Dec17-23
Haghighathoseini A, Bobarshad H, Zare H. Extracting the information tecnology architectur of hospitals with approach of impelemention in Iran . Journal of Information and Comunication Technology.2019Dec (27):34-46
http://Jour.aicti.ir/fa/article/1616
Tabatabaei M, Rasoulian M, SHarifzadeh N. Making hospital smart in an important step towards achiving smart health. 2nd Conference Intrnational Smart City Challenges and Strategies. SHiraz.Iran.2021Mar(2):1-8 http://civilica.com/doc/1346048/amp.
Shayegan Z, Nabiolahi A.Peresenting the Reference Model of health information tecnology with a comparative study of the Reference Models of other Countries. 2nd Conference on Machanice, Electrical, Aerospace Engineering and Enginerring Sciences.2021Jul(12):76-84
http;//civilica.com/doc/1448459 .
Ronaghi MH. A Conceptual framework for smart hospital toward industry4.0. Journal of Hospital. 2020Feb;(19):73-79.[inpersian] www.sid.ir/fa/journal/www.tums.ac.ir
Ballouhey Q, Villemagne T, Cros J, Szwarc C, Braik K, Longis B. A comparison of robotic surgery in children weighing above and below 15.0 kg: Size does not affect surgery success. National Library of Medicine .Surg Endosc.2015Mar;29(9):26432650.http;//pubmed.ncbi.nlm.nih.gov/2548061
Darvish N, Khayyati R, Vaezi M. Investigating the increase of hospital efficiency using intelligent networks. Hospital. 2010Dec;9(34):93-110. http://jhosp.tums.ac.ir/articel-1-92-fa.html.
Kim Y,Jeong Y,Park G.Smart healthcare service model for efficient management of patient at hospital outpatient visits.Indan J Sci TECHNOL.2016Apr;9(44):105098
Fischer GS, Righi RdR, Costa CAd, Galante G, Griebler D. Towards evaluating proactive and reactive approaches on reorganizing human resources in IoT-based smart hospitals. Sensors. 2019m;19(17):3800-3829
http://www.ncbi.nlm.nih.gov/pmc/articles/pmc6749393
Aboufazeli M, Rabiee M. The design and landing systems of the clever mind reader at the hospital using radio technology. Tehran, Science and Technology. 2017Mar;17(19):123-137.
http:www.sid.ir/fa/seminar/view paper.aspx/ID=91656
Rezaei M, Bagheri MJ, Jafari B. Management of energy consumption using new building smart techniques. International Conference on Research in Engineering Science and Technology.2016Apr;1-14
http;//www.sid.ir/fileserver/sf/6531395H0358
Najafipoor F,Masoudi Asl I,Hessam S,Mahmoudi M .In search a medical tourism marketing pattern in Iran:The case of cultural sensitivities. International Journal of Healthcare Management.2021Mar;14(4):1081-1086
Doi;10.1080/20479700.2020.1732647
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