Downloaded from jha.iums.ac.ir at 9:16 IRDT on Sunday September 3rd 2017

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1388 ﺭﺎـﻬﺑ / 35 ﻩﺭﺎـﻤﺷ / 12 ﻩﺭﻭﺩ

ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﺭﺩ ﻥﺍﺮﺤﺑ ﺖﻳﺮﻳﺪﻣ ﻭ ﻥﺎﻣﺮﻛ ﻥﺎﺘﺳﺍ ﻲﺷﺯﻮﻣﺁ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ

1385 ؛ﻮﮕﻟﺍ ﻱ ﻪﺋﺍﺭﺍ ﻭ ﺩﺮﺟﻭﺮﺑ ﻥﺎﺘﺳﺮﻬﺷ

4ﻱﺰﻳﺰﻋ ﺱﺎﺒﻋﺮﻴﻣﺍ / ³ﻲﻧﺎﻘﺣ ﺪﻴﻤﺣ / ²ﻲﻨﻴﻏﺎﺑ ﻲﻋﺎﺠﺷ ﻪﻳﺪﻬﻣ / ¹ﻱﻮﺟﺎﺣ ﺭﺫﺎﺑﺍ

ﻩﺪﻴﻜﭼ

ﺎﻫ ﻥﺍﺮﺤﺑ ﻚﻴﺗﺎﻤﺘﺴﻴﺳ ﻭ ﻲﻤﻠﻋ ﻩﺪﻫﺎﺸﻣ ﺎﺑ ﻥﺍﺮﺤﺑ ﺖﻳﺮﻳﺪﻣ ﺰﻴﻧ ﻭ ﻪﺒﻗﺮﺘﻣﺮﻴﻏ ﺙﺩﺍﻮﺣ ﺐﻃ ،ﻪﻌﻣﺎﺟ ﺮﺑ ﻥﺍﺮﺤﺑ ﺭﺎﺛﺁ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ :ﻪﻣﺪﻘﻣ ﺶﻨﻛﺍﻭ ﻭ ﺏﺮﺨﻣ ﺭﺎﺛﺁ ﺶﻫﺎﻛ ﻥﺁ ﺯﻭﺮﺑ ﺕﺭﻮﺻ ﺭﺩ ﻭ ﻥﺍﺮﺤﺑ ﺎﺑ ﻪﻠﺑﺎﻘﻣ ﺭﺩ ﻲﮔﺩﺎﻣﺁ ﺩﺎﺠﻳﺍ ﻭ ﻱﺮﻴﮕﺸﻴﭘ ﺩﺪﺻﺭﺩ ،ﺎﻬﻧﺁ ﻞﻴﻠﺤﺗ ﻭ ﻪﻳﺰﺠﺗ ﻭ ﺩﻮﺒﻬﺑ ﻭ ﻲﺸﺨﺑﺮﺛﺍ ﺐﺒﺳ ﺎﻬﻧﺁ ﻪﻄﻴﺣﺭﺩ ﺶﻧﺍﺩ ﺵﺮﺘﺴﮔ ﻪﻛ ﺪﻨﺘﺴﻫ ﻲﻨﻳﻮﻧ ﻡﻮﻠﻋ ،ﺪﻳﺪﺟ ﻱﺎﻫ ﻱﺭﻭﺎﻨﻓ ﺮﺑ ﻩﻭﻼﻋ .ﺪﺷﺎﺑ ﻲﻣ ﺐﺳﺎﻨﻣ ﻭ ﻊﻳﺮﺳ ﻢﻈﻨﻣ ﺭﻮﻃ ﻪﺑ ﺍﺭ ﺯﺎﻴﻧ ﺩﺭﻮﻣ ﺕﺎﻋﻼﻃﺍ ﻪﻛ ﺩﺩﺮﮔ ﻲﻣ ﺏﻮﺴﺤﻣ ﻡﻮﻠﻋ ﻦﻳﺍ ﺯﺍ ﻲﻜﻳ ﺕﺎﻋﻼﻃﺍ ﺖﻳﺮﻳﺪﻣ ،ﺩﺩﺮﮔ ﻲﻣ ﻥﺍﺮﺤﺑ ﺖﻳﺮﻳﺪﻣ ﺭﺩ ﻲﻳﺍﺭﺎﻛ ﺭﻮﻈﻨﻣ ﻪﺑ ﺮﺿﺎﺣ ﺶﻫﻭﮋﭘ ﺱﺎﺳﺍ ﻦﻳﺍ ﺮﺑ .ﺪﻫﺩ ﻲﻣ ﻪﺋﺍﺭﺍ ﻂﺑﺮﻳﺫ ﺩﺍﺮﻓﺍ ﻭ ﻥﺍﺮﻳﺪﻣ ﻪﺑ ﻭ ﻩﺩﺮﻛ ﻞﻴﻠﺤﺗﻭ ﻲﺑﺎﻳﺯﺎﺑ ،ﻩﺮﻴﺧﺫ ،ﻱﺭﻭﺁ ﻊﻤﺟ ،ﺖﺒﺛ ﻮﮕﻟﺍ ﻪﺋﺍﺭﺍ ﻭ ﺩﺮﺟﻭﺮﺑ ﻥﺎﺘﺳﺮﻬﺷ ﻭ ﻥﺎﻣﺮﻛ ﻥﺎﺘﺳﺍ ﻲﺷﺯﻮﻣﺁ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺭﺩ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﺭﺩ ﻥﺍﺮﺤﺑ ﺖﻳﺮﻳﺪﻣ ﻲﺳﺭﺮﺑ .ﺖﻓﺮﮔ ﻡﺎﺠﻧﺍ ﻥﺍﺮﻳﺍ ﻱﺍﺮﺑ ﻥﻻﻮﺌﺴﻣ ﻪﻴﻠﻛ ﺍﺭ ﺶﻫﻭﮋﭘ ﻪﻌﻣﺎﺟ .ﺪﺷ ﻡﺎﺠﻧﺍ 1385 ﻝﺎﺳ ﺭﺩ ﻲﻌﻄﻘﻣ-ﻲﻔﻴﺻﻮﺗ ﻪﻌﻟﺎﻄﻣ ﻚﻳ ﺕﺭﻮﺻ ﻪﺑ ﻖﻴﻘﺤﺗ ﻦﻳﺍ :ﻲﺳﺭﺮﺑ ﺵﻭﺭ 2 ﺎﻫ ﻩﺩﺍﺩ ﻱﺭﻭﺁﺩﺮﮔ ﺭﺍﺰﺑﺍ .ﺩﺍﺩ ﻲﻣ ﻞﻴﻜﺸﺗ ﺩﺮﺟﻭﺮﺑ ﻥﺎﺘﺳﺮﻬﺷ ﻭ ﻥﺎﻣﺮﻛ ﻥﺎﺘﺳﺍ ﻲﺷﺯﻮﻣﺁ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﻞﻨﺳﺮﭘ ﻭ .ﺪﻳﺩﺮﮔ ﻩﺩﺎﻔﺘﺳﺍ ﻲﻔﻴﺻﻮﺗ ﺭﺎﻣﺁ ﺯﺍ ،ﺎﻫ ﻩﺩﺍﺩ ﻞﻴﻠﺤﺗ ﺭﻮﻈﻨﻣ ﻪﺑ .ﺪﻳﺩﺮﮔ ﻱﺭﻭﺁﺩﺮﮔ ﻲﻧﺍﺪﻴﻣ ﺵﻭﺭ ﻪﺑ ﺎﻫ ﻩﺩﺍﺩ ﻪﻛ ،ﺩﻮﺑ ﻪﻣﺎﻨﺸﺳﺮﭘ ،ﺖﻳﺎﻬﻧﺭﺩ .ﺪﺷ ﺡﺮﻄﻣ ﻥﺍﺮﻳﺍ ﻱﺍﺮﺑ ﻱﺩﺎﻬﻨﺸﻴﭘ ﻱﻮﮕﻟﺍ ،ﺎﻫ ﻪﻣﺎﻨﺸﺳﺮﭘ ﺯﺍ ﻞﺻﺎﺣ ﺞﻳﺎﺘﻧ ﻭ ﺎﻜﻳﺮﻣﺁ ﺭﻮﺸﻛ ﻱﺎﻫﺩﺭﺍﺪﻧﺎﺘﺳﺍ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﺲﭙﺳ .ﺪﻳﺩﺮﮔ ﻪﺋﺍﺭﺍ ﻲﻳﺎﻬﻧ ﻱﻮﮕﻟﺍ ،ﺞﻳﺎﺘﻧ ﻞﻴﻠﺤﺗ ﺯﺍ ﺲﭘ ﻭ ﻥﻮﻣﺯﺁ ﻲﻔﻟﺩ ﻩﻮﻴﺷ ﻪﺑ ﻪﻠﺣﺮﻣ ﻚﻳ ﺭﺩ ﻮﮕﻟﺍ ﻦﻳﺍ ﻒﻴﻌﺿ ﺖﻴﻌﺿﻭ ﺭﺩ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺭﺩ ﻥﺍﺮﺤﺑ ﺖﻳﺮﻳﺪﻣ ﺮﻈﻧ ﺯﺍ ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﻱﺎﻫ ﺶﺨﺑ ،ﺩﺍﺩ ﻥﺎﺸﻧ ﺎﻫ ﻪﺘﻓﺎﻳ :ﺎﻫ ﻪﺘﻓﺎﻳ ﺭﺩ .ﺪﺷ ﻩﺪﻴﺠﻨﺳ ﺪﺻﺭﺩ 55/37 ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﺭﺩ ﻥﺍﺮﺤﺑ ﺖﻳﺮﻳﺪﻣ ﺯﺍ ﻞﻨﺳﺮﭘ ﻲﻫﺎﮔﺁ ﻥﺍﺰﻴﻣ ﻦﻳﺮﺘﺸﻴﺑ ﻦﻴﻨﭼ ﻢﻫ .ﺪﻨﺘﺷﺍﺩ ﺭﺍﺮﻗ ﻱﺎﻫ ﻢﺘﺴﻴﺳ ﻭ ﺎﻜﻳﺮﻣﺁ ﻲﺘﺷﺍﺪﻬﺑ ﺕﺎﻋﻼﻃﺍ ﺖﻳﺮﻳﺪﻣ ﻦﻤﺠﻧﺍ ﻱﺎﻫﺩﺭﺍﺪﻧﺎﺘﺳﺍ ﺯﺍ ﻪﺘﻓﺮﮔﺮﺑ ﻲﺗﺍﺮﻴﻴﻐﺗ ﺎﺑ ﺰﻴﻧ ﻱﺩﺎﻬﻨﺸﻴﭘ ﻱﻮﮕﻟﺍ ﺭﺎﺘﺧﺎﺳ ﺖﻳﺎﻬﻧ .ﺪﻳﺩﺮﮔ ﻢﻴﻈﻨﺗ ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﺩﺍﺮﻓﺍ ﺕﺍﺮﻈﻧ ﻭ ﻲﺘﺷﺍﺪﻬﺑ ﺕﺎﻋﻼﻃﺍ ﻭ ﺖﻳﺮﻳﺪﻣ ﺖﻴﻌﺿﻭ ﺭﺩ ﻪﻌﻟﺎﻄﻣﺩﺭﻮﻣ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﻱﺎﻫ ﺶﺨﺑ ﺮﺜﻛﺍ ﻥﺍﺮﺤﺑ ﺖﻳﺮﻳﺪﻣ ﻪﻛ ﺩﺍﺩ ﻥﺎﺸﻧ ﺶﻫﻭﮋﭘ ﻦﻳﺍ :ﻱﺮﻴﮔ ﻪﺠﻴﺘﻧ ﻪﻴﻬﺗ ﻭ ﻱﺰﻳﺭ ﻪﻣﺎﻧﺮﺑ ،ﻲﺷﺯﻮﻣﺁ ﻱﺎﻫ ﻩﺭﻭﺩ ﻭ ﻱﺭﺍﻭﺩﺍ ﺕﺎﻨﻳﺮﻤﺗ ﻱﺭﺍﺰﮔﺮﺑ ﻱﺎﺘﺳﺍﺭ ﺭﺩ ﻲﺗﺎﻣﺍﺪﻗﺍ ﺖﺳﺍ ﻡﺯﻻ ﻭ ﻪﺘﺷﺍﺩ ﺭﺍﺮﻗ ﻒﻴﻌﺿ ﻲﺣﺍﺮﻃ ﺭﻮﺤﻣ 6 ﺭﺩ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺭﺩ ﻥﺍﺮﺤﺑ ﺖﻳﺮﻳﺪﻣ ﻪﻨﻴﻣﺯ ﺭﺩ ﻱﺩﺎﻬﻨﺸﻴﭘ ﻱﻮﮕﻟﺍ ﺭﺎﺘﺧﺎﺳ .ﺩﺮﻴﮔ ﺕﺭﻮﺻ ﺕﺍﺰﻴﻬﺠﺗ ﻭ ﺕﺎﻧﺎﻜﻣﺍ .ﺪﻳﺩﺮﮔ ﻲﻔﻟﺩ ﺱﺎﺳﺍﺮﺑ ﻮﮕﻟﺍ ،ﻪﺒﻗﺮﺘﻣﺮﻴﻏ ﺙﺩﺍﻮﺣ ،ﻥﺍﺮﺤﺑ ﺖﻳﺮﻳﺪﻣ ،ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ :ﺎﻫ ﻩژﺍﻭ ﺪﻴﻠﻛ 88/1/30 :ﻲﻳﺎﻬﻧ ﺵﺮﻳﺬﭘ • 87/11/23 :ﻲﻳﺎﻬﻧ ﺡﻼﺻﺍ • 87/9/20 :ﻪﻟﺎﻘﻣ ﻝﻮﺻﻭ •

ﻥﺍﺮﻳﺍ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ،ﻲﻜﺷﺰﭘ ﻲﻧﺎﺳﺭ ﻉﻼﻃﺍ ﻭ ﺖﻳﺮﻳﺪﻣ ﻩﺪﻜﺸﻧﺍﺩ ،ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﻲﺷﺯﻮﻣﺁ ﻩﻭﺮﮔ ﻲﻤﻠﻋ ﺕﺄﻴﻫ ﻮﻀﻋ 1 .

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ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ ﻲﺸﻫﻭﮋﭘ - ﻲﻤﻠﻋ ﻪﻣﺎﻨﻠﺼﻓ

ﻪﻣﺪﻘﻣ ﻪﺒﻗﺮﺘﻣﺮﻴﻏ ﺙﺩﺍﻮﺣ ﺮﺛﺍ ﺭﺩ ﺮﻔﻧ ﺎﻫ ﻥﻮﻴﻠﻴﻣ ﺮﻴﺧﺍ ﻪﻫﺩ ﻭﺩ ﻲﻃ ﺎﻫﺪﺻ ﺮﺑ ﻎﻟﺎﺑ ﻲﺗﺍﺭﺎﺴﺧ ﻢﺠﺣ ﻭ ﻪﺘﺧﺎﺑ ﻥﺎﺟ (^Disasters) ﻊﻣﺍﻮﺟ ﻱﺩﺎﺼﺘﻗﺍ ﻭ ﻲﻋﺎﻤﺘﺟﺍ ﻪﻌﺳﻮﺗ ﺪﺷﺭ ﺭﻻﺩ ﻥﻮﻴﻠﻴﺑ ﺭﺎﺛﺁ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ [1].ﺖﺳﺍ ﻩﺩﺮﻛ ﻭﺭ ﻪﺑﻭﺭ ﻊﻧﺎﻣ ﺎﺑ ﺍﺭ ﻲﻧﺎﺴﻧﺍ

Disaster) ﻪﺒﻗﺮﺘﻣﺮﻴﻏ ﺙﺩﺍﻮﺣ ﺐﻃ ،ﻪﻌﻣﺎﺟ ﺮﺑ ﻥﺍﺮﺤﺑ (Crisis Management) ﻥﺍﺮﺤﺑ ﺖﻳﺮﻳﺪﻣ ﺰﻴﻧ ﻭ (^Medicine ﻭ ﻥﺍﺮﺤﺑ ﺎﺑ ﻪﻠﺑﺎﻘﻣ ﺭﺩ ﻲﮔﺩﺎﻣﺁ ﺩﺎﺠﻳﺍ ﻭ ﻱﺮﻴﮕﺸﻴﭘ ﺩﺪﺻﺭﺩ ﻭ ﻊﻳﺮﺳ ﺶﻨﻛﺍﻭ ﻭ ﺏﺮﺨﻣ ﺭﺎﺛﺁ ﺶﻫﺎﻛ ﻥﺁ ﺯﻭﺮﺑ ﺕﺭﻮﺻ ﺭﺩ ﻲﺗﺎﻣﺪﺧ ﻱﺎﻫ ﻢﺘﺴﻴﺳ ﻪﻴﻠﻛ ﻪﻛ ﺎﺠﻧﺁ ﺯﺍ [2،3].ﺪﺷﺎﺑ ﻲﻣ ﺐﺳﺎﻨﻣ ﻦﻳﺍ ﻩﺭﺍﺩﺍ ﺍﺬﻟ ،ﺪﻧﺭﺍﺩ ﻪﻴﻜﺗ ﻥﺎﻣﺭﺩ ﻭ ﺖﺷﺍﺪﻬﺑ ﺮﻣﺍ ﺮﺑ ﻥﺍﺮﺤﺑ ﺭﺩ ﻲﻋﺎﻤﺘﺟﺍ ﻱﺎﻫ ﻢﺘﺴﻴﺳ ﺮﻳﺎﺳ ﺭﺎﻛ ﻪﻣﺍﺩﺍ ﻭ ﺖﻴﻘﻓﻮﻣ ﺭﺩ ﺰﻛﺍﺮﻣ ﻡﺪﻘﻣ ﻂﺧ ﻥﺍﻮﻨﻋ ﻪﺑ ﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻲﻓﺮﻃ ﺯﺍ .ﺖﺳﺍ ﺮﺛﺆﻣ ﺭﺎﻴﺴﺑ ﺕﺎﻣﺪﺧ ﻪﺋﺍﺭﺍ ﻱﺎﻫ ﻞﺤﻣ ﻦﻳﺮﺗ ﻢﻬﻣ ﺯﺍ ﻲﻜﻳ ،ﻥﺎﻣﺭﺩ ﻪﻬﺒﺟ ﻝﺎﻤﻋﺍ ﺭﻮﻈﻨﻣ ﻪﺑ ﻚﺷ ﻲﺑ [4].ﺪﻨﺘﺴﻫ ﻲﻧﺎﻣﺭﺩ ﻭ ﻲﺘﺷﺍﺪﻬﺑ ﺭﺎﻣﺁ ﺩﻮﺟﻭ ،ﻖﻴﻗﺩ ﻱﺰﻳﺭ ﻪﻣﺎﻧﺮﺑ ﻭ ﻥﺍﺮﺤﺑ ﺢﻴﺤﺻ ﺖﻳﺮﻳﺪﻣ ﺭﺍﺩﺭﻮﺧﺮﺑ ﻱﺩﺎﻳﺯ ﺖﻴﻤﻫﺍ ﺯﺍ ﻞﻣﺎﻛ ﻭ ﺢﻴﺤﺻ ﺕﺎﻋﻼﻃﺍ ﻭ ﺕﺎﻋﻼﻃﺍ ﺱﺎﺳﺍﺮﺑ ﻪﻧﻻﻮﺠﻋ ﻱﺮﻴﮔ ﻢﻴﻤﺼﺗ [5،6].ﺖﺳﺍ .ﺪﻫﺩ ﻲﻣ ﺶﻳﺍﺰﻓﺍ ﺮﺑﺍﺮﺑ ﺪﻨﭼ ﺍﺭ ﺕﺭﺎﺴﺧ ﻪﻨﻣﺍﺩ ،ﺺﻗﺎﻧ ﻭ ﻦﻳﺎﻗ ،ﺪﻨﺟﺮﻴﺑ ﻪﻟﺰﻟﺯ ﺭﺩ ﻩﺪﺷ ﻡﺎﺠﻧﺍ ﻲﺠﻨﺳﺯﺎﻴﻧ ﺱﺎﺳﺍﺮﺑ .ﺩﻮﺑ ﺕﺎﻋﻼﻃﺍ ﻪﺑ ﺯﺎﻴﻧ ،ﻩﺪﺷ ﻡﻼﻋﺍ ﻪﻴﻟﻭﺍ ﻱﺎﻫﺯﺎﻴﻧ ﺯﺍ ﻞﻴﺑﺩﺭﺍ ﻥﺍﺰﻴﻣ ﻪﺑ ﺍﺭ ﺕﺎﻋﻼﻃﺍ ﻪﺑ ﺯﺎﻴﻧ ﺩﺍﺮﻓﺍ ﺪﺻﺭﺩ 67 ﻪﻛ ﻱﺭﻮﻃ ﻪﺑ ﺪﺻﺭﺩ 75 ﺯﺍ ﺶﻴﺑ ﺭﺩ ﻭ ﺪﻧﺩﻮﺑ ﻩﺩﺮﻛ ﻡﻼﻋﺍ ﺩﺎﻳﺯ ﺎﺗ ﻂﺳﻮﺘﻣ ﺖﻣﻼﺳ ﺖﻴﻌﺿﻭ ﺯﺍ ﻲﻫﺎﮔﺁ ،ﻲﺘﺳﺍﻮﺧﺭﺩ ﺕﺎﻋﻼﻃﺍ ﺩﺭﺍﻮﻣ ،ﻢﺑ ﻪﻟﺰﻟﺯ ﻪﺛﺩﺎﺣ ﺯﺍ ﺪﻌﺑ ﺯﻭﺭ ﺱﺎﺳﺍ ﻦﻳﺍ ﺮﺑ .ﺩﻮﺑ ﻥﺎﺸﻧﺎﮕﺘﺴﺑ ﻡﺍﺪﻗﺍ ﻪﺒﻗﺮﺘﻣﺮﻴﻏ ﺙﺩﺍﻮﺣ ﺭﺩ ﻲﻋﺎﻤﺘﺟﺍ - ﻲﻧﺍﻭﺭ ﺖﻳﺎﻤﺣ ﺩﺎﺘﺳ ﺖﻴﻌﺿﻭ ،ﻱﺮﺘﺴﺑ ﻞﺤﻣ ،ﻱﺩﺮﻓ ﺕﺎﺼﺨﺸﻣ ﻱﺭﻭﺁ ﻊﻤﺟ ﻪﺑ ﺭﺩ ﺍﺭ ﺕﺎﻋﻼﻃﺍ ﻭ ﻩﺩﻮﻤﻧ ﺡﻭﺮﺠﻣ ﻥﺎﮕﺘﺴﺑ ﺱﺭﺩﺁ ﻭ ﻲﺘﻣﻼﺳ ﻱﺎﻫ ﻞﺤﻣ ﺭﺩ ﺎﻳ ﻭ ﻲﺘﻧﺮﺘﻨﻳﺍ ﺖﻳﺎﺳ ﺭﺩ ﺲﭙﺳ ﻭ ﺖﺒﺛ ﻲﻣﺮﻓ ﻱﺎﻫ ﻱﺭﻭﺎﻨﻓ ﺮﺑ ﻩﻭﻼﻋ [7].ﺩﺮﻛ ﺐﺼﻧ ﻥﺎﻣﺮﻛ ﺭﺩ ﻡﺩﺮﻣ ﻊﻤﺠﺗ ﻪﻄﻴﺣﺭﺩ ﺶﻧﺍﺩ ﺵﺮﺘﺴﮔ ﻪﻛ ﺪﻨﺘﺴﻫ ﻲﻨﻳﻮﻧ ﻡﻮﻠﻋ ،ﺪﻳﺪﺟ ﻥﺍﺮﺤﺑ ﺖﻳﺮﻳﺪﻣ ﺭﺩ ﻲﻳﺍﺭﺎﻛ ﺩﻮﺒﻬﺑ ﻭ ﻲﺸﺨﺑﺮﺛﺍ ﺐﺒﺳ ﺎﻬﻧﺁ ﺏﻮﺴﺤﻣ ﻡﻮﻠﻋ ﻦﻳﺍ ﺯﺍ ﻲﻜﻳ ﺕﺎﻋﻼﻃﺍ ﺖﻳﺮﻳﺪﻣ ،ﺩﺩﺮﮔ ﻲﻣ ﻭ ﺶﻧﺍﺩ ﻲﺘﺷﺍﺪﻬﺑ ﺕﺎﻋﻼﻃﺍ ﺖﻳﺮﻳﺪﻣ [8،9].ﺩﺩﺮﮔ ﻲﻣ ﺖﻬﺟ ﺍﺭ ﺖﻣﻼﺳ ﺕﺎﻋﻼﻃﺍ ﻪﺑ ﻲﺳﺮﺘﺳﺩ ﻪﻛ ﺖﺳﺍ ﻲﺗﺭﺎﻬﻣ ﻱﺎﻫ ﻱﺮﻴﮔ ﻢﻴﻤﺼﺗ ﻭ ﺖﻣﻼﺳ ﻱﺎﻫ ﺖﺒﻗﺍﺮﻣ ﻊﻗﻮﻣ ﻪﺑ ﻪﺋﺍﺭﺍ

.ﺪﻨﻛ ﻲﻣ ﻦﻴﻤﻀﺗ ﻲﻜﺷﺰﭘ ﻪﺴﺳﻮﻣ ﺕﺍﺭﺮﻘﻣ ﺖﻳﺎﻋﺭ ﺎﺑ ﻲﻧﺍﺮﺤﺑ ﺍﺭ ﻲﻤﺴﻴﻧﺎﻜﻣ ﺪﻳﺎﺑ ﻪﺒﻗﺮﺘﻣﺮﻴﻏ ﺙﺩﺍﻮﺣ ﻪﻣﺎﻧﺮﺑ ﻦﻳﺍﺮﺑﺎﻨﺑ [10]

ﺭﺩ ﻥﺍﺭﺎﻤﻴﺑ ﺕﺎﻋﻼﻃﺍ ﻖﻴﻗﺩ ﺖﺒﺛ ﻭ ﺖﻳﻮﻫ ﺺﻴﺨﺸﺗ ﺖﻬﺟ ،ﺕﺎﻋﻼﻃﺍ ﺖﺒﺛ ﻱﺎﻫ ﻡﺮﻓ ﻭ ﺪﻳﺎﻤﻧ ﻦﻴﻴﻌﺗ ﻱﺭﺍﺮﻄﺿﺍ ﻂﻳﺍﺮﺷ ﻭ ﻪﻴﻬﺗ ﺪﻳﺎﺑ ژﺎﻳﺮﺗ ﻱﺎﻫ ﺕﺭﺎﻛ ﻭ ﺖﻳﻮﻫ ﺺﻴﺨﺸﺗ ﻱﺎﻫ ﺕﺭﺎﻛ [11].ﺪﺷﺎﺑ ﺱﺮﺘﺳﺩ ﺭﺩ ﺵﺯﻮﻣﺁ ﻭ ﻥﺎﻣﺭﺩ ،ﺖﺷﺍﺪﻬﺑ ﺕﺭﺍﺯﻭ ﻲﻏﻼﺑﺍ ﻞﻛﻮﺗﻭﺮﭘ ﺭﺩ ﺝﺭﺎﺧ ﺯﺍ ﺪﻌﺑ ﻪﻠﺻﺎﻓﻼﺑ :ﺖﺳﺍ ﻩﺪﻣﺁ ﻢﺑ ﻪﻟﺰﻟﺯ ﺯﺍ ﺲﭘ ،ﻲﻜﺷﺰﭘ ﻝﺮﺘﻨﻛ ﻱﻭ ﻲﺗﺎﻴﺣ ﻢﻳﻼﻋ ﺖﺳﺍ ﻡﺯﻻ ﺭﺍﻭﺁ ﺮﻳﺯ ﺯﺍ ﺭﺎﻤﻴﺑ ﻥﺩﺮﻛ .ﺩﺩﺮﮔ ﻞﻘﺘﻨﻣ ﺩﺍﺪﻣﺍ ﺖﺴﭘ ﻪﺑ ﺭﺎﻤﻴﺑ ﻪﻠﺻﺎﻓﻼﺑ ﻭ ﺩﻮﺷ ﺖﺒﺛ ﻭ ﻭ ﺖﺴﻳﺭﻭﺮﺿ ﺭﺎﻤﻴﺑ ﻡﺎﻧ ﺎﺑ ﻩﺪﻧﻭﺮﭘ ﻞﻴﻜﺸﺗ ﺰﻴﻧ ﺎﺠﻧﺁ ﺭﺩ ﺕﺎﻣﺍﺪﻗﺍ ﻭ ﺝﻭﺮﺧ ﻭ ﺩﻭﺭﻭ ﺕﺎﻋﺎﺳ ﺖﺒﺛ ،ﺩﺮﻓ ﺕﺎﺼﺨﺸﻣ ﺱﺎﺳﺍﺮﺑ ،ﻦﻳﺍ ﺮﺑ ﻩﻭﻼﻋ [12].ﺩﺩﺮﮔ ﺝﺭﺩ ﻥﺁ ﺭﺩ ﻩﺪﺷ ﻡﺎﺠﻧﺍ ﻙﺮﺘﺸﻣ ﻥﻮﻴﺴﻴﻤﻛ ﻲﻧﺎﺘﺳﺭﺎﻤﻴﺑ ﻪﺒﻗﺮﺘﻣﺮﻴﻏ ﺙﺩﺍﻮﺣ ﺩﺭﺍﺪﻧﺎﺘﺳﺍ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ (^JCAHO) ﻲﺘﺷﺍﺪﻬﺑ ﻱﺎﻫ ﻥﺎﻣﺯﺎﺳ ﻲﺸﺨﺑﺭﺎﺒﺘﻋﺍ ﺖﻳﺮﻳﺪﻣ ﻭ ﻥﺍﺭﺎﻤﻴﺑ ﻱﺮﻴﮕﻴﭘ ﻪﻨﻴﻣﺯ ﺭﺩ ﻡﺯﻻ ﺕﺍﺪﻴﻬﻤﺗ ﺪﻳﺎﺑ ﺭﺎﻜﺑ ﻲﻳﺎﺠﺑﺎﺟ ﻥﺎﻳﺮﺟ ﺭﺩ ﻥﺎﻧﺁ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﻭ ﻥﺎﻣﺭﺩ ﺕﺎﻋﻼﻃﺍ ﻲﮕﻧﺎﻣﺮﺤﻣ ﻭ ﺖﻴﻨﻣﺍ ﻆﻔﺣ ﻪﺑ ًﺎﻨﻤﺿ [11].ﺩﺮﻴﮔ ﺕﺎﻋﻼﻃﺍ ﺖﻳﺮﻳﺪﻣ ﻦﻤﺠﻧﺍ ﺮﻈﻧ ﺯﺍ .ﺪﻳﺎﻤﻧ ﻪﺟﻮﺗ ﻢﻫ ﻥﺍﺭﺎﻤﻴﺑ ﻪﺒﻗﺮﺘﻣﺮﻴﻏ ﺙﺩﺍﻮﺣ ﻝﺎﺒﻧﺩ ﻪﺑ ،(^AHIMA) ﺎﻜﻳﺮﻣﺁ ﻲﺘﺷﺍﺪﻬﺑ ﺖﺒﻗﺍﺮﻣ ﻦﺘﻓﺮﮔ ﺮﺳﺯﺍ ﻱﺍﺮﺑ ﻲﻠﺒﻗ ﻲﺘﺷﺍﺪﻬﺑ ﺕﺎﻋﻼﻃﺍ ﺩﻮﺟﻭ [13].ﺖﺴﻳﺭﻭﺮﺿ ﻱﺮﻣﺍ ﻱﺍﺮﺑ ﻒﻠﺘﺨﻣ ﻱﺎﻫ ﻩﺩﺭ ﻥﺍﺮﻳﺪﻣ ﻲﻧﺍﺮﺤﺑ ﻂﻳﺍﺮﺷ ﺭﺩ ﻡﺎﻈﻧ ﻚﻳ ﺩﻮﺟﻭ ﺍﺬﻟ ﺪﻧﺪﻨﻣﺯﺎﻴﻧ ﺕﺎﻋﻼﻃﺍ ﻪﺑ ﺎﻫ ﻱﺮﻴﮔ ﻢﻴﻤﺼﺗ ﺩﺮﺑﺭﺎﻛ ﻭ ﻞﻴﻠﺤﺗ ،ﻲﺑﺎﻳﺯﺎﺑ ،ﻆﻔﺣ ،ﻦﻴﻣﺄﺗ ﻱﺍﺮﺑ ﻲﺗﺎﻋﻼﻃﺍ ﻱﺭﻭﺮﺿ ﻲﻧﺎﻣﺭﺩ ﻭ ﻲﺘﺒﻗﺍﺮﻣ ﻡﺎﻈﻧ ﺭﺎﻨﻛ ﺭﺩ ﺕﺎﻋﻼﻃﺍ ﺐﺳﺎﻨﻣ ،ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﺖﻴﻤﻫﺍ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ،[13]ﺖﺳﺍ ﻱﺮﻴﮕﺸﻴﭘ ﺮﺑ ﻩﻭﻼﻋ ﻲﻧﺎﺴﻧﺍ ﻱﻭﺮﻴﻧ ﺐﺳﺎﻨﻣ ﻊﻳﺯﻮﺗ ﻭ ﺖﻴﺑﺮﺗ ﺪﻫﺍﻮﺧ ﻪﻌﻣﺎﺟ ﺖﻣﻼﺳ ﺮﺑ ﻲﺘﺒﺜﻣ ﺕﺍﺮﺛﺍ ،ﻊﺑﺎﻨﻣ ﻑﻼﺗﺍ ﺯﺍ ﻦﻴﻣﺄﺗ ﻥﺁ ﻑﺍﺪﻫﺍ ﻪﺑ ﺮﺘﺸﻴﺑ ﻪﭼﺮﻫ ﻲﺑﺎﻴﺘﺳﺩ ﺭﻮﻈﻨﻣ ﻪﺑ ﻭ ﺖﺷﺍﺩ ﺩﺭﻮﻣ ﻲﻧﺎﻣﺯ ﻭ ﻲﻧﺎﻜﻣ ﻩﺮﺘﺴﮔ ﻡﺎﻤﺗ ﺭﺩ ﺕﺍﺰﻴﻬﺠﺗ ﻭ ﺕﺎﻧﺎﻜﻣﺍ ﺭﺩ ﺕﺎﻋﻼﻃﺍ ﺯﺍ ﺖﻇﺎﻔﺣ ﺖﻬﺟ ،ﻦﻳﺍ ﺮﺑ ﻩﻭﻼﻋ .ﺖﺳﺍ ﺯﺎﻴﻧ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﻞﺤﻣ ﺏﺎﺨﺘﻧﺍ ﺭﺩ ﺖﺳﺍ ﻡﺯﻻ ،ﺙﺩﺍﻮﺣ ﺮﺑﺍﺮﺑ ﺢﻟﺎﺼﻣ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺭﺩ ﻦﻴﻨﭽﻤﻫ ﻭ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺭﺩ ﻲﻜﺷﺰﭘ

(3)

ﻱﺎﻫ ﻲﺳﺭﺮﺑ ،ﻝﺎﺣ ﻦﻳﺍ ﺎﺑ .ﺩﺮﻛ ﺖﻗﺩ ﻲﻧﺎﻤﺘﺧﺎﺳ ﺩﺍﻮﻣ ﻭ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﺩﺍﺩ ﻥﺎﺸﻧ ﻥﺍﺮﮕﺸﻫﻭﮋﭘ ﻲﻨﻤﺿ ،ﺪﻨﺘﺷﺍﺪﻧ ﻪﻨﻴﻣﺯ ﻦﻳﺍ ﺭﺩ ﻲﻧﻭﺪﻣ ﻮﮕﻟﺍ ﺭﻮﺸﻛ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻥﺍﺮﺤﺑ ﺖﻳﺮﻳﺪﻣ ﻱﺎﻫﻼﺧ ﺯﺍ ﻱﺭﺎﻴﺴﺑ ﺎﻫ ﻮﺠﺘﺴﺟ ﻪﻣﺍﺩﺍ ًﺎﻨﻤﺿ ﺭﺩ ﻥﺎﻣﺮﻛ ﻥﺎﺘﺳﺍ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﺭﺩ ﺍﺭ ﺵﺯﻮﻣﺁ ﺩﺍﺮﻓﺍ ﺩﻮﺟﻭ ﻭ ﻱﺰﻳﺭ ﻪﻣﺎﻧﺮﺑ ﻡﺪﻋ ﻞﻴﻟﺩ ﻪﺑ ،ﻢﺑ ﻪﻟﺰﻟﺯ ﻢﻴﺗ ﺭﺩ ﻪﻛ ﺪﻳﺩﺮﮔ ﺺﺨﺸﻣ ﻲﻓﺮﻃ ﺯﺍ .ﺩﻮﻤﻧ ﺭﺎﻜﺷﺁ ،ﻩﺪﻳﺩ ﺰﻴﻧ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﻞﻨﺳﺮﭘ ،ﺩﺮﺟﻭﺮﺑ ﺭﺩ ﻥﺍﺮﺤﺑ ﺖﻳﺮﻳﺪﻣ ﺖﻳﺮﻳﺪﻣ ﻲﺳﺭﺮﺑ ﻱﺍﺮﺑ ﻱﺍ ﻪﻣﺪﻘﻣ ﻦﻳﺍ ﻪﻛ ،ﺪﻨﺘﺷﺍﺩ ﺭﻮﻀﺣ ﺕﻮﻗ ﻭ ﻒﻌﺿ ﻁﺎﻘﻧ ﻦﻴﻴﻌﺗﻭ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﻥﺍﺮﺤﺑ ﺰﻴﻧ ﺖﻳﺎﻬﻧﺭﺩ .ﺪﻳﺩﺮﮔ ﺎﻜﻳﺮﻣﺁ ﻱﺎﻫﺩﺭﺍﺪﻧﺎﺘﺳﺍ ﺱﺎﺳﺍﺮﺑ ﺎﻬﻧﺁ ﻙﺭﺍﺪﻣ ﻱﺎﻫ ﺶﺨﺑ ﺭﺩ ﻱﺮﻴﮔﺭﺎﻜﺑ ﺖﻬﺟ ﻲﻧﻭﺪﻣ ﻱﻮﮕﻟﺍ ﻦﻳﺍ ﺭﺩ ﺎﻜﻳﺮﻣﺁ ﺖﺳﺍ ﺮﻛﺫ ﻥﺎﻳﺎﺷ .ﺩﺩﺮﮔ ﻪﺋﺍﺭﺍ ﺭﻮﺸﻛ ﻲﻜﺷﺰﭘ ﻩﺩﺮﻛ ﻪﻴﻬﺗ ﻱﺮﺗ ﻊﻣﺎﺟ ﻱﺎﻫﺩﺭﺍﺪﻧﺎﺘﺳﺍ ﻭ ﻩﺩﻮﺑ ﻡﺎﮕﺸﻴﭘ ﺩﺭﻮﻣ ﻪﺑ ﺕﺭﺩﺎﺒﻣ ﺎﻜﻳﺮﻣﺁ ﺯﺍ ﻱﺭﺍﺩﺮﺑﻮﮕﻟﺍ ﺎﺑ ﺰﻴﻧ ﺎﻫﺭﻮﺸﻛ ﺮﻳﺎﺳ ﻭ .ﺪﻧﺍ ﻩﺩﻮﻤﻧ ﺩﺭﺍﺪﻧﺎﺘﺳﺍ ﻦﻳﻭﺪﺗ ﻲﺳﺭﺮﺑ ﺵﻭﺭ .ﺪﺷ ﻡﺎﺠﻧﺍ 1385 ﻝﺎﺳ ﺭﺩ ﻭ ﺖﺳﺍ ﻲﻌﻄﻘﻣ ﻉﻮﻧ ﺯﺍ ﺶﻫﻭﮋﭘ ﻦﻳﺍ ﻙﺭﺍﺪﻣ ﻞﻨﺳﺮﭘ ﻭ ﻥﻻﻮﺌﺴﻣ ﻪﻴﻠﻛ ﺍﺭ ﺶﻫﻭﮋﭘ ﻱﺭﺎﻣﺁ ﻪﻌﻣﺎﺟ ﺩﺮﺟﻭﺮﺑ ﻭ ﻥﺎﻣﺮﻛ ﻥﺎﺘﺳﺍ ﻲﺷﺯﻮﻣﺁ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻲﻜﺷﺰﭘ ،ﻪﻌﻣﺎﺟ ﺩﺍﺮﻓﺍ ﺩﺍﺪﻌﺗ ﻥﺩﻮﺑ ﺩﻭﺪﺤﻣ ﻞﻴﻟﺩ ﻪﺑ ﻪﻛ ،ﺩﺍﺩ ﻲﻣ ﻞﻴﻜﺸﺗ ﻝﻮﺌﺴﻣ16 ﻞﻣﺎﺷ ﻪﻌﻣﺎﺟ ﻞﻛ ﻭ ﻩﺪﺸﻧ ﻡﺎﺠﻧﺍ ﻱﺮﻴﮔ ﻪﻧﻮﻤﻧ ﺖﻓﺮﮔ ﺭﺍﺮﻗ ﻪﻌﻟﺎﻄﻣ ﺖﺤﺗ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺪﻨﻣﺭﺎﻛ113 ﻭ ﻭ ﻥﻻﻮﺌﺴﻣ ﺖﻬﺟ)ﻪﻣﺎﻨﺸﺳﺮﭘ 2ﺎﻫ ﻩﺩﺍﺩ ﻱﺭﻭﺁﺩﺮﮔ ﺭﺍﺰﺑﺍ . ﺕﺎﻋﻼﻃﺍ ﻪﻛ ﺩﻮﺑ (ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﻥﺎﻨﻛﺭﺎﻛ ﺮﻳﺎﺳ ﻱﺎﻫﺩﺭﺍﺪﻧﺎﺘﺳﺍ ﻲﺳﺭﺮﺑ ﻭ ﺩﻮﺟﻮﻣ ﻊﺑﺎﻨﻣ ﺭﻭﺮﻣ ﻖﻳﺮﻃ ﺯﺍ ﺎﻬﻧﺁ ﺎﺑ ﻪﻣﺎﻨﺸﺳﺮﭘ ﻲﻳﺍﻭﺭ .ﺪﻳﺩﺮﮔ ﻱﺭﻭﺁ ﻊﻤﺟ ^HIMSS ﻭ ^AHIMA ﻥﻮﻣﺯﺁﺯﺎﺑ - ﻥﻮﻣﺯﺁ ﺵﻭﺭ ﺎﺑ ﻥﺁ ﻲﻳﺎﻳﺎﭘ ﻭ ﺍﻮﺘﺤﻣ ﺭﺎﺒﺘﻋﺍ ﺵﻭﺭ ﻲﻧﺍﺪﻴﻣ ﺵﻭﺭ ﻪﺑ ﺎﻫ ﻩﺩﺍﺩ ﻱﺭﻭﺁﺩﺮﮔ .(r=0/73)ﺪﺷ ﻩﺪﻴﺠﻨﺳ ﻥﺎﺘﺳﺍ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻱﺎﻫ ﻩﺩﺍﺩ ،ﺭﻮﻈﻨﻣ ﻦﻳﺪﺑ .ﺖﻓﺮﮔ ﻡﺎﺠﻧﺍ ﻡﺎﺠﻧﺍ ﺯﺍ ﺲﭘ ،ﺩﺮﺟﻭﺮﺑ ﺭﺩ ﻭ ﻢﻴﻘﺘﺴﻣ ﻪﻌﺟﺍﺮﻣ ﺎﺑ ﻥﺎﻣﺮﻛ ﻖﻳﺮﻃ ﺯﺍ ،ﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻥﻻﻮﺌﺴﻣ ﺎﺑ ﻡﺯﻻ ﻱﺎﻫ ﻲﮕﻨﻫﺎﻤﻫ ﺭﺩ ،ﺰﻴﻧ ﻱﺩﺎﻬﻨﺸﻴﭘ ﻱﻮﮕﻟﺍ ﻱﺎﻫ ﻩﺩﺍﺩ .ﺪﻳﺩﺮﮔ ﻡﺍﺪﻗﺍ ﺖﺴﭘ ﺎﺑ ﺮﮕﺸﻫﻭﮋﭘ .ﺪﻳﺩﺮﮔ ﻱﺭﻭﺁ ﻊﻤﺟ ﻲﻧﺍﺪﻴﻣ ﺵﻭﺭ ﻪﺑ ،ﻥﺎﻣﺮﻛ ﻲﻃ ﺯﺍ ﺲﭘ ﻭ ﻥﺎﻣﺮﻛ ﺙﺩﺍﻮﺣ ﻭ ﺢﻧﺍﻮﺳ ﻪﺘﻴﻤﻛ ﻪﺑ ﻪﻌﺟﺍﺮﻣ

ﻞﻴﻠﺤﺗ ﻱﺍﺮﺑ .ﺩﻮﻤﻧ ﻪﻣﺎﻨﺸﺳﺮﭘ ﻊﻳﺯﻮﺗ ﻪﺑ ﻡﺍﺪﻗﺍ ،ﻱﺭﺍﺩﺍ ﻞﺣﺍﺮﻣ ﻩﺩﺎﻔﺘﺳﺍ ^SPSS ﺭﺍﺰﻓﺍ ﻡﺮﻧ ﻚﻤﻛ ﺎﺑ ﻲﻔﻴﺻﻮﺗ ﺭﺎﻣﺁ ﺯﺍ ﺎﻫ ﻩﺩﺍﺩ 20 ،ﻒﻴﻌﺿ ﻲﻠﻴﺧ ،ﺪﺻﺭﺩ 20 ﺮﻳﺯ ﻱﺎﻫ ﻪﺘﻓﺎﻳ ،ﺲﭙﺳ.ﺪﻳﺩﺮﮔ 80 ﺎﺗ 60 ،ﻂﺳﻮﺘﻣ ﺪﺻﺭﺩ 60 ﺎﺗ 40 ،ﻒﻴﻌﺿ ،ﺪﺻﺭﺩ 40 ﺎﺗ .ﺪﻧﺪﺷ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﺏﻮﺧ ﻲﻠﻴﺧ ﻥﺁ ﺯﺍ ﺶﻴﺑ ﻭ ﺏﻮﺧ ،ﺪﺻﺭﺩ ﻦﺘﻓﺮﮔ ﺮﻈﻧﺭﺩ ﺎﺑ ﻭ ﻪﻠﺻﺎﺣ ﻱﺭﺎﻣﺁ ﺞﻳﺎﺘﻧ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ،ﺖﻳﺎﻬﻧﺭﺩ ﻲﻳﻮﮕﻟﺍ ^HIMSS ﻭ ^AHIMA ﻱﺎﻫ ﻥﺎﻣﺯﺎﺳ ﻱﺎﻫﺩﺭﺍﺪﻧﺎﺘﺳﺍ .ﺪﺷ ﻥﻮﻣﺯﺁ ﻲﻔﻟﺩ ﺵﻭﺭ ﺎﺑ ﻱﺩﺎﻬﻨﺸﻴﭘ ﻱﻮﮕﻟﺍ .ﺪﻳﺩﺮﮔ ﻪﺋﺍﺭﺍ ﺎﻫ ﻪﺘﻓﺎﻳ ﻙﺭﺍﺪﻣ ﻱﺎﻫ ﺶﺨﺑ ﺪﺻﺭﺩ75 ﻪﻛ ﺩﺍﺩ ﻥﺎﺸﻧ ﺶﻫﻭﮋﭘ ﻱﺎﻫ ﻪﺘﻓﺎﻳ ﻙﺭﺍﺪﻣ ﺭﺩ ﻥﺍﺮﺤﺑ ﺖﻳﺮﻳﺪﻣ ﺮﻈﻧ ﺯﺍ ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻲﻜﺷﺰﭘ ﻥﺍﺰﻴﻣ ﻦﻴﻨﭼ ﻢﻫ .ﺪﻨﺘﺷﺍﺩ ﺭﺍﺮﻗ ﻒﻴﻌﺿ ﺖﻴﻌﺿﻭ ﺭﺩ ﻲﻜﺷﺰﭘ ﺶﺨﺑ ﺭﺩ ﻥﺍﺮﺤﺑ ﺖﻳﺮﻳﺪﻣ ﺯﺍ ﺎﻫ ﺶﺨﺑ ﻦﻳﺍ ﻞﻨﺳﺮﭘ ﺮﺜﻛﺍ ﻲﻫﺎﮔﺁ .(2ﻭ1 ﻝﻭﺍﺪﺟ) ﺪﺷ ﻩﺪﻴﺠﻨﺳ ﺪﺻﺭﺩ55/37 ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﻲﺗﺍﺮﻴﻴﻐﺗ ﺎﺑ ﺰﻴﻧ ﻱﺩﺎﻬﻨﺸﻴﭘ ﻱﻮﮕﻟﺍ ﺭﺎﺘﺧﺎﺳ ﺖﻳﺎﻬﻧ ﺭﺩ ﺕﺎﻋﻼﻃﺍ ﺖﻳﺮﻳﺪﻣ ﻦﻤﺠﻧﺍ ﻱﺎﻫﺩﺭﺍﺪﻧﺎﺘﺳﺍ ﺯﺍ ﻪﺘﻓﺮﮔﺮﺑ ﻲﺘﺷﺍﺪﻬﺑ ﺕﺎﻋﻼﻃﺍ ﻭ ﺖﻳﺮﻳﺪﻣ ﻱﺎﻫ ﻢﺘﺴﻴﺳ ﻭ ﺎﻜﻳﺮﻣﺁ ﻲﺘﺷﺍﺪﻬﺑ .(3 ﻝﻭﺪﺟ) ﺪﻳﺩﺮﮔ ﻢﻴﻈﻨﺗ ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﺩﺍﺮﻓﺍ ﺕﺍﺮﻈﻧ ﻭ ﻱﺮﻴﮔ ﻪﺠﻴﺘﻧ ﻭ ﺚﺤﺑ ﻭ ﺭﺎﻣﺁ ،ﺕﺎﻋﻼﻃﺍ ﻱﺭﻭﺁ ﻊﻤﺟ ﺖﻳﺮﻳﺪﻣ ﻪﻨﻴﻣﺯ ﺭﺩ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﻱﺎﻫ ﺶﺨﺑ ﻥﺍﺮﺤﺑ ﺖﻳﺮﻳﺪﻣ ﺭﺩ ﻱﺯﺎﺳﺪﻨﺘﺴﻣ .ﺖﺷﺍﺩ ﺭﺍﺮﻗ ﻒﻴﻌﺿ ﺢﻄﺳ ﺭﺩ ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺭﺩ ﺮﻈﻧ ﻦﻳﺍ ﺯﺍ ،ﺭﻮﻛﺬﻣ ﻱﺎﻫ ﺶﺨﺑ ﻥﺎﻨﻛﺭﺎﻛ ﺮﺜﻛﺍ ﻲﻫﺎﮔﺁ ًﺎﻨﻤﺿ ﻞﻨﺳﺮﭘ ﻲﻫﺎﮔﺁ ﻡﺪﻋ ﻞﻴﻟﺩ ﻪﺑ ﺪﻧﺍﻮﺗ ﻲﻣ ﻦﻳﺍ .ﺩﻮﺑ ﻒﻴﻌﺿ ﺪﺣ ﻡﺯﻻ ﻪﺟﻮﺗ ﻥﻻﻮﺌﺴﻣ ﺩﺭﺍﺩ ﺎﺟ ﻪﻛ ﺪﺷﺎﺑ ﺶﺨﺑ ﺖﻴﻌﺿﻭ ﺯﺍ ﻪﺑ ﺩﻮﺧ ﻪﻌﻟﺎﻄﻣ ﺭﺩ ﻥﺍﺭﺎﻜﻤﻫ ﻭ ﻲﻤﺳﺎﻳ .ﺪﻨﻳﺎﻤﻧ ﻝﻭﺬﺒﻣ ﺍﺭ ﻡﻼﻋﺍ ﻱﺎﻫﺯﺎﻴﻧ ﻦﻳﺮﺗ ﻲﺳﺎﺳﺍ ﺯﺍ ﻲﻜﻳ ﻪﻛ ﺪﻧﺪﻴﺳﺭ ﻪﺠﻴﺘﻧ ﻦﻳﺍ ﻪﺑ .ﺩﻮﺑ ﺕﺎﻋﻼﻃﺍ ﻪﺑ ﺖﻓﺎﻳﺭﺩ ﻪﺑ ﺯﺎﻴﻧ ،ﻥﺎﮔﺪﻳﺩ ﺐﻴﺳﺁ ﻩﺪﺷ ﻥﺍﺰﻴﻣ ﻪﺑ ﺍﺭ ﺕﺎﻋﻼﻃﺍ ﻪﺑ ﺯﺎﻴﻧ ﺩﺍﺮﻓﺍ ﺪﺻﺭﺩ 67 ﻪﻛ ﻱﺭﻮﻃ ﺪﺻﺭﺩ 75 ﺯﺍ ﺶﻴﺑ ﺭﺩ ﻭ ﺪﻧﺩﻮﺑ ﻩﺩﺮﻛ ﻡﻼﻋﺍ ﺩﺎﻳﺯ ﺎﺗ ﻂﺳﻮﺘﻣ ﺖﻣﻼﺳ ﺖﻴﻌﺿﻭ ﺯﺍ ﻲﻫﺎﮔﺁ ﻲﺘﺳﺍﻮﺧﺭﺩ ﺕﺎﻋﻼﻃﺍ ،ﺩﺭﺍﻮﻣ [14].ﺖﺳﺍ ﻩﺩﻮﺑ ﻥﺎﺸﻧﺎﮕﺘﺴﺑ

(4)

1385-ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﺭﺩ ﻥﺍﺮﺤﺑ ﺖﻳﺮﻳﺪﻣ ﻲﻧﺍﻭﺍﺮﻓ ﻊﻳﺯﻮﺗ :1 ﻝﻭﺪﺟ

ﺎﻫ ﺺﺧﺎﺷ ﺏﻮﺧ ﻲﻠﻴﺧ

ﺏﻮﺧ ﻂﺳﻮﺘﻣ

ﻒﻴﻌﺿ ﻒﻴﻌﺿ ﻲﻠﻴﺧ

ﻥﺍﺮﺤﺑ ﺭﺩ ﻱﺯﺎﺳﺪﻨﺘﺴﻣ ﻭ ﺭﺎﻣﺁ ،ﺕﺎﻋﻼﻃﺍ ﻱﺭﻭﺁ ﻊﻤﺟ ﺖﻳﺮﻳﺪﻣ 0

0 37,5

62,5 0

ﻥﺍﺮﺤﺑ ﺭﺩ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﻲﻧﺎﺴﻧﺍ ﻊﺑﺎﻨﻣ ﺖﻳﺮﻳﺪﻣ 0

6,25 25

43,75 25

ﻥﺍﺮﺤﺑ ﺭﺩ ﺵﺮﻳﺬﭘ ﻝﻮﺻﺍ ﺖﻳﺎﻋﺭ ﻥﺍﺰﻴﻣ 0

6,25 12,5

25 56,25

ﻥﺍﺮﺤﺑ ﺭﺩ ﻲﻧﻮﻧﺎﻗ ﻱﺎﻫ ﻪﺒﻨﺟ ﺖﻳﺎﻋﺭ ﻥﺍﺰﻴﻣ 0

0 37,5

56,25 6,25

ﻥﺍﺮﺤﺑ ﺎﺑ ﻪﻠﺑﺎﻘﻣ ﻱﺍﺮﺑ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﺕﺍﺰﻴﻬﺠﺗ ﻭ ﻲﻨﻤﻳﺍ ﻥﺍﺰﻴﻣ 0

6,25 0

31,25 62,5

ﻥﺍﺮﺤﺑ ﺎﺑ ﻪﻠﺑﺎﻘﻣ ﻱﺍﺮﺑ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﻲﻠﺒﻗ ﻲﮔﺩﺎﻣﺁ ﻥﺍﺰﻴﻣ 1

0 25

62,5 6,25

ﻱﺎﻫ ﺺﺧﺎﺷ ﺯﺍ ﻚﻳ ﺮﻫ ﺯﺍ ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻥﺎﻨﻛﺭﺎﻛ ﻲﻫﺎﮔﺁ ﻥﺍﺰﻴﻣ ﻲﻧﺍﻭﺍﺮﻓ ﻊﻳﺯﻮﺗ :2 ﻝﻭﺪﺟ 1385-ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﺭﺩ ﻥﺍﺮﺤﺑ ﺖﻳﺮﻳﺪﻣ

ﺎﻫ ﺺﺧﺎﺷ ﺏﻮﺧ ﻲﻠﻴﺧ

ﺏﻮﺧ ﻂﺳﻮﺘﻣ

ﻒﻴﻌﺿ ﻒﻴﻌﺿ ﻲﻠﻴﺧ

ﻥﺍﺮﺤﺑ ﺭﺩ ﻱﺯﺎﺳﺪﻨﺘﺴﻣ ﻭ ﺭﺎﻣﺁ ،ﺕﺎﻋﻼﻃﺍ ﻱﺭﻭﺁ ﻊﻤﺟ ﺖﻳﺮﻳﺪﻣ 0,9

3,6 18,8

75 1,8

ﻥﺍﺮﺤﺑ ﺭﺩ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﻲﻧﺎﺴﻧﺍ ﻊﺑﺎﻨﻣ ﺖﻳﺮﻳﺪﻣ 0,9

10,7 17

54,5 17

ﻥﺍﺮﺤﺑ ﺭﺩ ﺵﺮﻳﺬﭘ ﻝﻮﺻﺍ ﺖﻳﺎﻋﺭ ﻥﺍﺰﻴﻣ 8

5,4 23,2

27,7 35,7

ﻥﺍﺮﺤﺑ ﺭﺩ ﻲﻧﻮﻧﺎﻗ ﻱﺎﻫ ﻪﺒﻨﺟ ﺖﻳﺎﻋﺭ ﻥﺍﺰﻴﻣ 8,9

17,9 42

22,3 8,9

ﻥﺍﺮﺤﺑ ﺎﺑ ﻪﻠﺑﺎﻘﻣ ﻱﺍﺮﺑ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﺕﺍﺰﻴﻬﺠﺗ ﻭ ﻲﻨﻤﻳﺍ ﻥﺍﺰﻴﻣ 15,2

0 17

0 69,7

ﻥﺍﺮﺤﺑ ﺎﺑ ﻪﻠﺑﺎﻘﻣ ﻱﺍﺮﺑ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﻲﻠﺒﻗ ﻲﮔﺩﺎﻣﺁ ﻥﺍﺰﻴﻣ 0,9

2,7 8

26,8 61,6

(ﻲﻳﺎﻬﻧ ﻱﻮﮕﻟﺍ)ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﺭﺩ ﻥﺍﺮﺤﺑ ﺖﻳﺮﻳﺪﻣ :3 ﻝﻭﺪﺟ

ﻥﺍﺮﺤﺑ ﺖﻳﺮﻳﺪﻣ ﺭﺩ ﻱﺯﺎﺳﺪﻨﺘﺴﻣ ﻭ ﺭﺎﻣﺁ ،ﺕﺎﻋﻼﻃﺍ ﻱﺭﻭﺁ ﻊﻤﺟ ﺖﻳﺮﻳﺪﻣ

ﻪﺛﺩﺎﺣ ﻞﺤﻣ ﺭﺩ ﻱﺯﺎﺳﺪﻨﺘﺴﻣ ﺖﻟﻮﻬﺳ ﺭﻮﻈﻨﻣ ﻪﺑ ،ﻩﺪﺷ ﻱﺪﻨﺑ ﻝﻭﺪﺟ ﻱﺎﻫ ﻡﺮﻓ ﺎﻳ ﺖﻳﻮﻫ ﻦﻴﻴﻌﺗ ﻱﺎﻫ ﺐﺴﭼﺮﺑ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﻡﻭﺪﺼﻣ ﻲﻫﺎﮕﺸﻳﺎﻣﺯﺁ ﻱﺎﻫ ﻪﻧﻮﻤﻧ ﻭ ﻭﺭﺍﺩ ﺰﻳﻮﺠﺗ ﻭ ﻚﺷﺰﭘ ﺭﻮﺘﺳﺩ ﻱﺎﻫ ﻪﮔﺮﺑ ،ﻙﺭﺍﺪﻣ ﻲﻳﺎﺳﺎﻨﺷ ﻱﺍﺮﺑ ،ﻪﺛﺩﺎﺣ ﻞﺤﻣ ﺭﺩ ﻩﺪﺷ ﻱﺭﺍﺬﮔ ﻩﺭﺎﻤﺷ ﺶﻴﭘ ﺯﺍ ﺐﺴﭼﺮﺑ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﻲﺗﺎﻴﺣ ﻢﺋﻼﻋ ﺖﺒﺛ ﺖﻟﻮﻬﺳ ﻱﺍﺮﺑ ﺭﺍﺩﻮﻤﻧ ﺕﺭﻮﺻ ﻪﺑ ﻭ ﻩﺪﺷ ﻱﺪﻨﺑ ﻝﻭﺪﺟ ﻱﺎﻫ ﻡﺮﻓ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ (Causalty Handling System (^CHS)) ﻥﺍﺮﺤﺑ ﻝﺮﺘﻨﻛ ﻢﺘﺴﻴﺳ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ،ﺭﻮﺸﻛ ﻥﺩﻮﺑ ﺰﻴﺧ ﻪﺛﺩﺎﺣ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻲﺘﺒﻗﺍﺮﻣ ﺕﺎﻣﺪﺧ ﻪﺋﺍﺭﺍ ﺰﻛﺮﻣ ﺮﻫ ﺭﺩ ﻲﻳﺎﭘﺮﺳ ﻡﻭﺪﺼﻣ ﺩﺍﺪﻌﺗ ﻪﻧﺍﺯﻭﺭ ﺖﺒﺛ ﻩﺪﺷ ﻪﺋﺍﺭﺍ ﺖﻣﺪﺧ ﻉﻮﻧ ﻭ ﻦﺳ ،ﺲﻨﺟ ﻚﻴﻜﻔﺗ ﻪﺑ ﻲﺴﻧﺍژﺭﻭﺍ ﻥﺎﻣﻭﺪﺼﻣ ﺭﺎﻣﺁ ﻱﺭﻭﺁ ﻊﻤﺟ ﺞﻠﻓ ،ﺖﻳﮋﻨﻨﻣ ،ﻲﻧﺎﻬﮔﺎﻧ ﻱﺩﺭﺯ ،ﺯﺍﺰﻛ ،ﻱﺮﺘﻔﻳﺩ ،ﻪﻓﺮﺳ ﻩﺎﻴﺳ ،ﻲﻧﻮﻣﻮﻨﭘ ،ﻲﺴﻔﻨﺗ ﺩﺎﺣ ﻱﺎﻫ ﻱﺭﺎﻤﻴﺑ ،ﻚﺧﺮﺳ ،ﻪﻳﺬﻐﺗ ءﻮﺳ)ﻲﻧﺍﺮﺤﺑ ﻂﻳﺍﺮﺷ ﺭﺩ ،ﻉﻮﻗﻮﻟﺍ ﻞﻤﺘﺤﻣ ﻱﺎﻫ ﻱﺭﺎﻤﻴﺑ ﺵﺭﺍﺰﮔ ،ﺎﻫﺎﻣﻭﺮﺗ ،ﻲﺘﺳﻮﭘ ﻱﺎﻫ ﺖﻧﻮﻔﻋ ،ﻪﻓﺮﺳ ﺎﺑ ﺐﺗ ،ﻝﺎﻬﺳﺍ ﺎﺑ ﺐﺗ ،ﻝﺎﻬﺳﺍ ﻭ ﻪﻓﺮﺳ ﻥﻭﺪﺑ ﺐﺗ ،ﻲﻜﺑﺁ ﺩﺎﺣ ﻝﺎﻬﺳﺍ ،ﻲﻧﻮﺧ ﻝﺎﻬﺳﺍ ،ﻱﺍ ﻩﺩﻭﺭ ﻱﺎﻫ ﻞﮕﻧﺍ ،ﺎﺑﻭ ،ﻪﺒﺼﺣ ،ﺱﻮﻔﻴﺗ ،ﻞﺳ ،ﻝﺎﻔﻃﺍ ﺐﺗ ،ﺎﻳﺭﻻﺎﻣ ،ﻚﺧﺮﺳ ،ﺖﻳﮋﻨﻨﻣ ﻪﺑ ﻙﻮﻜﺸﻣ ﺩﺭﺍﻮﻣ ﻭ ﻪﺒﻗﺮﺘﻣﺮﻴﻏ ﻪﺛﺩﺎﺣ ﺎﺑ ﻂﺒﺗﺮﻣﺮﻴﻏ ﻭ ﻂﺒﺗﺮﻣ ﺙﺩﺍﻮﺣ ،ﺎﻫ ﻲﺸﻛﺩﻮﺧ ،ﺎﻫ ﻲﮔﺪﻳﺰﮔﺭﺎﻣ ،ﺎﻫ ﻲﮕﺘﻓﺮﮔﺯﺎﮔ ﻥﺍﻮﻴﺣ ،ﺎﻫ ﻲﮕﺘﺧﻮﺳ .(ﻱﻮﻴﻠﻛ ﻲﻳﺎﺳﺭﺎﻧ ﻭ ﻞﺳ ،ﺯﻮﻴﻧﺎﻤﺸﻴﻟ ،ﻢﺧﺯ ﻩﺎﻴﺳ ،ﺯﻮﻠﺳﻭﺮﺑ ،ﺪﻴﺋﻮﻔﻴﺗ ،ﻚﻳژﺍﺭﻮﻤﻫ

ﺮﻔﻧ ﺭﺍﺰﻫ ﺮﻫ ﻱﺍﺯﺍ ﻪﺑ ﻱﺭﺎﻤﻴﺑ ﺮﻫ ﻥﺍﺰﻴﻣ ﺵﺭﺍﺰﮔ

(5)

ﺮﻔﻧ ﺭﺍﺰﻫ ﻩﺩ ﺮﻫ ءﺍﺯﺍ ﻪﺑ ﻡﺎﺧ ﺮﻴﻣ ﻭ گﺮﻣ ﻥﺍﺰﻴﻣ ﺵﺭﺍﺰﮔ ﺰﻛﺍﺮﻣ ﺮﻳﺎﺳ ﻪﺑ ﻲﻋﺎﺟﺭﺍ ﻭ ﻩﺪﺷ ﻪﺠﻟﺎﻌﻣ ﺩﺭﺍﻮﻣ ﺩﺍﺪﻌﺗ ﻭ ﺐﻴﺳﺁ ﻭ ﺖﺣﺍﺮﺟ ﻉﻮﻧ ﻚﻴﻜﻔﺗ ﻪﺑ ﺭﺎﻣﺁ ﻱﺪﻨﺑ ﻪﺘﺳﺩ ﻭ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﺭﺎﻣﺁ ﻝﻮﺌﺴﻣ ﻂﺳﻮﺗ ﻩﺪﺷ ﻱﺭﻭﺁﺩﺮﮔ ﻱﺎﻫﺭﺎﻣﺁ ﺖﺤﺻ ﻲﺳﺭﺮﺑ ﺎﻫ ﻥﺍﺮﺤﺑ ﺭﺩ ﻥﺎﻛﺩﻮﻛ ﻲﻌﻄﻘﻣ ﻲﺑﺎﻳﺯﺭﺍ ﺭﻮﻈﻨﻣ ﻪﺑ ﺖﻣﻼﺳ ﻩﺩﺎﺟ ﺕﺭﺎﻛ ﻪﻴﻬﺗ ﻪﺒﻗﺮﺘﻣﺮﻴﻏ ﻪﺛﺩﺎﺣ ﻥﺎﻣﻭﺪﺼﻣ ﻥﺪﺷ ﺺﺨﺸﻣ ﻱﺍﺮﺑ ،ﺖﺣﺍﺮﺟ ﺯﺍ ﺖﺒﻗﺍﺮﻣ ﺎﻳ ﻥﺎﻣﺭﺩ ﺖﻳﺰﻳﻭ ﺮﻫ ﺭﺩ ﻪﺛﺩﺎﺣ ﻲﺟﺭﺎﺧ ﻞﻣﺎﻋ ﺪﻛ ﺹﺎﺼﺘﺧﺍ ﻱﺩﺎﻬﻨﺸﻴﭘ ﻡﺮﻓ ﻥﺍﺮﺤﺑ ﺭﺩ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﻲﻧﺎﺴﻧﺍ ﻊﺑﺎﻨﻣ ﺖﻳﺮﻳﺪﻣ

ﻱﺭﺎﻛ ﺭﺎﺑ ﺶﻳﺍﺰﻓﺍ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ،ﻲﻧﺍﺮﺤﺑ ﻂﻳﺍﺮﺷ ﺭﺩ ﺩﺪﻌﺘﻣ ﻱﺎﻫ ﺖﻴﻟﻮﺌﺴﻣ ﺵﺮﻳﺬﭘ ﻥﺍﺮﺤﺑ ﻊﻗﺍﻮﻣ ﻱﺍﺮﺑ ﻪﻧﺎﮔﺍﺪﺟ ﻒﻳﺎﻇﻭ ﺡﺮﺷ ﻦﻳﻭﺪﺗ ﺯﺎﻴﻧ ﺩﺭﻮﻣ ﻱﺎﻫﺪﺣﺍﻭ ﺭﺩ ،ﻲﻜﻤﻛ ﻱﻭﺮﻴﻧ ﻥﺍﻮﻨﻋ ﻪﺑ ،ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﻥﺎﻳﻮﺠﺸﻧﺍﺩ ﻥﺍﻮﺧﺍﺮﻓ ﺎﻫﺪﺣﺍﻭ ﻥﻻﻮﺌﺴﻣ ﻭ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺮﻳﺪﻣ ﻂﺳﻮﺗ ،ﻞﺒﻗ ﺯﺍ ،ﻲﻜﻤﻛ ﻱﺎﻫﻭﺮﻴﻧ ﻒﻳﺎﻇﻭ ﻦﻴﻴﻌﺗ ﺙﺩﺍﻮﺣ ﻥﺎﻣﺯ ﺭﺩ ،ﺪﻴﻳﺄﺗ ﺩﺭﻮﻣ ﻥﺎﺒﻠﻃﻭﺍﺩ ﻲﻳﺎﺳﺎﻨﺷ ﻱﺍﺮﺑ ﺭﺍﺩ ﺐﺴﭼﺮﺑ ﻱﺎﻫ ﻡﺭﺁ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﻥﺍﺮﺤﺑ ﺭﺩ ﻥﺎﻣﻭﺪﺼﻣ ﺵﺮﻳﺬﭘ ﻝﻮﺻﺍ

ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻞﺧﺍﺩ ﺭﺩ ﻪﺛﺩﺎﺣ ﻥﺎﻣﻭﺪﺼﻣ ﻪﺘﻋﺎﺳ 24 ﺵﺮﻳﺬﭘ ﻲﮔﺩﺎﻣﺁ ﺙﺩﺍﻮﺣ ﺭﺩ ،ﻥﺎﻤﻳﺍﺯ ﻥﺎﻧﺯ ءﺰﺟ ﻪﺑ ،ﻦﻴﺗﻭﺭ ﺲﻧﺍژﺭﻭﺍﺮﻴﻏ ﻥﺍﺭﺎﻤﻴﺑ ﺵﺮﻳﺬﭘ ﺯﺍ ﺏﺎﻨﺘﺟﺍ ﻪﻴﻠﺨﺗ ﺯﺍ ﺪﻌﺑ ﻭ ﻦﻴﺣ ،ﻞﺒﻗ ﻥﺍﺭﺎﻤﻴﺑ ﺵﺭﺎﻤﺷ ﻝﻮﺌﺴﻣ ﻭ ﻚﺷﺰﭘ ﺭﻮﺘﺳﺩ ﻖﺒﻃ ،ﻥﺍﺭﺎﻤﻴﺑ ﻪﻴﻠﺨﺗ ﻝﻮﺌﺴﻣ ،ﺵﺮﻳﺬﭘ ﻝﻮﺌﺴﻣ .ﺪﻧﺭﺍﺩ ﻱﺮﺘﺴﺑ ﻪﻘﺑﺎﺳ ﻪﻛ ﻲﻧﺎﻣﻭﺪﺼﻣ ﻲﻠﺒﻗ ﺕﺎﻋﻼﻃﺍ ﻥﺩﻮﻤﻧ ﻪﻤﻴﻤﺿ ﻭ ﻲﺑﺎﻳﺯﺎﺑ ﻡﻭﺪﺼﻣ ﺯﺍ ﻦﻔﻠﺗ ﻩﺭﺎﻤﺷﻭ ﺡﻭﺮﺠﻣ ﺩﺮﻓ ﻥﺩﺮﻛ ﺍﺪﻴﭘ ﻞﺤﻣ ﺱﺭﺩﺁ ،ﺪﻧﻭﺎﺸﻳﻮﺧ ﻦﻳﺮﺗ ﻚﻳﺩﺰﻧ ﺱﺭﺩﺁ ،ﻦﺳ ،ﻲﮔﺩﺍﻮﻧﺎﺧ ﻡﺎﻧ ﻭ ﻡﺎﻧ ﻲﺘﻳﻮﻫ ﺕﺎﻋﻼﻃﺍ ﺬﺧﺍ ﻪﻳﻮﻬﻟﺍ ﻝﻮﻬﺠﻣ ﻥﺍﺭﺎﻤﻴﺑ ﻱﺍﺮﺑ ﻲﻨﺳ ﻱﺪﻨﺑ ﻩﻭﺮﮔ ﻭ ﺲﻨﺟ ،ﻢﺸﭼ ﮓﻧﺭ ،ﻮﻣ ﮓﻧﺭ ﺕﺎﻋﻼﻃﺍ ﺐﺴﭼﺮﺑ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﻪﻳﻮﻬﻟﺍ ﻝﻮﻬﺠﻣ ﺩﺍﺮﻓﺍ ﻲﻳﺎﺳﺎﻨﺷ ﺯﺍ ﺲﭘ ﻲﺘﻳﻮﻫ ﺕﺎﻋﻼﻃﺍ ﺖﺒﺛ ﻝﻮﺌﺴﻣ ،ﺵﺮﻳﺬﭘ ﻝﻮﺌﺴﻣ ﻪﺋﺍﺭﺍ ﻭ ﻱﺪﻌﺑ ﻱﺎﻫ ﺵﺮﻳﺬﭘ ﺖﻬﺟ ،ﺎﻫ ﺶﺨﺑ ﻭ ﺎﻫ ﺖﺨﺗ ﺭﺎﻣﺁ ﺯﺍ ﻉﻼﻃﺍ ﻭ ﻱﺪﻌﺑ ﻱﺎﻫ ﻱﺮﻴﮕﻴﭘ ﺭﻮﻈﻨﻣ ﻪﺑ ،ﻥﺎﮔﺪﻳﺩ ﻪﺛﺩﺎﺣ ﺺﻴﺧﺮﺗ ﺖﻴﻌﺿﻭ ﺯﺍ ﺵﺮﻳﺬﭘ ﺪﺣﺍﻭ ﻲﻫﺎﮔﺁ ﻲﻧﺎﻣﺭﺩ ﺕﺎﻣﺪﺧ ﻭ ﺭﺎﻤﻴﺑ ﺖﻴﻌﺿﻭ ،ژﺎﻳﺮﺗ ﺐﺴﭼﺮﺑ ﮓﻧﺭ ﻭ ﻩﺭﺎﻤﺷ ،ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻡﺎﻧ ،ﻪﻴﻠﻘﻧ ﻪﻠﻴﺳﻭ ،ﺖﻛﺮﺣ ﻥﺎﻣﺯ ،ﻲﺘﻳﻮﻫ ﺕﺎﻋﻼﻃﺍ ﻞﻣﺎﺷ ،ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻪﺑ ﻪﺛﺩﺎﺣ ﻞﺤﻣ ﺯﺍ ﻡﻭﺪﺼﻣ ﻝﺎﻘﺘﻧﺍ ﻡﺮﻓ ﻱﻭ ﻲﺗﺎﻴﺣ ﻢﺋﻼﻋ ﺮﮕﻳﺩ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻪﺑ ﻲﻧﺎﺘﺳﺭﺎﻤﻴﺑ ﺯﺍ ﻝﺎﻘﺘﻧﺍ ﻱﺍﺮﺑ ﻱژﻮﻟﻮﻳﺩﺍﺭ ﻭ ﻩﺎﮕﺸﻳﺎﻣﺯﺁ ﺕﺎﺷﺭﺍﺰﮔ ﻭ ﻲﻧﺎﻣﺭﺩ ﺕﺎﻣﺍﺪﻗﺍ ،ﻪﻣﺪﺻ ﻉﻮﻧ ،ﺎﻫ ﺺﻴﺨﺸﺗ ﻞﻣﺎﺷ ،ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﻲﭙﻛ ﻝﺎﺳﺭﺍ

ﻥﺍﺮﺤﺑ ﺭﺩ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﻲﻧﻮﻧﺎﻗ ﻱﺎﻫ ﻪﺒﻨﺟ

ﺖﻳﻮﻫ ﻦﻴﻴﻌﺗ ﺭﻮﻈﻨﻣ ﻪﺑ ،ﺯﻮﺠﻣ ﺬﺧﺍ ﻥﻭﺪﺑ ،ﻱﻭ ﻲﻣﻮﻤﻋ ﺖﻴﻌﺿﻭ ﻭ ﻡﻭﺪﺼﻣ ﻞﺤﻣ ،ﻲﺘﻳﻮﻫ ﺕﺎﻋﻼﻃﺍ ﻱﺎﺸﻓﺍ ﻲﺘﺴﻳﺰﻬﺑ ﻭ ﺮﻤﺣﺍ ﻝﻼﻫ ﺪﻨﻧﺎﻣ ﺕﺎﺠﻧ ﻭ ﺩﺍﺪﻣﺍ ﻱﺎﻫ ﻩﻭﺮﮔ ﻭ ﻲﻠﺤﻣ ﺕﺎﻳﺮﺸﻧ ،ﺎﻫ ﻪﻧﺎﺳﺭ ،ﻥﺎﻳﺎﻨﺷﺁ ﺲﻴﻠﭘ ،ﻩﺩﺍﻮﻧﺎﺧ ﻱﺎﻀﻋﺍ ﻪﺑ ﺕﺎﻋﻼﻃﺍ ﻱﺎﺸﻓﺍ ،ﺕﺎﺠﻧ ﻭ ﺩﺍﺪﻣﺍ ﻱﺎﻫ ﻥﺎﻣﺯﺎﺳ ﻪﺑ ﻥﺎﻧﺁ ﻞﺤﻣ ﻭ ﺺﻴﺧﺮﺗ ﻦﻴﺣ ﺖﻴﻌﺿﻭ ،ﻲﮔﺩﺍﻮﻧﺎﺧ ﻡﺎﻧ ﻭ ﻡﺎﻧ ﺪﺣ ﺭﺩ ﺯﻮﺠﻣ ﺬﺧﺍ ﻥﻭﺪﺑ ،ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺯﺍ ﻲﺼﻴﺧﺮﺗ ﻥﺍﺭﺎﻤﻴﺑ ﻲﺘﻳﻮﻫ ﺕﺎﻋﻼﻃﺍ ﻱﺎﺸﻓﺍ ﻩﺩﺍﻮﻧﺎﺧ ﻱﺎﻀﻋﺍ ﻱﺯﺎﺳ ﻩﺎﮔﺁ ﺭﻮﻈﻨﻣ ﻪﺑ ،ﺎﻫ ﻪﻧﺎﺳﺭ ﻭ ﻲﻳﺎﻀﻗ ﻱﺎﻫ ﻥﺎﻣﺯﺎﺳ ﻲﺘﻳﻮﻫ ﺕﺎﻋﻼﻃﺍ ﻱﺎﺸﻓﺍ ﻝﻮﺌﺴﻣ ،ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺮﻳﺪﻣ

(6)

ﻥﺍﺮﺤﺑ ﺎﺑ ﻪﻬﺟﺍﻮﻣ ﻱﺍﺮﺑ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﺕﺍﺰﻴﻬﺠﺗ ﻭ ﻲﻨﻤﻳﺍ

ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﻭ ﺩﺎﻨﺳﺍ ﺐﻳﺮﺨﺗ ﺯﺍ ﻱﺮﻴﮕﺸﻴﭘ ﺭﻮﻈﻨﻣ ﻪﺑ ،ﻲﻧﺎﻤﺘﺧﺎﺳ ﺕﺍﺰﻴﻬﺠﺗ ﻭ ﺢﻟﺎﺼﻣ ﺏﺎﺨﺘﻧﺍ ﺭﺩ ﺖﻗﺩ ﺎﻫ ﻥﺁ ﺎﺑ ﺭﺎﻛ ﻩﻮﺤﻧ ﻭ ﻱﺮﻴﮔﺭﺍﺮﻗ ﻞﺤﻣ ﺯﺍ ﺶﺨﺑ ﻞﻨﺳﺮﭘ ﻲﻫﺎﮔﺁ ﻭ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺭﺩ ﻲﻨﻓ ﺕﺍﺰﻴﻬﺠﺗ ﻲﻨﻴﺑ ﺶﻴﭘ ﺎﻬﻧﺁ ﺖﺤﺻ ﺯﺍ ﻥﺎﻨﻴﻤﻃﺍ ﺖﻬﺟ ،ﻲﻨﻓ ﺕﺍﺰﻴﻬﺠﺗ ﻱﺍ ﻩﺭﻭﺩ ﺪﻳﺩﺯﺎﺑ ﺙﺩﺍﻮﺣ ﺭﺩ ﻕﺍﺭﻭﺍ ﺐﻳﺮﺨﺗ ﺯﺍ ﻱﺮﻴﮔﻮﻠﺟ ﺖﻬﺟ ،ﻻﺎﺑ ﺖﻴﻨﻣﺍ ﺪﺻﺭﺩ ﺎﺑ ،ﻦﺌﻤﻄﻣ ﺕﺍﺰﻴﻬﺠﺗ ﻭ ﻊﺑﺎﻨﻣ ﻪﻴﻬﺗ ﺙﺩﺍﻮﺣ ﻉﻮﻗﻭ ﻦﻴﺣ ﺭﺩ ﻚﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺕﺎﻋﻼﻃﺍ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﻱﺯﺎﺳ ﻪﻨﻴﻬﺑ ﺭﻮﻈﻨﻣ ﻪﺑ ،ﻲﻧﺎﺘﺳﺭﺎﻤﻴﺑ ﺕﺎﻋﻼﻃﺍ ﻢﺘﺴﻴﺳ ﺪﻨﻧﺎﻣ ﻱﺮﺗﻮﻴﭙﻣﺎﻛ ﻱﺎﻫ ﻢﺘﺴﻴﺳ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ (ﺕﺎﻋﻼﻃﺍ ﺖﻴﻨﻣﺍ ﻆﻔﺣ ﺖﻬﺟ ،ﺖﺷﺍﺪﻬﺑ ﺕﺭﺍﺯﻭ ﻭ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ،ﻂﺑﺮﻳﺫ ﻱﺎﻫ ﻥﺎﻣﺯﺎﺳ)ﻒﻠﺘﺨﻣ ﻱﺎﻫ ﻞﺤﻣ ﺭﺩ ﻱﺭﺍﺪﻬﮕﻧ ﻭ ﻪﻧﺍﺯﻭﺭ ﻥﺎﺒﻴﺘﺸﭘ ﻪﺨﺴﻧ ﻪﻴﻬﺗ ﺎﻫ ﻥﺁ ﻱﺯﺎﺳﺯﺎﺑ ﺯﺍ ﻥﺎﻨﻴﻤﻃﺍ ﺖﻬﺟ ،ﻪﺒﻗﺮﺘﻣﺮﻴﻏ ﺙﺩﺍﻮﺣ ﻞﺑﺎﻘﻣ ﺭﺩ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﻙﺭﺍﺪﻣ ﻥﺩﻮﻤﻧ ﻪﻤﻴﺑ ﺪﻳﺪﺟ ﻱﺎﻫ ﺶﻳﺍﺮﻳﻭ ﺭﺩ ،ﺎﻬﻧﺁ ﺭﺩ ﺙﺩﺍﻮﺣ ﺎﺑ ﻪﻬﺟﺍﻮﻣ ﻲﺘﻴﻨﻣﺍ ﺮﻴﺑﺍﺪﺗ ﻥﺩﻭﺰﻓﺍ ﻭ ﺭﺎﺑ ﻚﻳ ﻝﺎﺳ ﻪﺳ ﺮﻫ ،ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﻲﺑﺎﻴﺷﺯﺭﺍ ﻱﺎﻫﺩﺭﺍﺪﻧﺎﺘﺳﺍ ﺮﻈﻧﺪﻳﺪﺠﺗ

ﻥﺍﺮﺤﺑ ﺎﺑ ﻪﻬﺟﺍﻮﻣ ﻱﺍﺮﺑ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﻲﻠﺒﻗ ﻲﮔﺩﺎﻣﺁ

ﻪﺛﺩﺎﺣ ﻉﻮﻧ ﺮﻫ ﻱﺍﺮﺑ ﻞﻨﺳﺮﭘ ﻭ ﺕﺎﻧﺎﻜﻣﺍ ،ﺕﺍﺰﻴﻬﺠﺗ ،ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻉﻮﻧ ﻖﺒﻃ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﻱﺰﻳﺭ ﻪﻣﺎﻧﺮﺑ ﻪﻣﺎﻧﺮﺑ ﺡﻼﺻﺍ ﻭ ﻦﻳﺮﻤﺗ ،ﻦﻳﻭﺪﺗ ﺭﺩ ﻞﻨﺳﺮﭘ ﻪﻴﻠﻛ ﺖﻛﺭﺎﺸﻣ ﺙﺩﺍﻮﺣ ﻉﺍﻮﻧﺍ ﻱﺍﺮﺑ ،ﻪﻣﺎﻧﺮﺑ ﺭﺩ ﺶﺨﺑ ﻲﻠﺻﺍ ﻱﺎﻫ ﺖﻴﻟﺎﻌﻓ ﻒﻴﺻﻮﺗ ﺪﻨﻧﺎﻣ ﺶﺨﺑ ﻲﻠﺻﺍ ﻱﺎﻫ ﺖﻴﻟﺎﻌﻓ ﻭ ﻒﻳﺎﻇﻭ /ﺦﻳﺭﺎﺗ /ﻪﺒﻗﺮﺘﻣﺮﻴﻏ ﺙﺩﺍﻮﺣ ﻪﻣﺎﻧﺮﺑ ﻩﺪﻨﻨﻛ ﻪﻴﻬﺗ ﻡﺎﻧ /ﺶﺨﺑ ﻡﺎﻧ /ﻪﺴﺳﻮﻣ ﻡﺎﻧ :ﻱﺎﻫ ﻢﺘﻳﺁ ﻞﻣﺎﺷ ،ﻪﺒﻗﺮﺘﻣﺮﻴﻏ ﻪﺛﺩﺎﺣ ﺮﻫ ﻱﺍﺮﺑ ﻡﺮﻓ ﻪﻴﻬﺗ /ﺕﺎﻋﻼﻃﺍ ﺖﻴﻨﻣﺍ ﻭ ﻞﻨﺳﺮﭘ ﻲﻳﺁﺭﺎﻛ ،ﺎﻫﺪﺣﺍﻭ ،ﺕﺍﺰﻴﻬﺠﺗ ﻭ ﺭﺍﺰﻓﺍ ﺖﺨﺳ ،ﺭﺍﺰﻓﺍ ﻡﺮﻧ ،ﻪﺴﺳﻮﻣ ﺮﺑ ﺮﻴﺛﺄﺗ ﻞﻣﺎﺷ ﺙﺩﺍﻮﺣ ﻦﻳﺍ ﻪﺑ ﻁﻮﺑﺮﻣ ﻱﺎﻫﺪﻣﺎﻴﭘ /... ﻭ ﻱﺭﺍﺬﮔﺪﻛ ،ﻩﺪﻧﻭﺮﭘ ﻱﺮﻴﮕﻴﭘ ﻭ ﻡﺎﻜﺤﺘﺳﺍ ﻦﻴﻤﻀﺗ ﻭ ﺎﻫ ﺐﻴﺳﺁ ﻭ ﺕﺍﺭﺎﺴﺧ ﺶﻫﺎﻛ ﺕﺎﻣﺍﺪﻗﺍ ﻞﻣﺎﺷ ﺕﺍﺩﺎﻬﻨﺸﻴﭘ ﻭ ﺎﻫ ﺭﺎﻛ ﻩﺍﺭ /ﻩﮋﻳﻭ ﺕﺎﻣﺪﺧ ﻭ ﺕﺎﻋﻼﻃﺍ ﻙﺭﺍﺪﺗ ﺎﺑ ﺎﻫﺪﻨﻳﺍﺮﻓ ﻭ ﻒﻳﺎﻇﻭ ﻦﻴﺑ ﻞﺑﺎﻘﺘﻣ ﻲﮕﺘﺴﺑﺍﻭ ﺐﺴﻛ ﺪﻨﻧﺎﻣ ﻩﺪﺷ ﻪﺋﺍﺭﺍ ﻱﺎﻫ ﺭﺎﻛ ﻩﺍﺭ ﻭ ﺕﺍﺩﺎﻬﻨﺸﻴﭘ ﻪﺑ ﻞﻴﻧ ﺖﻬﺟ ﺙﺩﺍﻮﺣ ﻉﻮﻗﻭ ﺯﺍ ﻞﺒﻗ ﻡﺯﻻ ﻱﺎﻫ ﺖﻴﻟﺎﻌﻓ /ﺎﻫﺭﺎﻛ ﻩﺍﺭ ﺯﺍ ﻚﻳ ﺮﻫ ﻪﺑ ﻁﻮﺑﺮﻣ ﻱﺎﻳﺍﺰﻣ ﻭ ﺎﻫ ﺖﻳﺩﻭﺪﺤﻣ ﻦﻴﻴﻌﺗ /ﺭﺎﻛ ﻡﺍﻭﺩ .ﻥﺎﻨﻛﺭﺎﻛ ﺵﺯﻮﻣﺁ ﻭ ﺙﺩﺍﻮﺣ ﻉﻮﻗﻭ ﻪﺑ ﻁﻮﺑﺮﻣ ﻱﺎﻫ ﻡﺮﻓ ﻪﻴﻬﺗ ،ﻥﺎﺒﻴﺘﺸﭘ ﻢﺘﺴﻴﺳ ﺩﺎﺠﻳﺍ ،ﺕﺍﺰﻴﻬﺠﺗ ﺎﻫﺪﺣﺍﻭ ﻥﻻﻮﺌﺴﻣ ﻑﺮﻃ ﺯﺍ ،ﻪﺛﺩﺎﺣ ﺮﻫ ﺯﺍ ﺲﭘ ،ﻱﺯﺎﺴﻬﺑ ﻱﺎﻫ ﺖﺻﺮﻓ ﻦﻴﻴﻌﺗ ﻭ ﺪﺣﺍﻭ ﺮﻫ ﺩﺮﻜﻠﻤﻋ ﻲﺑﺎﻳﺯﺭﺍ ﻪﻣﺎﻧﺮﺑ ﻪﻧﻻﺎﺳ ﻱﺯﺎﺳ ﺪﻣﺁﺯﻭﺭ ﻭ ﻲﻨﻴﺑﺯﺎﺑ ﻥﺎﻧﺁ ﻲﻳﺁﺭﺎﻛ ﺶﻳﺍﺰﻓﺍ ﺖﻬﺟ ،ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﻥﺎﻳﻮﺠﺸﻧﺍﺩ ﻱﺯﻮﻣﺁﺭﺎﻛ ﺭﺩ ،ﻥﺍﺮﺤﺑ ﺭﺩ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﻝﻮﺻﺍ ﺵﺯﻮﻣﺁ ﺵﺮﻳﺬﭘ ﺭﺩﺎﻛ ًﺎﺻﻮﺼﺧ ،ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﻞﻨﺳﺮﭘ ﻱﺍﺮﺑ ﻲﺳﺎﻨﺷ ﻥﺍﻭﺭ ﻭ ﻪﻴﻟﻭﺍ ﻱﺎﻫ ﻚﻤﻛ ﻲﺷﺯﻮﻣﺁ ﻱﺎﻫ ﻩﺭﻭﺩ ﻱﺭﺍﺰﮔﺮﺑ ﻥﺍﺮﺤﺑ ﺎﺑ ﻪﻠﺑﺎﻘﻣ ﻲﮔﺩﺎﻣﺁ ﺶﻳﺍﺰﻓﺍ ﺭﻮﻈﻨﻣ ﻪﺑ ،ﻲﺷﺯﻮﻣﺁ ﻱﺎﻫ ﻩﺭﻭﺩ ﻭ ﺕﺎﻨﻳﺮﻤﺗ ﻪﻧﻻﺎﺳ ﻱﺭﺍﺰﮔﺮﺑ ﻲﺷﺯﻮﻣﺁ ﻩﺭﻭﺩ ﺮﻫ ﺯﺍ ﺲﭘ -ﺎﻫ ﺖﻴﻟﻮﺌﺴﻣ ﻭ ﻒﻳﺎﻇﻭ ﺡﺮﺷ ﻪﺑ ﻊﺟﺍﺭ ﻦﺘﺳﺍﻮﺧ ﺢﻴﺿﻮﺗ ﺎﺑ -ﻞﻨﺳﺮﭘ ﺖﻴﺣﻼﺻ ﻲﺑﺎﻳﺯﺭﺍ ﻲﻠﺒﻗ ﺙﺩﺍﻮﺣ ﻭ ﺎﻫﺭﻮﻧﺎﻣ ﺞﻳﺎﺘﻧ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ،ﻲﺷﺯﻮﻣﺁ ﻱﺎﻫ ﻪﻣﺎﻧﺮﺑ ﺡﻼﺻﺍ ﻱﺭﺍﺩﺍﺮﻴﻏ ﺖﻔﻴﺷ ﺭﺩ ﻭ ﻥﺍﺭﺎﻤﻴﺑ ﺭﻮﻀﺣ ﻥﻭﺪﺑ ﺭﺎﺑ ﻚﻳ ﻭ (ﻱﺭﺍﺩﺍ ﺕﺎﻋﺎﺳ ﻭ ﻝﺎﻌﻓ ﺖﻔﻴﺷ ﺭﺩ)ﻥﺍﺭﺎﻤﻴﺑ ﺭﻮﻀﺣ ﺎﺑ ﺭﺎﺑ ﻚﻳ ﺭﻮﻧﺎﻣ ﻡﺎﺠﻧﺍ ﺭﻮﻧﺎﻣ ﺭﺩ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﻞﻨﺳﺮﭘ ﻪﻤﻫ ﺖﻛﺮﺷ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﺭﺩ ،ﻪﺛﺩﺎﺣ ﺯﺍ ﺪﻌﺑ ﻭ ﻞﺒﻗ ﺖﻴﻓﺮﻇ ﻲﺑﺎﻳﺯﺭﺍ ﻭ ﺶﻫﻭﮋﭘ ﻭ ﻖﻴﻘﺤﺗ ،ﻪﻧﺍﺯﻭﺭ ﻲﻫﺩ ﺵﺭﺍﺰﮔ ،ﻱﺮﻴﮔﺭﺎﻣﺁ ،ﺕﺎﻋﻼﻃﺍ ﺖﺒﺛ ﻭ ﻱﺭﻭﺁ ﻊﻤﺟ ﺭﻮﻧﺎﻣ ﻡﺎﺠﻧﺍ ﺎﻫ ﻥﺍﺮﺤﺑ ﻭ ﻪﺒﻗﺮﺘﻣﺮﻴﻏ ﺙﺩﺍﻮﺣ ﻪﺘﻴﻤﻛ ﺭﺩ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﻝﻮﺌﺴﻣ ﺖﻳﻮﻀﻋ ﻪﺛﺩﺎﺣ ﻞﺤﻣ ﺭﺩ ،ﻥﺍﺮﺤﺑ ﻢﻴﺗ ﺭﺩ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﻥﺎﻳﺪﺼﺘﻣ ﺖﻳﻮﻀﻋ ﻪﻴﻟﻭﺍ ﻱﺎﻫ ﻚﻤﻛ ﻭ ﻲﺳﺎﻨﺷ ﻥﺍﻭﺭ ،ﻲﻜﺷﺰﭘ ﺕﺎﺣﻼﻄﺻﺍ ﺶﻧﺍﺩ ﺯﺍ ،ﻞﺤﻣ ﺭﺩ ﺮﺿﺎﺣ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﻥﺎﻳﺪﺼﺘﻣ ﻲﻫﺎﮔﺁ .ﺪﻫﺩ ﻡﺎﺠﻧﺍ ﺪﻳﺎﺑ ﻱﺍ ﻪﻔﻴﻇﻭ ﻪﭼ ،ﻲﻧﺎﻣﺯ ﻪﭼ ،ﻲﺴﻛ ﻪﭼ ﻞﻣﺎﺷ ،ﻪﺛﺩﺎﺣ ﻞﺤﻣ ﺭﺩ ﻥﺍﺮﺤﺑ ﻢﻴﺗ ﻱﺎﻀﻋﺍ ﺮﻳﺎﺳ ﻒﻳﺎﻇﻭ ﺯﺍ ﻲﻫﺎﮔﺁ

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ﺶﺨﺑ ﻲﻧﺎﺴﻧﺍ ﻊﺑﺎﻨﻣ ﺖﻳﺮﻳﺪﻣ ﻲﺳﺭﺮﺑ ﺯﺍ ﻞﺻﺎﺣ ﻱﺎﻫ ﻪﺘﻓﺎﻳ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﻱﺎﻫ ﺶﺨﺑ ﺩﺍﺩ ﻥﺎﺸﻧ ﻥﺍﺮﺤﺑ ﺭﺩ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺯﺍ .ﺪﻨﺘﺷﺍﺩ ﺭﺍﺮﻗ ﻒﻴﻌﺿ ﺢﻄﺳ ﺭﺩ ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻲﻧﺎﺴﻧﺍ ﻊﺑﺎﻨﻣ ﺖﻳﺮﻳﺪﻣ ﺖﻴﻌﺿﻭ ﺯﺍ ﻥﺎﻨﻛﺭﺎﻛ ﺮﺜﻛﺍ ﻲﻫﺎﮔﺁ ﻲﻓﺮﻃ .ﺖﺷﺍﺩ ﺭﺍﺮﻗ (ﺪﺻﺭﺩ54/5)ﻒﻴﻌﺿ ﺢﻄﺳ ﺭﺩ ﺰﻴﻧ ﻥﺍﺮﺤﺑ ﺭﺩ ﻩﺩﺎﻣﺁ ﻢﻴﺗ ﻮﻀﻋ - (Roslyne Schulman) ﻦﻤﻟﻮﻜﺳﺍ ﻦﻴﻟﺯﻭﺭ :ﺖﺳﺍ ﺪﻘﺘﻌﻣ - ﻪﺒﻗﺮﺘﻣﺮﻴﻏ ﺙﺩﺍﻮﺣ ﻞﺑﺎﻘﻣ ﺭﺩ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻱﺯﺎﺳ ﻪﻟﺄﺴﻣ ﻚﻳ ،ﺮﻴﮔﺍﺮﻓ ﺙﺩﺍﻮﺣ ﺭﺩ ﻞﻨﺳﺮﭘ ﺐﺳﺎﻨﻣ ﻲﻫﺪﻧﺎﻣﺯﺎﺳ [15].ﺖﺳﺍ ﻱﺪﺟ ﻱﺎﻫ ﺶﺨﺑ ،ﻥﺍﺮﺤﺑ ﺭﺩ ﺵﺮﻳﺬﭘ ﻝﻮﺻﺍ ﺖﻳﺎﻋﺭ ﻥﺍﺰﻴﻣ ﻪﻨﻴﻣﺯ ﺭﺩ ﻲﺑﺎﻳﺯﺭﺍ ﻒﻴﻌﺿ ﻲﻠﻴﺧ ﺖﻴﻌﺿﻭ ﺭﺩ ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺭﺩ ﺰﻴﻧ ﺎﻫ ﺶﺨﺑ ﻦﻳﺍ ﻥﺎﻨﻛﺭﺎﻛ ﺮﺜﻛﺍ ﻲﻫﺎﮔﺁ ﻪﻜﻨﻳﺍ ﻦﻤﺿ .ﺪﻧﺪﺷ ﻪﻜﻨﻳﺍ ﺎﺑ ﻪﺟﻮﺗ ﺎﺑ .ﺖﺷﺍﺩ ﺭﺍﺮﻗ (ﺪﺻﺭﺩ35/7)ﻒﻴﻌﺿ ﻲﻠﻴﺧ ﺢﻄﺳ ﺍﺬﻟ ،ﺪﺷﺎﺑ ﻲﻣ ﺖﻴﻤﻫﺍ ﺰﺋﺎﺣ ﺭﺎﻴﺴﺑ ﻥﺎﮔﺪﻳﺩ ﻪﺛﺩﺎﺣ ﺕﺎﻋﻼﻃﺍ ﺖﺒﺛ .ﺪﺳﺭ ﻲﻣ ﺮﻈﻧ ﻪﺑ ﻱﺭﻭﺮﺿ ﻥﺍﺮﺤﺑ ﺭﺩ ﺵﺮﻳﺬﭘ ﻡﺮﻓ ﻪﻴﻬﺗ ﺎﻫ ﻪﺘﻓﺎﻳ ﻥﺍﺮﺤﺑ ﺭﺩ ﻲﻧﻮﻧﺎﻗ ﻱﺎﻫ ﻪﺒﻨﺟ ﺖﻳﺎﻋﺭ ﻥﺍﺰﻴﻣ ﻪﻨﻴﻣﺯ ﺭﺩ ﻒﻴﻌﺿ ﺖﻴﻌﺿﻭ ﺭﺩ ،ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﻱﺎﻫ ﺶﺨﺑ (ﺪﺻﺭﺩ42) ﻂﺳﻮﺘﻣ ﺢﻄﺳ ﺭﺩ ﻥﺎﻨﻛﺭﺎﻛ ﺮﺜﻛﺍ ﻲﻫﺎﮔﺁ ﻥﺍﺰﻴﻣ ﻭ ﺲﭘ -2005 ﺮﺒﻣﺎﺘﭙﺳ 2 ﺭﺩ^HIPAA ﻪﻣﺎﻧﺮﺒﺧ ﻖﺒﻃ .ﺖﺷﺍﺩ ﺭﺍﺮﻗ ﻪﺟﻮﺗ ﺎﺑ ﻲﺘﺴﻳﺎﺑ ﻲﮕﻧﺎﻣﺮﺤﻣ ﻱﺎﻫ ﻞﻤﻌﻟﺍﺭﻮﺘﺳﺩ -ﺎﻨﻳﺮﺗﺎﻛ ﻥﺎﻓﻮﺗ ﺯﺍ ﺖﺒﻗﺍﺮﻣ ﻥﺎﮔﺪﻨﻫﺩ ﻪﺋﺍﺭﺍ ﻦﻴﻨﭼ ﻢﻫ ﻭ ﻥﺎﻣﺭﺩ ﻉﻮﻧ ،ﻪﺛﺩﺎﺣ ﺕﺪﺷ ﻪﺑ ﻭ ﻩﺩﺍﻮﻧﺎﺧ ﻪﺑ ﻲﻧﺎﺳﺭ ﻉﻼﻃﺍ ﻩﺯﺎﺟﺍ ﻭ ﻩﺪﺷ ﻦﻳﻭﺪﺗ ﻲﺘﺷﺍﺪﻬﺑ .ﺪﻨﻫﺪﺑ ﺙﺩﺍﻮﺣ ﺭﺩ ﻩﺪﺷ ﺺﺧﺮﻣ ﻥﺍﺭﺎﻤﻴﺑ ﻞﺤﻣ ﺯﺍ ﺍﺭ ﻥﺎﻳﺎﻨﺷﺁ [16]

ﺕﺍﺰﻴﻬﺠﺗ ﻭ ﻲﻨﻤﻳﺍ ﻥﺍﺰﻴﻣ ﻲﺳﺭﺮﺑ ﺯﺍ ﻞﺻﺎﺣ ﻱﺎﻫ ﻪﺘﻓﺎﻳ ﺺﺨﺸﻣ ﻥﺍﺮﺤﺑ ﺎﺑ ﻪﻬﺟﺍﻮﻣ ﻱﺍﺮﺑ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﺩﺭﻮﻣ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﻱﺎﻫ ﺶﺨﺑ ،ﺖﺧﺎﺳ ﻥﺎﻨﻛﺭﺎﻛ ﺮﺜﻛﺍ ﻲﻫﺎﮔﺁ ﻥﺍﺰﻴﻣ ﻭ ﻒﻴﻌﺿ ﺖﻴﻌﺿﻭ ﺭﺩ ﻪﻌﻟﺎﻄﻣ ﻲﻠﻴﺧ ﺢﻄﺳ ﺭﺩ ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﻱﺎﻫ ﺶﺨﺑ .ﺖﺷﺍﺩ ﺭﺍﺮﻗ (ﺪﺻﺭﺩ67/9)ﻒﻴﻌﺿ ﻱﺍﺮﺑ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﻲﻠﺒﻗ ﻲﮔﺩﺎﻣﺁ ﻥﺍﺰﻴﻣ ﺹﻮﺼﺧ ﺭﺩ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﻱﺎﻫ ﺶﺨﺑ ﻥﺍﺮﺤﺑ ﺎﺑ ﻪﻬﺟﺍﻮﻣ ﻥﺎﻨﻛﺭﺎﻛ ﺮﺜﻛﺍ ﻲﻫﺎﮔﺁ ﻥﺍﺰﻴﻣ ﻭ ﻒﻴﻌﺿ ﺖﻴﻌﺿﻭ ﺭﺩ ،ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﺭﺩ .ﺖﺷﺍﺩ ﺭﺍﺮﻗ (ﺪﺻﺭﺩ61/6) ﻒﻴﻌﺿ ﻲﻠﻴﺧ ﺢﻄﺳ ﺭﺩ ﻲﮔﺩﺎﻣﺁ ﻥﺍﺰﻴﻣ ﻲﺳﺭﺮﺑ" ﺩﺭﻮﻣ ﺭﺩ ﻥﺍﺭﺎﻜﻤﻫ ﻭ ﻱﺭﺍﻮﻛ ﻪﻛ ﻲﺸﻫﮋﭘ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻩﺎﮕﺸﻧﺍﺩ ﻪﺑ ﻪﺘﺴﺑﺍﻭ ﻲﺷﺯﻮﻣﺁ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ

ﻥﻻﻮﺌﺴﻣ ﻭ ﺎﻫ ﻥﻭﺮﺘﻣ ﻱﻭﺭ ﺮﺑ ﻭ "ﻥﺍﺮﺤﺑ ﺖﻳﺮﻳﺪﻣ ﺮﻈﻧ ﺯﺍ ﺯﺍﺮﻴﺷ ﻥﺍﺰﻴﻣ ،ﻪﻛ ﺪﻨﺘﻓﺎﻳ ﺖﺳﺩ ﺞﻳﺎﺘﻧ ﻦﻳﺍ ﻪﺑ ،ﺪﻳﺩﺮﮔ ﻡﺎﺠﻧﺍ ﻲﺗﺎﺴﻴﺳﺄﺗ ﻻﺎﺑ ﻪﺑ ﻭﺭ ﻂﺳﻮﺘﻣ ﺪﺣ ﺭﺩ ﻲﺳﺭﺮﺑ ﺖﺤﺗ ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻲﮔﺩﺎﻣﺁ ﻲﺷﺯﻮﻣﺁ ﻱﺎﻫ ﻪﻣﺎﻧﺮﺑ ،ﻥﺍﺮﺤﺑ ﺎﺑ ﻪﻠﺑﺎﻘﻣ ﺖﻬﺟ ﺎﻬﻧﺁ ﺮﺘﺸﻴﺑ ﺭﺩ ﻭ ﺩﻮﺑ ﭻﻴﻫ ﺭﺩ ﻱﺍ ﻩﺭﻭﺩ ﺕﺎﺠﻧ ﻭ ﺩﺍﺪﻣﺍ ﻱﺎﻫ ﻪﻣﺎﻧﺮﺑ .ﺩﻮﺑ ﻩﺪﺷ ﻦﻳﻭﺪﺗ ﻱﺎﻔﻃﺍ ﻢﺘﺴﻴﺳ ﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻪﻤﻫ .ﺪﺷ ﻲﻤﻧ ﻡﺎﺠﻧﺍ ﺰﻛﺍﺮﻣ ﺯﺍ ﻡﺍﺪﻛ ﻱﺎﻔﻃﺍ ﻱﺎﻫ ﻢﺘﺴﻴﺳ ﻭ ﻲﻨﻤﻳﺍ ﻱﺎﻫ ﻞﻤﻌﻟﺍﺭﻮﺘﺳﺩ ﺎﻣﺍ ،ﺪﻨﺘﺷﺍﺩ ﻖﻳﺮﺣ ﺭﺎﺘﺧﺎﺳ ﺮﻈﻧ ﻪﻄﻘﻧ ﺯﺍ .ﺖﺷﺍﺩ ﺩﻮﺟﻭ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻭﺩ ﺭﺩ ﻂﻘﻓ ﻖﻳﺮﺣ ﺎﺑ ﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻪﺸﻘﻧ ﻲﻧﺍﻮﺧ ﻢﻫ ﻞﻣﺎﺷ ﻲﺗﺎﺴﻴﺳﺄﺗ ﻭ ﻱﺍ ﻩﺯﺎﺳ ﻱﺯﻮﺳ ﺶﺗﺁ ﻭ ﻪﻟﺰﻟﺯ ﺮﺑﺍﺮﺑ ﺭﺩ ﺎﻬﻧﺁ ﻱﺮﻳﺬﭘﺮﻄﺧ ﻭ ﺯﻭﺭ ﺖﻴﻌﻗﻮﻣ ﺪﺻﺭﺩ88/9 .ﺪﻧﺩﻮﺑ ﺩﺭﺍﺪﻧﺎﺘﺳﺍ ﺎﺑ ﻖﺑﺎﻄﻣ ﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺮﺘﺸﻴﺑ ...ﻭ ﻲﻤﻴﻧ ﺯﺍ ﺶﻴﺑ ﺭﺩ ﻭ ﺪﻨﺘﺷﺍﺩ ﻲﻳﺎﻨﺷﺁ ﻪﻘﻄﻨﻣ ﻱﺎﻴﻓﺍﺮﻐﺟ ﺎﺑ ﻥﺍﺮﻳﺪﻣ ﺩﻮﺟﻭ ﻥﺍﺮﺤﺑ ﻥﺎﻣﺯ ﺭﺩ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻪﻴﻠﺨﺗ ﻪﻣﺎﻧﺮﺑ ،ﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﺯﺍ ﺖﻴﻔﻴﻛ ﺎﺑ ﻢﻫ ﻥﺁ ﺰﻛﺍﺮﻣ ﺯﺍ ﻲﻜﻳ ﺭﺩ ﻂﻘﻓ ﻥﺍﺮﺤﺑ ﻪﺘﻴﻤﻛ ﻭ ﺖﺷﺍﺩ [17].ﺖﺷﺍﺩ ﺩﻮﺟﻭ ﻂﺳﻮﺘﻣ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﺭﺩ ﻥﺍﺮﺤﺑ ﺖﻳﺮﻳﺪﻣ ﻱﺍﺮﺑ ﻲﻳﻮﮕﻟﺍ ﺖﻳﺎﻬﻧ ﺭﺩ ﻦﻤﺠﻧﺍ ﻭﺩ ﻱﺎﻫﺩﺭﺍﺪﻧﺎﺘﺳﺍ ،ﻥﺁ ﻪﻴﻬﺗ ﺭﺩ ﻪﻛ ﺪﺷ ﻲﺣﺍﺮﻃ ﻲﻜﺷﺰﭘ ﻲﺳﺭﺮﺑ ﺯﺍ ﻞﺻﺎﺣ ﺞﻳﺎﺘﻧ ﻦﻴﻨﭼ ﻢﻫ ﻭ ﺎﻜﻳﺮﻣﺁ ^HIMSS ﻭ ^AHIMA ﻱﺎﻫ ﻥﺎﺘﺳﺭﺎﻤﻴﺑ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﻱﺎﻫ ﺶﺨﺑ ﺭﺩ ﻥﺍﺮﺤﺑ ﺖﻳﺮﻳﺪﻣ ﺱﺎﺳﺍ ﻥﺍﻮﻨﻋ ﻪﺑ ،ﺩﺮﺟﻭﺮﺑ ﻥﺎﺘﺳﺮﻬﺷ ﻭ ﻥﺎﻣﺮﻛ ﻥﺎﺘﺳﺍ ﻲﺷﺯﻮﻣﺁ ،ﻪﻠﺣﺮﻣ ﻚﻳ ﺭﺩ ﻮﮕﻟﺍ ﻦﻳﺍ .(ﺖﺳﻮﻴﭘ)ﺖﺳﺍ ﻩﺪﺷ ﻪﺘﻓﺮﮔ ﺮﻈﻧﺭﺩ ﺭﺎﻛ 6 ﺭﺩ ﻲﻳﺎﻬﻧ ﻱﻮﮕﻟﺍ .ﺖﻓﺮﮔ ﺭﺍﺮﻗ ﻥﻮﻣﺯﺁ ﺩﺭﻮﻣ ﻲﻔﻟﺩ ﺵﻭﺭ ﻪﺑ :ﺯ ﺍ ﺪﻨﺗﺭﺎﺒﻋ ﻪﻛ ،ﺖﺳﺍ ﻩﺪﺷ ﻪﺋﺍﺭﺍ ﻲﻠﻛ ﺭﻮﺤﻣ ﻭ ﺭﺎﻣﺁ ،ﺕﺎﻋﻼﻃﺍ ﻱﺭﻭﺁ ﻊﻤﺟ ﺖﻳﺮﻳﺪﻣ) :ﻝﻭﺍ ﺭﻮﺤﻣ - (ﻥﺍﺮﺤﺑ ﺖﻳﺮﻳﺪﻣ ﺭﺩ ﻱﺯﺎﺳﺪﻨﺘﺴﻣ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﻲﻧﺎﺴﻧﺍ ﻊﺑﺎﻨﻣ ﺖﻳﺮﻳﺪﻣ) :ﻡﻭﺩ ﺭﻮﺤﻣ - (ﻥﺍﺮﺤﺑ ﺭﺩ (ﻥﺍﺮﺤﺑ ﺭﺩ ﺵﺮﻳﺬﭘ ﻝﻮﺻﺍ) :ﻡﻮﺳ ﺭﻮﺤﻣ - (ﻥﺍﺮﺤﺑ ﺭﺩ ﻲﻧﻮﻧﺎﻗ ﻱﺎﻫ ﻪﺒﻨﺟ) :ﻡﺭﺎﻬﭼ ﺭﻮﺤﻣ - ﻱﺍﺮﺑ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﺕﺍﺰﻴﻬﺠﺗ ﻭ ﻲﻨﻤﻳﺍ) :ﻢﺠﻨﭘ ﺭﻮﺤﻣ - (ﻥﺍﺮﺤﺑ ﺎﺑ ﻪﻬﺟﺍﻮﻣ ﻱﺍﺮﺑ ﻲﻜﺷﺰﭘ ﻙﺭﺍﺪﻣ ﺶﺨﺑ ﻲﻠﺒﻗ ﻲﮔﺩﺎﻣﺁ) :ﻢﺸﺷ ﺭﻮﺤﻣ - (ﻥﺍﺮﺤﺑ ﺎﺑ ﻪﻬﺟﺍﻮﻣ

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References

Pezeshkian M. [Message of Secretary of Congress]. Pro- 1.

ceedings of Second International Congress on Health, Medi- cation and Crisis Management in Disasters; 2004 November 23-25; Tehran, Iran. [Persian]

Araghizade H. [Message of Director of Congress]. Pro- 2.

ceedings of Second International Congress on Health, Medi- cation and Crisis Management in Disasters; 2004 November 23-25; Tehran, Iran. [Persian]

Tahmasbi P. [Evaluation of Crisis Management in Dis- 3.

asters and Natural Disasters] [Thesis]. Tehran: Islamic Azad University; 1999. [Persian]

Memarzade M. [Hospital Management in Disasters]. Pro- 4.

ceedings of Second International Congress on Health, Medi- cation and Crisis Management in Disasters; 2004 November 23-25; Tehran, Iran. p 426. [Persian]

Niroomand N. [Fire Management in Hospitals]. Age of 5.

Management 2005; 2: 16. [Persian]

Esmaeeli T. [Role of Statistics and Information in Dis- 6.

asters]. Proceedings of Second International Congress on Health, Medication and Crisis Management in Disasters;

2004 November 23-25; Tehran, Iran. 2004. p 417. [Persian]

Aminesmaeeli M, Yasmi MT, Bahramnejad A, Afshari A.

7.

[Notification in the First Days after Earthquake in Bam, Re- sponse to Main Need]. Proceedings of Second International Congress on Health, Medication and Crisis Management in Disasters; 2004 November 23-25; Tehran, Iran. p 241. [Per- sian]

PAHO. Logistics Guide to Emergency Supply Manage- 8.

ment. 2001. Available from: URL: www.paho.org

Ajami S. [The Role of Health Information System in Pro- 9.

viding Healthcare services in Disasters] Proceedings of Sec- ond International Congress on Health, Medication and Crisis Management in Disasters; 2004 November 23-25; Tehran, Iran. p 297. [Persian]

Hughes G. Disaster Planning for Health Information.

10.

2003. Available from: URL: www.ahima.org

Namdaritabar H, Shahrezaee A, Gooya MM. [Evalua- 11.

tion of Health and Provision of Healthcare in Crisis: Plan for Evaluation Health and Providing of Healthcare]. Proceedings of Second International Congress on Health, Medication and Crisis Management in Disasters; 2004 November 23-25; Te- hran, Iran. [Persian]

Alamdari S. [Scientific Methods for Simulation Plan: Mod- 12.

els for Health, Care and Management in Disasters]. Tehran:

Medical Society Basij; 2004. p 444. [Persian]

AHIMA. Checklist for Assembling Health Information af- 13.

ter a Disaster. 2005. Available from: URL: www.libraryahima.

org/xpedio/groups/public/documents/ahima/pub.box102794 Gooya MM. [Healthcare of Diseases in Major Incident].

14.

Proceedings of Second International Congress on Health, Medication and Crisis Management in Disasters; 2004 No- vember 23-25; Tehran, Iran. p 28. [Persian]

American College of Emergency Physicians. APCs and 15.

the Emergency Department. 2007. Available from: URL:

http://www.acep.org/practres.aspx?id=30300

Hughes KK, Knight WF, Koller JS. HIPAA & Disaster Re- 16.

covery. 2002. Available from: URL: http://www.reillycomm.

com/it-archive/it-ipo201-1.htm

Kovari H, Panahi A. [Survey of Adjustment of Prepar- 17.

edness Teaching Hospitals Affiliated to Shiraz University of Medical Sciences & Health Services to crisis Manage- ment- 2003]. Proceedings of Second International Congress on Health, Medication and Crisis Management in Disasters;

2004 November 23-25; Tehran, Iran. p 422. [Persian]

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Journal of Health Administration

Crisis Management in Medical Records Department in Kerman and Borujerd Teaching Hospitals;

2006 (Providing Model)

Hajavi A.¹ / Shojaei Baghini M.² / Haghani H.³ / Azizi A.A.⁴

Abstract

Introduction: Disaster medicine and crisis management can reduce the effects and hazards of disasters. In addition to, new technologies health information management which enters, collects, saves, retrieves and analyzes necessary information and makes it accessible to managers and planners. To review crisis management in medical record in teaching hospitals in Kerman Province and Brujerd city; and providing a model for Iran.

Methods: This is a descriptive cross-sectional study conducted in the year 2006. The research population included the medical record staffs working at teaching hospitals affiliated to Kerman Univer- sity of Medical Sciences and hospitals in Borujerd. Two questionnaires (Administrators/ personnel) were used for data collection. Data collection was made through field study. Data analyzed using descriptive statistics method. With Delphi systems, the recommended model was put into practice in one phase, and eventually after the analysis of the test results, the final model for crisis management in medical record was presented.

Results: The crisis management in medical record departments was weak. In addition the personnel awareness concerning crisis management in medical record departments was 55.37%. The structure of the suggested model was in accordance with the standards of USA (AHIMA/HIMSS), and the points of views of the research population.

Conclusion: Some steps should be taken to hold periodic training courses, to plan and to equip medical record departments. The structure of the suggested model for crisis management in medical record departments is provided in 6 axes.

Keywords: Medical Records, Crisis Management, Disasters, Delphi-based Model

Faculty Member of Medical Records Department, School of Management and Medical Information Science, Iran University of Medical Sciences 1.

Instructor of Medical Records Department, School of Management and Medical Information Science, Iran University of Medical Sciences, 2.