141
Investigating the Requirements for Privacy and Confidentiality of Information in Implementation of Electronic Medical
Record System in Hospitals in Isfahan, 2014
Saeed Karimi1, Maryam Jahanbakhsh2,
Akbar Hassanzadeh3, Maliheh Beigi4
1 Associate Professor, Department of Health Management Services, Health Management and Economics Research Center, School of Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan, Iran
2 PhD Student in Health Information Management, School of Management and Medical Informatics, Isfahan University of Medical Sciences, Isfahan, Iran
3 Lecturer, Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran 4 MSc Student in Health Information Technology, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
(Received March 2, 2015 ; Accepted July 1, 2015)
Abstract
Background and purpose: Today, with the advent of electronic medical record system (EMRS) the security and confidentiality of information ought to be reasonably considered. The purpose of this study was to assess the privacy and security requirements for implementation of EMRS in all hospitals in Isfahan in 2014.
Materials and methods: An analysis framework was used in an applied study performed in IT authorities in private hospitals and the hospitals affiliated to Isfahan University of Medical Sciences and social security organization in 2014. Data was collected using a researcher-made questionnaire and analyzed in SPSS V. 20.
Results: Meeting the requirements for security and confidentiality of information was found to be high (100-67, mean score=85) in the implementation of EMRS in hospitals in Isfahan.
Conclusion: The hospitals in Isfahan were believed to be prepared for the implementation of EMRS regarding security and confidentiality of information in 2014.
Keywords: Confidentiality, privacy, Electronic Medical Record System (EMRS)
J Mazandaran Univ Med Sci 2015; 25(126): 141-144 (Persian).
ﺠﻣ ـــ ﻠ ــــ ﻧاد ﻪ ـ ــﺸ ـ ﻋ هﺎﮕـ ـــ ﻠ ــــ ﭘ مﻮ ــــ ﺷﺰ ــ ﻜ ـ ﻣ ﻲـــ ــ ﻧزﺎ ـ ـ ـ نارﺪ
هرود هرﺎﻤﺷ ﻢﺠﻨﭘ و ﺖﺴﻴﺑ 126
ﺮﻴﺗ لﺎﺳ 1394 ) 144 - 141 (
142 ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ﻪﻠﺠﻣ نارﺪﻧزﺎﻣ
هرود
ﻢﺠﻨﭘ و ﺖﺴﻴﺑ هرﺎﻤﺷ ،
126 ، ﺮﻴﺗ 1394
هﺎﺗﻮﻛ شراﺰﮔ
ﻢﺘﺴﻴﺳ يزﺎﺳ هدﺎﻴﭘ رد تﺎﻋﻼﻃا ﻲﮕﻧﺎﻣﺮﺤﻣ و ﺖﻴﻨﻣا تﺎﻣاﺰﻟا ﻲﺑﺎﻳزرا يﺎﻫ نﺎﺘﺳرﺎﻤﻴﺑ رد ﻚﻴﻧوﺮﺘﻜﻟا ﻲﻜﺷﺰﭘ هﺪﻧوﺮﭘ
لﺎﺳ نﺎﻬﻔﺻا ﺮﻬﺷ 1393
ﻲﻤﻳﺮﻛ ﺪﻴﻌﺳ 1
ﺶﺨﺒﻧﺎﻬﺟ ﻢﻳﺮﻣ 2
هداز ﻦﺴﺣ ﺮﺒﻛا 3
ﻲﮕﻴﺑ ﻪﺤﻴﻠﻣ 4
هﺪﻴﻜﭼ
ﻪﻘﺑﺎﺳ فﺪﻫ و ﻴﺑ ﻚﻴﻧوﺮﺘﻜﻟا ﻲﻜﺷﺰﭘ هﺪﻧوﺮﭘ ﻢﺘﺴﻴﺳرﻮﻬﻇ ﺎﺑ هزوﺮﻣا: ،يزﺎـﺳ هﺮـﻴﺧذ ،هداد دورو ﻞـﺣاﺮﻣ مﺎـﻤﺗ رد ﺪﻳﺎﺑ ،رﺎﻤ
دﺮﻴﮔراﺮﻗ ﻪﺟﻮﺗ درﻮﻣ تﺎﻋﻼﻃا ﻲﮕﻧﺎﻣﺮﺤﻣو ﺖﻴﻨﻣا ﺚﺤﺑ هداد لﺎﻘﺘﻧا و هدﺎﻔﺘﺳا .
ﻲﮕﻧﺎـﻣﺮﺤﻣ تﺎﻣاﺰﻟا ﻲﺑﺎﻳزرا ﺶﻫوﮋﭘ ﻦﻳا زا فﺪﻫ
هدﺎﻴﭘ ياﺮﺑ تﺎﻋﻼﻃا ﺖﻴﻨﻣا و نﺎﺘﺳرﺎﻤﻴﺑ ﻪﻤﻫ رد ﻚﻴﻧوﺮﺘﻜﻟا ﻲﻜﺷﺰﭘ هﺪﻧوﺮﭘ ﻢﺘﺴﻴﺳ يزﺎﺳ
ﺳ رد نﺎﻬﻔﺻا ﺮﻬﺷ يﺎﻫ لﺎ
1393 ﺖﺳا .
شور و داﻮﻣ ﺎﻫ
لﺎﺳ رد ﻲﻠﻴﻠﺤﺗ شور ﻪﺑ ﻪﻛ ﺖﺳا يدﺮﺑرﺎﻛ ﻪﻌﻟﺎﻄﻣ ﻚﻳ ﺮﺿﺎﺣ ﺶﻫوﮋﭘ:
1393 ﺪـﺷ مﺎﺠﻧا . ﻪـﻌﻣﺎﺟ
،ﺶﻫوﮋـﭘ
نﺎﺘﺳرﺎﻤﻴﺑ تﺎﻋﻼﻃا يروﺎﻨﻓ ﻦﻴﻟﻮﺌﺴﻣ نﺎﻬﻔـﺻا ﺮﻬﺷ ﻲﻋﺎﻤﺘﺟا ﻦﻴﻣﺎﺗ و ﻲﺻﻮﺼﺧ ،نﺎﻬﻔﺻا ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ﻪﺑ ﻪﺘﺴﺑاو يﺎﻫ
دﻮﺑ . ﻊﻤﺟ راﺰﺑا هداد يروآ ﻪﻣﺎﻨﺸﺳﺮﭘ ﺎﻫ
ﻪﺘﺧﺎﺳ ﻖﻘﺤﻣ .دﻮﺑ
هداد
مﺮـﻧ زا هدﺎﻔﺘـﺳا ﺎـﺑ يروآدﺮﮔ زا ﺲﭘ ﺎﻫ راﺰـﻓا
ﻪﺨـﺴﻧSPSS
20
ﺖﻓﺮﮔ راﺮﻗ ﻞﻴﻠﺤﺗ درﻮﻣ .
ﻪﺘﻓﺎﻳ ﺎﻫ : هدﺎﻴﭘ رد تﺎﻋﻼﻃا ﻲﮕﻧﺎﻣﺮﺤﻣ و ﺖﻴﻨﻣا تﺎﻣاﺰﻟا يزﺎﺳ هدروآﺮﺑ ناﺰﻴﻣ ﻚـﻴﻧوﺮﺘﻜﻟا ﻲﻜﺷﺰﭘ هﺪﻧوﺮﭘ ﻢﺘﺴﻴﺳ يزﺎﺳ
نﺎﺘﺳرﺎﻤﻴﺑ رد دﺎـﻳز نﺎﻬﻔﺻا ﺮﻬﺷ يﺎﻫ
) 100 - 67 (
ﻣ و ﺖـﺳا هدﻮـﺑ هﺮـﻤﻧ ﻦﻴﮕﻧﺎـﻴ
نآ 85 زا 100
ﺖـﺳا هدﻮـﺑ .
و ﺖـﻴﻨﻣا تﺎـﻣاﺰﻟا
نﺎﺘﺳرﺎﻤﻴﺑ ﻪﻤﻫ رد تﺎﻋﻼﻃا ﻲﮕﻧﺎﻣﺮﺤﻣ ﺖﺳا هﺪﻳدﺮﮔ ﺖﻳﺎﻋر ،ﻻﺎﺑ ناﺰﻴﻣ ﻪﺑ نﺎﻬﻔﺻا ﺮﻬﺷ يﺎﻫ
.
جﺎﺘﻨﺘﺳا : نﺎﺘﺳرﺎﻤﻴﺑ لﺎﺳ رد نﺎﻬﻔﺻا يﺎﻫ 1393
هدﺎﻴﭘ ياﺮﺑ و ﺖـﻴﻨﻣا ﺮـﻈﻧ زا ﻚـﻴﻧوﺮﺘﻜﻟا ﻲﻜـﺷﺰﭘ هﺪـﻧوﺮﭘ ﻢﺘـﺴﻴﺳ يزﺎﺳ
دﺎﻣآ تﺎﻋﻼﻃا ﻲﮕﻧﺎﻣﺮﺤﻣ ﺪﻧراد ار مزﻻ ﻲﮔ
.
يﺪﻴﻠﻛ يﺎﻫ هژاو :
ﻚﻴﻧوﺮﺘﻜﻟا ﻲﻜﺷﺰﭘ هﺪﻧوﺮﭘ ﻢﺘﺴﻴﺳ ،ﻲﮕﻧﺎﻣﺮﺤﻣ ،ﺖﻴﻨﻣا
ﻪﻣﺪﻘﻣ
نﺎﻣزﺎــﺳ هزوﺮــﻣا ﻞــﻳﻻد ﻪــﺑ ﺖﻣﻼــﺳ ﺖــﺒﻗاﺮﻣ يﺎــﻫ
زا تﺎـــﻋﻼﻃا ﻲﮕﻧﺎـــﻣﺮﺤﻣ ﻆـــﻔﺣ ﻪـــﻠﻤﺟ زا يدﺪـــﻌﺘﻣ ﻢﺘﺴﻴﺳ
ﻲـﻣ هدﺎﻔﺘـﺳا ﻲﺗﺎـﻋﻼﻃا يﺎﻫ ﺪـﻨﻨﻛ
) 1
ﻪـﻛ(
هدﺎﻔﺘـﺳا
ﻢﺘـﺴﻴﺳ زا ﺰـﻴﻣآ ﺖﻴﻘﻓﻮﻣ
ﻲﻨﻴﻟﺎـﺑ تﺎـﻋﻼﻃا يﺎـﻫ
، مﺰﻠﺘـﺴﻣ شور
و ﺮﺛﻮﻣ يﺎﻫ هﺪـﻧوﺮﭘ ياﻮﺘﺤﻣ لدﺎﺒﺗ ياﺮﺑ ﻦﻤﻳا
يﺎـﻫ
ﺖــﺳا ﻲــﻜﻴﻧوﺮﺘﻜﻟا
) 2
. (
ﻲﻜــﺷﺰﭘ هﺪــﻧوﺮﭘ ﻢﺘــﺴﻴﺳرﻮﻬﻇ ﺎــﺑ
،رﺎﻤﻴﺑ ﻚﻴﻧوﺮﺘﻜﻟا زﺎﻴﻧ ﺎﻬﻨﺗ ﻪﻧ
ﺶﻳاﺰـﻓا تﺎـﻋﻼﻃا لدﺎﺒﺗ ﻪﺑ
ﺘﻓﺎﻳ ـ ﻪ
) 3
ﻪﻜﻠﺑ(
تﺎﻋﻼﻃا ﺪﻳﺎﺑ
ﺠﺣ ﺎﺑ ـ ﻴﺧذ ﻻﺎﺑ ﻢ ـ
هﺮ ﻧﻮﺷ ـ ﺪ و
لﻮﺌﺴﻣ ﻒﻟﻮﻣ :
ﻲﮕﻴﺑ ﻪﺤﻴﻠﻣ نﺎﻬﻔﺻا -
: هﺎﮕﺸﻧاد ،نﺎﻬﻔﺻا ﻲﻜﺷﺰﭘ مﻮﻠﻋ ﻲﻜﺷﺰﭘ ﻲﻧﺎﺳر عﻼﻃا و ﺖﻳﺮﻳﺪﻣ هﺪﻜﺸﻧاد
Email: f_beigi1360@yahoo.com
1 . هوﺮﮔ ،رﺎﻴﺸﻧاد ﻲﻧﺎﻣرد و ﻲﺘﺷاﺪﻬﺑ تﺎﻣﺪﺧ ﺖﻳﺮﻳﺪﻣ ﻔﺻا ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ،ﻲﻜﺷﺰﭘ ﻲﻧﺎﺳر عﻼﻃا و ﺖﻳﺮﻳﺪﻣ هﺪﻜﺸﻧاد ،
ناﺮﻳا ،نﺎﻬﻔﺻا ،نﺎﻬ
2 . تﺎﻋﻼﻃا ﺖﻳﺮﻳﺪﻣ ياﺮﺘﻛد يﻮﺠﺸﻧاد ناﺮﻳا ،نﺎﻬﻔﺻا ،نﺎﻬﻔﺻا ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ،ﻲﻜﺷﺰﭘ ﻲﻧﺎﺳر عﻼﻃا و ﺖﻳﺮﻳﺪﻣ هﺪﻜﺸﻧاد ،ﻲﻜﺷﺰﭘ كراﺪﻣ شزﻮﻣآ ﺪﺷرا سﺎﻨﺷرﺎﻛ و ﺖﻣﻼﺳ
3 . ﻲﺘﺴﻳز رﺎﻣآ و يژﻮﻟﻮﻴﻣﺪﻴﭘا هوﺮﮔ ،ﻲﺑﺮﻣ ﻮﻠﻋ هﺎﮕﺸﻧاد ،ﻲﻜﺷﺰﭘ ﻲﻧﺎﺳر عﻼﻃا و ﺖﻳﺮﻳﺪﻣ هﺪﻜﺸﻧاد ،
ناﺮﻳا ،نﺎﻬﻔﺻا ،نﺎﻬﻔﺻا ﻲﻜﺷﺰﭘ م
4 . ناﺮﻳا ،نﺎﻬﻔﺻا ،نﺎﻬﻔﺻا ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ،ﺖﺷاﺪﻬﺑ هﺪﻜﺸﻧاد ،ﻲﺘﺴﻳز رﺎﻣآ و يژﻮﻟﻮﻴﻣﺪﻴﭘا ﺪﺷرا سﺎﻨﺷرﺎﻛ
ﺖﻓﺎﻳرد ﺦﻳرﺎﺗ 11
/ 12 / 1393 تﺎﺣﻼﺻا ﺖﻬﺟ عﺎﺟرا ﺦﻳرﺎﺗ :
11 / 12 / 1393 ﺐﻳﻮﺼﺗ ﺦﻳرﺎﺗ : 10 / 4 / 1394
ﻲﻤﻳﺮﻛ ﺪﻴﻌﺳ نارﺎﻜﻤﻫ و
نارﺪﻧزﺎﻣ ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ﻪﻠﺠﻣ
هرود ﻢﺠﻨﭘ و ﺖﺴﻴﺑ هرﺎﻤﺷ ،
126 ، ﺮﻴﺗ 1394 143
ﻮﻛ شراﺰﮔ هﺎﺗ
ﺎﻘﺘﻧا ﻞﺑﺎﻗ ﺰﻴﻧ ﻲﻳﻻﺎﺑ ﺖﻋﺮﺳ ﺎﺑ ل
و ﺪﻨـﺷﺎﺑ ﻞـﺣاﺮﻣ مﺎـﻤﺗ رد
هﺮــﻴﺧذ ،هداد دورو ﺚــﺤﺑ هداد لﺎــﻘﺘﻧا و هدﺎﻔﺘــﺳا ،يزﺎــﺳ
دﺮـﻴﮔ راﺮـﻗ ﻪﺟﻮﺗ درﻮﻣ تﺎﻋﻼﻃا ﻲﮕﻧﺎﻣﺮﺤﻣ و ﺖﻴﻨﻣا
) 4 .(
ﺮﻳﻮـﺼﺗ و تﻮـﺻ ،ﺎﺘﻳد ﻪﻠﻤﺟ زا هﺪﺷ ﻪﻟدﺎﺒﻣ تﺎﻋﻼﻃا عﻮﻧ يراﺮــﻗﺮﺑ رد ﻲﮔﺪــﻴﭽﻴﭘ و يراﻮــﺷد ﺶﻳاﺰــﻓا ﺚــﻋﺎﺑ ﺰــﻴﻧ
ددﺮــﮔ ﻲــﻣ تﺎــﻋﻼﻃا ﻢﺘــﺴﻴﺳ رد ﺖــﻴﻨﻣا
) 5
.(
ﻢــﻫ ﻴــﻨﭼ ﻦ
ﻪـﺑ ﻲﮕﺘﺴﺑ ﺖﻣﻼﺳ تﺎﻋﻼﻃا ﺖﺧﺎﺳ ﺮﻳز ﺢﻴﺤﺻ دﺮﻜﻠﻤﻋ ﺖﻣﻼـﺳ تﺎﻋﻼﻃا ﺖﺧﺎﺳ ﺮﻳز ﻲﮕﻧﺎﻣﺮﺤﻣ و ﺖﻴﻨﻣا لﻮﺻا دراد
) 6
.(
ﻲﮔﮋﻳو زا ﻪﻛ ﻦﻳا ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻢﺘـﺴﻴﺳ ﻲﺳﺎﺳا يﺎﻫ
ﻲﻜــﺷﺰﭘ هﺪــﻧوﺮﭘ ﻢﻳﺮــﺣو ﻲﮕﻧﺎــﻣﺮﺤﻣ ﻆــﻔﺣ ﻚــﻴﻧوﺮﺘﻜﻟا
ﻪﺑ ﻦﺘﺷاﺬﮔ ماﺮﺘﺣا و رﺎﻤﻴﺑ ﻲﺼﺨﺷ صﻮﺼﺧ رد وا ﺖﺳاﻮﺧ
ﻖﺑاﻮﺳ ءﺎﺸﻓا مﺪﻋ ﺎﻳ ءﺎﺸﻓا ﻲﻣ وا
ﺪﺷﺎﺑ
) 7
ﺶﻫوﮋﭘ ﻦﻳا رد اﺬﻟ ،(
هدﺎـﻴﭘ ياﺮﺑ ﺖﻴﻨﻣا و ﻲﮕﻧﺎﻣﺮﺤﻣ تﺎﻣاﺰﻟا ﻲﺑﺎﻳزرا ﻪﺑ يزﺎـﺳ
ﻚـﻴﻧوﺮﺘﻜﻟا ﻲﻜـﺷﺰﭘ هﺪـﻧوﺮﭘ ﻢﺘﺴﻴﺳ رد
نﺎﺘـﺳرﺎﻤﻴﺑ يﺎـﻫ
نﺎﻬﻔﺻا ﺮﻬﺷ لﺎﺳ رد
1393 ﺖﺳا هﺪﺷ ﻪﺘﺧادﺮﭘ .
و داﻮﻣ شور
ﺎﻫ
ﻪـﺑ ﻪـﻛ ﺖـﺳا يدﺮﺑرﺎـﻛ ﻪﻌﻟﺎﻄﻣ ﻚﻳ ﺮﺿﺎﺣ ﺶﻫوﮋﭘ ﻲﻠﻴﻠﺤﺗ شور لﺎﺳ رد
1393 ﺪـﺷ مﺎﺠﻧا .
ﺶﻫوﮋـﭘ ﻪـﻌﻣﺎﺟ
رد نﺎـﺸﻳا ﻲﻫﺎـﮔآ ﻪـﺑ ﻪﺟﻮﺗ ﺎﺑ تﺎﻋﻼﻃا يروﺎﻨﻓ ﻦﻴﻟﻮﺌﺴﻣ ﻲﻜﺷﺰﭘ هﺪﻧوﺮﭘ ﻢﺘﺴﻴﺳ ﺖﻴﻨﻣا و ﻲﮕﻧﺎﻣﺮﺤﻣ تﺎﻣاﺰﻟا درﻮﻣ ﺶﻫوﮋـﭘ مﺎـﺠﻧا ﻞـﺤﻣ و دﻮﺑ ﻚﻴﻧوﺮﺘﻜﻟا نﺎﺘـﺳرﺎﻤﻴﺑ
يﺎـﻫ
و ﻲـﺻﻮﺼﺧ ،نﺎﻬﻔـﺻا ﻲﻜـﺷﺰﭘ مﻮـﻠﻋ هﺎﮕﺸﻧاد ﻪﺑ ﻪﺘﺴﺑاو ﻲﻋﺎﻤﺘﺟا ﻦﻴﻣﺎﺗ دﻮﺑ نﺎﻬﻔﺻا ﺮﻬﺷ
.
ﻊــﻤﺟ راﺰــﺑا هداد يروآ
ﺎــﻫ ﻪﺘﺧﺎــﺳ ﻖــﻘﺤﻣ ﻪﻣﺎﻨــﺸﺳﺮﭘ
ﺖـﺳا هﺪـﺷ ﻦﻴـﻴﻌﺗ نآ ﻲﻳﺎـﻳﺎﭘ و ﻲﻳاور ﻪﻛ ﺖﺳا .
هداد ﺎـﻫ
مﺮﻧ زا هدﺎﻔﺘﺳا ﺎﺑ يروآدﺮﮔ زا ﺲﭘ راﺰﻓا
ﻪﺨـﺴﻧSPSS
20
ﺖﻓﺮﮔ راﺮﻗ ﻞﻴﻠﺤﺗ درﻮﻣ ﻲﻃﺎﺒﻨﺘﺳا و ﻲﻔﻴﺻﻮﺗ رﺎﻣآ ﺢﻄﺳ رد .
ﺎﻫ ﻪﺘﻓﺎﻳ ﺚﺤﺑ و
هدﺎـﻴﭘ تﺎـﻣاﺰﻟا ﻲﺑﺎـﻳزرا ﻪـﻛ ﻦـﻳا ﻪـﺑ ﻪـﺟﻮﺗ ﺎﺑ يزﺎـﺳ
ﺮﺘﻜﻟا ﻲﻜـﺷﺰﭘ هﺪـﻧوﺮﭘ ﻢﺘﺴﻴﺳ
نﺎﺘـﺳرﺎﻤﻴﺑ رد ﻚـﻴﻧو يﺎـﻫ
ﻲـﻣ مﺎـﺠﻧا رﺎـﺑ ﻦﻴﻟوا ياﺮﺑ نﺎﻬﻔﺻا ﺮﻬﺷ
ﻪـﺘﻓﺎﻳ ،دﻮـﺷ يﺎـﻫ
داد نﺎﺸﻧ ﺶﻫوﮋﭘ و ﺖـﻴﻨﻣا تﺎﻣاﺰﻟا يزﺎﺳ هدروآﺮﺑ ناﺰﻴﻣ
هدﺎﻴﭘرد ﻲﮕﻧﺎﻣﺮﺤﻣ ﻚﻴﻧوﺮﺘﻜﻟا ﻲﻜﺷﺰﭘ هﺪﻧوﺮﭘ ﻢﺘﺴﻴﺳ يزﺎﺳ
نﺎﺘﺳرﺎﻤﻴﺑ رد لﺎـﺳ رد نﺎﻬﻔﺻا ﺮﻬﺷ يﺎﻫ
1393 ناﺰـﻴﻣ ﻪـﺑ
ﻻﺎﺑ ) 100 - 67 ( ﻦﻴﮕﻧﺎﻴﻣ ﻪﻛ ﺖﺳا هدﻮﺑ
ﻚـﻴﻜﻔﺗ ﻪـﺑ نآ هﺮﻤﻧ
هرﺎﻤﺷ لوﺪﺟ رد نﺎﺘﺳرﺎﻤﻴﺑ عﻮﻧ 1
ﺖـﺳا هﺪـﺷ ﺺﺨـﺸﻣ .
هدروآﺮــﺑ ناﺰــﻴﻣ هﺮــﻤﻧ ﻦﻴﮕﻧﺎــﻴﻣ و ﺖــﻴﻨﻣا تﺎــﻣاﺰﻟا يزﺎــﺳ
هدﺎــﻴﭘ رد ﻲﮕﻧﺎــﻣﺮﺤﻣ ﻲﻜــﺷﺰﭘ هﺪــﻧوﺮﭘ ﻢﺘــﺴﻴﺳ يزﺎــﺳ
ﻚﻴﻧوﺮﺘﻜﻟا 85
زا 100 نﺎـﺸﻧ ﻪﻛ ﺖﺳا هدﻮﺑ ناﺰـﻴﻣ هﺪـﻨﻫد
ﺖﺳا ﻻﺎﺑ و نﺎﻴﻣ ﻦﻳا رد نﺎﺘﺳرﺎﻤﻴﺑ
نﺎﻣزﺎـﺳ ﻪـﺑ ﻪﺘﺴﺑاو يﺎﻫ
ﺎﺗ ﺎﻤﺘﺟا ﻦﻴﻣ هﺮـﻤﻧ ﻦﻴﮕﻧﺎـﻴﻣ ﺎـﺑ ﻲﻋ
93 زا 100 ا ز ﻲﮔدﺎـﻣآ
ﺶﻴﺑ ﺪﻨﺘـﺴﻫ رادرﻮﺧﺮﺑ يﺮﺗ ،
ﺲﻧﺎـﻳراو ﺰﻴﻟﺎـﻧآ نﻮـﻣزآ ﺎـﻣا
ﻪﻛ داد نﺎﺸﻧ تﺎـﻣاﺰﻟا يزﺎـﺳ هروآﺮـﺑ ناﺰﻴﻣ هﺮﻤﻧ ﻦﻴﮕﻧﺎﻴﻣ
رد ﻲــﻨﻓ 3 ﻦﻴﻣﺎــﺗ و ﻲــﺻﻮﺼﺧ ،ﻲــﺘﻟود نﺎﺘــﺳرﺎﻤﻴﺑ عﻮــﻧ
ﻲﻋﺎﻤﺘﺟا ﻨﻌﻣ توﺎﻔﺗ ﻲ
ﺖﺷاﺪﻧ راد )
19 / 0
= (.p
هرﺎﻤﺷ لوﺪﺟ 1
ﻤﻧ ﻦﻴﮕﻧﺎﻴﻣ:
و ﺖﻴﻨﻣا تﺎﻣاﺰﻟا يزﺎﺳ هدروآﺮﺑ ناﺰﻴﻣ هﺮ
ﻜﻟا ﻲﻜﺷﺰﭘ هﺪﻧوﺮﭘ ﻢﺘﺴﻴﺳ يزﺎﺳ هدﺎﻴﭘ رد ﻲﮕﻧﺎﻣﺮﺤﻣ ﻪﺑ ﻚﻴﻧوﺮﺘ
ﻚﻴﻜﻔﺗ 3 نﺎﺘﺳرﺎﻤﻴﺑ عﻮﻧ
نﺎﺘﺳرﺎﻤﻴﺑ عﻮﻧ زا ﻲﮕﻧﺎﻣﺮﺤﻣ و ﺖﻴﻨﻣا تﺎﻣاﺰﻟا ناﺰﻴﻣ هﺮﻤﻧ
100
ﻦﻴﮕﻧﺎﻴﻣ رﺎﻴﻌﻣ فاﺮﺤﻧا ) ﺪﺻرد (
ﻲﺘﻟود 86
9
ﻲﺻﻮﺼﺧ 78
5 / 15
ﻲﻋﺎﻤﺘﺟا ﻦﻴﻣﺎﺗ 93
0
ﮕﻧﻻ يﺮ هداز ﺰـﺟ ﻪـﺑ ﻪـﻛ دﺮـﻛ نﺎﻴﺑ دﻮﺧ ﺶﻫوﮋﭘ رد
نﺎﺘﺳرﺎﻤﻴﺑ ﻚﻳ
، نﺎﺘﺳرﺎﻤﻴﺑ ﺮﻳﺎﺳ تﺎﻣاﺰﻟا ﺖﻳﺎﻋر ﺮﻈﻧ زا ﺎﻫ
ﺢﻄـﺳ رد تﺎـﻋﻼﻃا ﻲﮕﻧﺎـﻣﺮﺤﻣ و ﺖﻴﻨﻣا ﻆﻔﺣ ﻪﺑ طﻮﺑﺮﻣ ﺪــﻧراد راﺮــﻗ ﻂــﺳﻮﺘﻣ
) 8
ﻪــﺘﻓﺎﻳ ﺎــﺑ ﻪــﻛ(
ﺶﻫوﮋــﭘ ﻦــﻳا يﺎــﻫ
دراد تﺮﻳﺎــﻐﻣ .
ﻪــﻛ ﺖــﻓﺎﻳرد دﻮــﺧ ﺶﻫوﮋــﭘ رد يرﺪــﻴﺣ
ﻂﺧ ﻦﻳوﺪﺗ ﻲﺸﻣ
ﻞﻤﻌﻟارﻮﺘﺳد و ﺎﻫ ﺎﻫ
هﺪـﻧوﺮﭘ ﻪـﺑ طﻮﺑﺮﻣ ي
رد ﺖﻣﻼﺳ ﻚﻴﻧوﺮﺘﻜﻟا نﺎﺘﺳرﺎﻤﻴﺑ
نﺎﻬﻔـﺻا ﻲﺷزﻮﻣآ يﺎﻫ
ﺖﺳا هﺪﺷ مﺎﺠﻧا ﻒﻴﻌﺿ
) 9
ﻪﺘﻓﺎﻳ ﺎﺑ ﻪﻛ(
ﺶﻫوﮋـﭘ ﻦـﻳا يﺎـﻫ
دراد تﺮﻳﺎﻐﻣ .
يﺪـﻧزﺮﻓ ﻪـﻌﻟﺎﻄﻣ ﻖـﺒﻃ رﻮـﭘ
رد نارﺎـﻜﻤﻫ و
لﺎﺳ 1386
تﺎـﻋﻼﻃا ﻲﮕﻧﺎـﻣﺮﺤﻣ لﻮﺻا ﻪﻛ ﺖﺳا هﺪﺷ نﺎﻴﺑ
دراﺪﻧ دﻮﺟو ناﺮﻳا رد نوﺪﻣ ترﻮﺻ ﻪﺑ
) 6
ﻪﺘﻓﺎﻳ ﺎﺑ ﻪﻛ(
يﺎـﻫ
دراد تﺮﻳﺎﻐﻣ ﺶﻫوﮋﭘ ﻦﻳا .
ﻲﻣ ﺮﻈﻧ ﻪﺑ ﻦـﻳا ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﺪﺳر
يﻮـﺳ زا هردﺎﺻ ﻲﺸﺨﺑرﺎﺒﺘﻋا ﻪﺑ طﻮﺑﺮﻣ يﺎﻫدراﺪﻧﺎﺘﺳا ﻪﻛ
،ﺖﺷاﺪﻬﺑ ترازو نﺎﻣرد
نﺎﺘﺳرﺎﻤﻴﺑرد ﻲﻜﺷﺰﭘ شزﻮﻣآو يﺎﻫ
144 نارﺪﻧزﺎﻣ ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ﻪﻠﺠﻣ
هرود
ﻢﺠﻨﭘ و ﺖﺴﻴﺑ هرﺎﻤﺷ ،
126 ، ﺮﻴﺗ 1394
ﻲـﺸﻣ ﻂـﺧ اﺬﻟ ،ﺖﺳا هﺪﻳدﺮﮔ ﺖﻳﺎﻋر رﻮﺸﻛ ﺮﺳاﺮﺳ يﺎـﻫ
ﻆـﻔﺣ ،تﺎـﻋﻼﻃا ﺖـﻴﻨﻣا و ﻲﮕﻧﺎـﻣﺮﺤﻣ ﻆـﻔﺣ ﻪـﺑ طﻮﺑﺮﻣ و رﺎـﻤﻴﺑ تﺎـﻋﻼﻃا ﻪـﺑ ﻲـﺳﺮﺘﺳد ،رﺎـﻤﻴﺑ ﻲـﺻﻮﺼﺧ ﻢﻳﺮﺣ زا رﺎـﻤﻴﺑ تﺎـﻋﻼﻃا لﺎـﻘﺘﻧا نﺎﻣز رد تﺎﻋﻼﻃا ﺖﻴﻨﻣا ﻆﻔﺣ ﻪﺘـﺸﮔ ﻦﻳوﺪـﺗ ﻲﻧﺎـﻣرد ﺰﻛاﺮﻣ ﺮﻳﺎﺳ ﻪﺑ ﻲﻧﺎﻣرد ﺰﻛﺮﻣ ﻚﻳ ﺖﺳا . ﻪﺘﻓﺎﻳ سﺎﺳا ﺮﺑ
ﺖﻴﻌـﺿو ﺮـﻈﻧ زا ﻦﻴﻳآﺮﻬﻣ ﺶﻫوﮋﭘ يﺎﻫ
ﺳ رد تﺎﻋﻼﻃا ﺖﻴﻨﻣا
ﻲﻧﺎﺘـﺳرﺎﻤﻴﺑ تﺎـﻋﻼﻃا ﻢﺘـﺴﻴ
، ﺮـﺜﻛا
نﺎﺘﺳرﺎﻤﻴﺑ ناﺮـﻬﺗ ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ﻪﺑ ﻪﺘﺴﺑاو يﺎﻫ
رد
نﺎﺘﺳرﺎﻤﻴﺑ ﺮﺜﻛا و بﻮﺧ زﺎﻴﺘﻣا هدر هﺎﮕـﺸﻧاد ﻪﺑ ﻪﺘﺴﺑاو يﺎﻫ
ﻲﺘـﺸﻬﺑ ﺪﻴﻬـﺷ ﻲﻜﺷﺰﭘ مﻮﻠﻋ راﺮـﻗ ﻂـﺳﻮﺘﻣ زﺎـﻴﺘﻣا هدر رد
ﺪﻨﺘﺷاد
) 10
ﻪﺘﻓﺎﻳ ﺎﺑ ﻪﻛ(
دراد ﻲﻧاﻮﺨﻤﻫ ﺶﻫوﮋﭘ ﻦﻳا يﺎﻫ .
ﺎﺑ ﻦﻳا ﻪﺑ ﻪﺟﻮﺗ
اﺰﻟا ﻪﻛ رد تﺎﻋﻼﻃا ﻲﮕﻧﺎﻣﺮﺤﻣ و ﺖﻴﻨﻣا تﺎﻣ
نﺎﺘﺳرﺎﻤﻴﺑ ﻪﻤﻫ ﺖـﻳﺎﻋر ،ﻻﺎـﺑ ناﺰـﻴﻣ ﻪـﺑ نﺎﻬﻔﺻا ﺮﻬﺷ يﺎﻫ
ﺖﺳا هﺪﻳدﺮﮔ
، نﺎﺘﺳرﺎﻤﻴﺑ اﺬﻟ لﺎـﺳ رد نﺎﻬﻔﺻا يﺎﻫ
1393
هدﺎﻴﭘ ياﺮﺑ زا ﻚـﻴﻧوﺮﺘﻜﻟا ﻲﻜـﺷﺰﭘ هﺪـﻧوﺮﭘ ﻢﺘـﺴﻴﺳ يزﺎﺳ
ﺪﻧراد ار مزﻻ ﻲﮔدﺎﻣآ تﺎﻋﻼﻃا ﻲﮕﻧﺎﻣﺮﺤﻣ و ﺖﻴﻨﻣا ﺮﻈﻧ .
يراﺰﮕﺳﺎﭙﺳ
ﻞﺻﺎﺣ ﻪﻟﺎﻘﻣ ﻦﻳا
ﺪـﺷرا ﻲـﺳﺎﻨﺷرﺎﻛ ﻪـﻣﺎﻧ نﺎﻳﺎﭘ مﺎﺠﻧا
زا ﻲﻧادرﺪــﻗ ﺐــﺗاﺮﻣ ﻪﻠﻴــﺳو ﻦﻳﺪــﺑ ﻪــﻛ ﺖــﺳا ﺮﮕــﺸﻫوﮋﭘ ﻲﻣ مﻼﻋا ار نارﺎﻜﻤﻫ دراد
.
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