طراحی الگوی مدیریت خدمات پزشکی از راه دور در ایران
محورهای موضوعی : -مدیریت خدمات بهداشتی و درمانیمنیره فلک باز 1 , کامران حاجی نبی 2 * , لیلا ریاحی 3 , لیلا نظری منش 4
1 - دانشجوی دکتری مدیریت خدمات بهداشتی درمانی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران
2 - استادیار گروه مدیریت خدمات بهداشتی درمانی، واحد علوم وتحقیقات، دانشگاه آزاد اسلامی، تهران، ایران
3 - دانشیار گروه مدیریت خدمات بهداشتی درمانی، واحد علوم وتحقیقات، دانشگاه آزاد اسلامی، تهران، ایران
4 - استادیار گروه مدیریت خدمات بهداشتی درمانی، واحد علوم وتحقیقات، دانشگاه آزاد اسلامی، تهران، ایران
کلید واژه: پزشکی از راه دور, ارتقاء دسترسی به خدمات سلامت, برنامه ریزی, هماهنگی, سازماندهی, کنترل, تامین مالی.,
چکیده مقاله :
مقدمه: پزشکی از راه دور داراي بيشترين نقش در گسترش مراقبت از سلامت در مناطق محروم و روستاها بوسيله فراهم آوردن امكاناتي براي پزشك و يا ديگر عوامل حوزه سلامت براي معاينه بيمار از طريق ويدئو كنفرانس، اينترنت و ... به متخصص مشاور در مركز پزشکی از راه دور مي‌باشد. پژوهش حاضر با هدف طراحی و ارزیابی یک الگوی پزشکی از راه دور و ارتقاء دسترسی به خدمات سلامت انجام شد.
روش پژوهش: در این پژوهش از روش آمیخته که ترکیبی از روش کیفی و کمی می‌باشد، استفاده شد. اطلاعات مورد نياز اين تحقيق، ابتدا از طريق مصاحبه نیمه ساختاریافته با 10 نفر از خبرگان دانشگاهی، مدیران و کارشناسان وزارت بهداشت به روش نمونهگیری گلوله برفی، استخراج گردید و در طی سه مرحله به روش تحلیل مضمون (کدگذاری باز، کدگذاری محوری و کدگذاری انتخابی) با نرم افزار مکس کیودا تحلیل شد و در نهایت طبق مصاحبه‌ها ابعاد و مولفه و شاخص‌ها استخراج و پرسشنامه محقق ساخته طراحی شد. بر اساس فرآیند مصاحبه، کدگذاری و آزمون‌های انجام شده نهایتاً مدل نهایی پژوهش ارائه گردید. سپس در بخش کمی، پرسشنامه بین 384 نفر توزیع شد و از مدلسازی معادلات ساختاری و نرم افزار اسمارت پی ال اس (3smart pls) میزان ارتباط بین ابعاد مشخص گشت.
یافته‌ها: نتایج نشان داد بین ابعاد برنامه ریزی، هماهنگی، سازماندهی، کنترل، تامین مالی و خدمات پزشکی از راه دور در ایران رابطه مثبت و معناداری وجود دارد.
نتیجه‌گیری: با توجه به این که ارائه خدمات پزشکی از راه دور گرایش جدیدی است که در سال‌های اخیر به واسطه شرایط خاص بهداشتی و شیوع کرونا ویروس بیش از پیش مورد توجه قرار گرفته است و لذا ضروری است تا برنامهریزی لازم برای استقرار الگوی خدمات پزشکی از راه دور در ایران برای همگان و به ویژه مناطق دور افتاده صورت پذیرد.
Introduction: Telemedicine has the greatest role in the expansion of health care in deprived areas and villages by providing facilities for doctors or other health workers to examine patients through video conference, internet and etc., to a consultant specialist in a telemedicine center. The current research was conducted with the aim of designing and evaluating a telemedicine model and improving access to health services.
Methods: In this research, a mixed method was used, which is a combination of qualitative and quantitative methods. The information needed for this research was firstly extracted through semi-structured interviews with 10 university experts, managers and experts of the Ministry of Health using snowball sampling method, and during three stages using thematic analysis method (open coding, axial coding, and selective coding) was analyzed with MAXQDA software and finally, according to the interviews, dimensions, components and indicators were extracted and a researcher-made questionnaire was designed. Based on the interview process, coding and tests, the final model of the research was presented. Then, in the quantitative part, the questionnaire was distributed among 384 people and the relationship between the dimensions was determined from structural equation modeling and Smart PLS software.
Results: The results showed that there is a positive and significant relationship between the dimensions of planning, coordination, organization, control, financing and telemedicine services in Iran.
Conclusion: Considering that the provision of telemedicine services is a new trend that has received more attention in recent years due to special health conditions and the spread of the corona virus, and therefore it seems necessary to plan for the establishment of a model telemedicine services in Iran for everyone, especially remote areas. It is also recommended to create an economic plan to make money from the telemedicine program.
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