Designing a Model of Telemedicine services in Iran
Subject Areas : Health Management ServicesMonireh Falakbaz 1 , kamran hajinabi 2 , Leila Riahi 3 , leila nazarimanesh 4
1 - PhD Student in Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran
2 - Assistant Professor, Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran
3 - Associate Professor, Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran
4 - Assistant Professor, Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran
Keywords: Telemedicine, Promotion of Access to Health Services, Planning, Coordination, Organizing, Control, Financing.,
Abstract :
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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