نوع مقاله : مقاله مروری نقلی
نویسندگان
1 دکتری تخصصی، تصمیم‌گیری و خط‌مشی‌گذاری عمومی، وزارت بهداشت، درمان و آموزش پزشکی، تهران، ایران
2 دانشیار، سیاست‌گذاری سلامت، مرکز تحقیقات مدیریت خدمات بهداشتی و درمانی و گروه مدیریت خدمات بهداشتی و درمانی، دانشکده مدیریت و اطلاع‌رسانی پزشکی و مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، پژوهشکده سلامت و ارتقای ایمنی، دانشگاه علوم پزشکی تبریز، تبریز، ایران
3 دانشجوی دکتری تخصصی، سیاست‌گذاری سلامت، قطب علمی و آموزشی مدیریت سلامت ایران، دانشکده مدیریت و اطلاع‌رسانی پزشکی، دانشگاه علوم پزشکی تبریز، تبریز، ایران
چکیده
نظام سلامت کشورهای مختلف در جهت به کارگیری پزشکی از راه دور با چالش‌ها و فرصت‌های متعددی روبه‌رو می‌باشد. هدف از انجام پژوهش حاضر، تعیین فرصت‌ها و چالش‌های پیش روی نظام سلامت کشورهای مختلف در به کارگیری فن‌آوری پزشکی از راه دور بود. در این مطالعه بر اساس راهبرد جستجو، پایگاه‌های داده‌ای داخلی و خارجی در بازه زمانی ژانویه 2000 تا ژانویه 2018 جستجو گردید و در مرحله نهایی، تجزیه و تحلیل بر روی 24 مقاله منتخب شناسایی شده صورت گرفت. به کارگیری فن‌آوری پزشکی از راه دور با چالش‌های عمده‌ای در رابطه با زیرساخت‌های ارتباطی- اطلاعاتی، تجارت الکترونیک، امنیتی، بهداشتی- درمانی، استانداردها، قوانین و مقررات و آموزش مواجه بود. با وجود چالش‌های مذکور، فرصت‌های قابل توجهی به ویژه در ارتباط با همه‌گیر شدن فن‌آوری ارتباطات و اطلاعات، فراهم شدن دسترسی همگانی به اطلاعات به‌روز و از بین رفتن شکاف‌های فن‌آوری به واسطه بروز پدیده جهانی شدن فراهم شده است که می‌تواند راهگشای مناسبی برای حذف چالش‌های مذکور باشد.
کلیدواژه‌ها
عنوان مقاله [English]
Challenges and Opportunities of Telemedicine: A Narrative Review Study
نویسندگان [English]
- Shiva Mafi-Moradi 1
- Leila Doshmangir 2
- Neda Kabiri 3
1 PhD, Decision Making and Public Policy, Ministry of Health Medicine and Education, Tehran, Iran
2 Associate Professor, Health Policy, Health Services Management Research Center AND Department of Health Services Management, School of Management and Medical Informatics AND Research Center of Social Determinants of Health, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
3 PhD Student, Health Policy, Iranian Excellence Center for Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
چکیده [English]
Immediate access to special clinical services remotely has an important role in transferring information, informing clinical diagnosis, and distance learning. Health systems have faced with various opportunities and challenges during implementation of telemedicine. This study aimed to explore the challenges and opportunities in health systems for implementation of telemedicine. In this comprehensive review, local and international databases were searched according to a search strategy from January 2000 to January 2018. Then, an analysis was conducted on 24 selected papers. Use of telemedicine technology results in many challenges related to informational and communicational infrastructures, health, standards, laws and regulations, training, and security. Despite these challenges, significant opportunities are also presented specially in regards to pervasiveness of informational and communicational information, providing universal access to updated information, and disappearance of technology gaps through globalization, which can be suitable methods for eliminating the aforementioned challenges.
کلیدواژه‌ها [English]
- Telemedicine
- Health Information
- Information Technology
- Healthcare Systems
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