Health Information management
Keyvan Moshirpanahi; Khabat Nesaei; Arman Ahmadizad
Abstract
Introduction: Advances in information technology have caused fundamental changes in life and work environments. As digital technologies such as smartphones become more ubiquitous, individuals can engage in self-monitoring and self-care and gain more control over their health trajectories across the life ...
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Introduction: Advances in information technology have caused fundamental changes in life and work environments. As digital technologies such as smartphones become more ubiquitous, individuals can engage in self-monitoring and self-care and gain more control over their health trajectories across the life course. Education and gender are two important components in the use of mobile health applications. Education is effective in the amount and manner of using mobile applications, and gender plays a major role in virtual setting, especially in mobile applications, in contrast to physical presence in hospitals and clinicsMethods: This applied study was carried out with a descriptive-quantitative method in the form of a case study among users of the Snap Doctor mobile application. To collect data, a researcher-made questionnaire based on available random sampling and inferential statistics methods, including tests of significance and especially correlation based on confirmatory structural equationswere used.Results: Inadequate information communication technology infrastructure was the major obstacle for telemedicine, followed by cultural resistance in using technology to provide healthcare services. Other significant barriers are like this: the high cost of setting up prerequisite (initial) skills among patients, limited skills among physicians, inadequate funding to support telemedicine services, weak legal/policy framework, and lack of dedicated time for telemedicine services.Conclusion: The results showed that the existence of appropriate communication infrastructure and efforts to promote the infrastructure and increase the investment of companies and organizations in the field of telemedicine can increase the participation of users in the use of telemedicine services.
Health Information management
fatemeh Hooshangi; Zohreh Javanmard
Abstract
Introduction: Telemedicine is an important feature for quick access of patients to healthcare services. It seems important to understand the level of knowledge and attitude of the medical staff about telemedicine for its successful implementation. This study endeavors to determine the level of knowledge ...
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Introduction: Telemedicine is an important feature for quick access of patients to healthcare services. It seems important to understand the level of knowledge and attitude of the medical staff about telemedicine for its successful implementation. This study endeavors to determine the level of knowledge and attitude of the medical staff about telemedicine in the hospitals of Ferdows.Methods: This descriptive and cross-sectional study was conducted in two hospitals in Ferdows in the year 2022. The population was the medical staff. In this study, the census method was used and the research community was considered as the research sample. The data collection instrument was Rezaei et al.'s questionnaire consisting of four parts. After completing the questionnaires, the data were analyzed using descriptive methods.Results: Among the participants, 39% had moderate knowledge and 40.3% had little or very little knowledge about telemedicine, however, there was a positive attitude towards telemedicine. 26.3% of the treatment staff had used this technology, with the telephonic consultation service as the most used. Sixty eight percent stated that the critical implementation obstacle was the lack of access to high-speed and high-bandwidth internet.Conclusion: The results revealed that the level of awareness of telemedicine among medical staff is low, but their attitude is positive. Increasing the awareness of the medical staff about telemedicine can be the most effective way for its successful implementation.
Ali Mobini-Dehkordi; Jahangir Yadolai-Farsi; Abolghasem Arabiun; Mustafa Keshavarz-Turk
Abstract
Introduction: Parallel with the growth of technologies, which affect the telemedicine, timely identification of telemedicine entrepreneurial opportunities seems to be necessary for the product development. This study aimed to identify applied aspects, medical fields, and technological trends in developing ...
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Introduction: Parallel with the growth of technologies, which affect the telemedicine, timely identification of telemedicine entrepreneurial opportunities seems to be necessary for the product development. This study aimed to identify applied aspects, medical fields, and technological trends in developing future entrepreneurial opportunities in telemedicine.Methods: A three-step framework for identifying future entrepreneurial opportunities was employed as a trend analysis method to identify telemedicine technological trends and the cross impact analysis to predict future strategic trends in the field. This was done by completing the 9*9 matrix in a panel of 5 experts in this field, and reviewing 109 articles in the Scopus database with keyword search (Telemedicine and Opportunity) to identify practical aspects and future of telemedicine opportunities.Results: In the first step, 9 technological trends affecting the future of telemedicine were identified. In the second step, the technological trends of artificial intelligence along with the Internet of Things were identified as effective trends; wearable technologies and cloud computing were identified as strategic trends. In the final step, it was revealed that practical aspects (i.e., prevention, diagnosis, treatment and healthy living), as well as psychology and psychiatry, education, information acquisition, nutrition, and cardiology, shape a great majority of opportunities for telemedicine in the next 5 years.Conclusion: To develop a successful new product in telemedicine, a three-dimensional framework (applied aspects, fields of medicine, and technology) should be considered; therefore, establishing cooperation between technology development companies and health companies seems to be necessary.
Shiva Mafi-Moradi; Leila Doshmangir; Neda Kabiri
Abstract
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 ...
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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.
Seyed Javad Ghazi-Mirsaeed; Mahmood Ghaemizade
Abstract
Introduction: Today, the health information and services are delivered via internet and other communication devices, accessing which requires some capabilities and skills known as eHealth literacy. The aim of this study was to determine the state of the eHealth literacy of postgraduate students in Tehran ...
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Introduction: Today, the health information and services are delivered via internet and other communication devices, accessing which requires some capabilities and skills known as eHealth literacy. The aim of this study was to determine the state of the eHealth literacy of postgraduate students in Tehran University of Medical Sciences, Tehran, Iran, in 2015-2016 educational years.Methods: This was a descriptive survey carried out among 700 postgraduate students of six selected majors in Tehran University of Medical Sciences. The sample size was determined to be 248, using Morgan table. Sampling was carried out using proportional sampling method. The data were collected through a questionnaire. The validity of questionnaire was confirmed through the experts’ opinions, and its reliability was measured through Cronbach’s alpha (α = 0.752). The collected data were analyzed using one-sample independent t test.Results: The mean score of eHealth literacy among the sample of study was 48.367, which was above the average (t = 17.692, P < 0.001). There was no significant difference between eHealth literacy level among men and women. The eHealth literacy level of PhD students was estimated to be higher than MSc Students.Conclusion: The studied population needs to be strengthening in the fields of working with word processors and understanding, evaluating, and interpreting research data. Being higher than average in eHealth literacy shows that studied population may be used as eHealth literacy instructors for other parts of society.
Marjan Ghazi-Saeedi; Sharareh Rostamniakan-Kalhori; Mobin Yasini; Rasool Nouri
Volume 14, Issue 1 , May 2017, , Pages 44-48
Abstract
Introduction: Production of mobile health apps and their use has grown increasingly in recent years which indicate the profound influence of these apps on health care processes and health of the community. Mobile health apps must be made on the basis of reliable scientific resources so that users can ...
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Introduction: Production of mobile health apps and their use has grown increasingly in recent years which indicate the profound influence of these apps on health care processes and health of the community. Mobile health apps must be made on the basis of reliable scientific resources so that users can use them with confidence. Therefore, this study aimed to investigate the reliability of resources used in the creation of the content of the top Persian mobile health applications.Methods: In this descriptive, cross-sectional study conducted in March 2015, 200 of the top mobile health applications were installed, and their references and some of their other features were studied. The data were collected using a checklist, entered into an Excel spreadsheet, and were analyzed using descriptive statistics.Results: Review of the references used in the apps studied showed that 20% of them had no list of references, and only 5.10% (21 cases) used content from reliable sources.Conclusion: The results of this study are applicable to taking control of the quality of mobile health apps and helping users have access to high-quality and reliable apps by regulatory agencies.
Hamid Keshvari; Asefeh Haddadpoor; Behjat Taheri; Pezhman Aghdak; Mehran Nasri
Volume 12, Issue 5 , October 2015, , Pages 625-635
Abstract
Introduction: Awareness of Outlook, objectives, benefits and impact of telemedicine technology that can promote services quality, reduce costs, increase access to Specialized and subspecialty services. Therefore, the aim of this study was to determine the strengths, weaknesses, opportunities and threats ...
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Introduction: Awareness of Outlook, objectives, benefits and impact of telemedicine technology that can promote services quality, reduce costs, increase access to Specialized and subspecialty services. Therefore, the aim of this study was to determine the strengths, weaknesses, opportunities and threats in the telemedicine strategic planning from the managers and expert’s perspective in the health department, Isfahan University of Medical Sciences, in order to take a step towards facilitating strategic planning and approaching the equity aim in health in the province.Methods: This was a descriptive study, that data collection was done cross-sectional. The study population was composed of all managers and certified experts at the health department in Isfahan university of Medical Sciences. The sample size was 60 patients according to inclusion criteria. Information was collected by interview method. Researcher attempted to use the structured and specific questionnaire Then were investigated the viewpoints of experts and managers about determinative factors (strengths, weaknesses, opportunities and threats) in the strategic planning telemedicine. Data were analyzed using descriptive statistics (frequency, mean) and software SPSS 18.Results: Data analysis showed that change management (100%) and continuity of supply of credit (79/3%) were weakness point within the organization and strengths of the program were, identity and health telemedicine programs (100%), goals and aspirations of the current directors of the organization and its compliance with the goals of telemedicine (100%), human resources interested using computers in daily activities in peripheral levels (93/1%). Also organization in the field of IT professionals, had opportunities, and repayment specialist’s rights by insurance organizations is a threat for it.Conclusions: According to the strengths, weaknesses, opportunities and threats points determined by managers and experts, and compare it with success and failure factors, which are defined by different researchers, it seems will be fail to implement of telemedicine in the province at present. But according to the strengths identified by managers and experts, there are a lot of potential for telemedicine in the province, and may be used, in relation to telemedicine projects, with a 3 or 5 year strategic plan, and taking steps to get closer to the equity aim in health.
Leila Shahmoradi; Mohammad Hossieni Ravandi; Nasim Aslani; Mehrnaz Shahidzade
Volume 12, Issue 3 , June 2015, , Pages 379-389
Abstract
Access to the right information at the right time is a crucial ingredient of modern healthcare. Today, within health kiosks, health information can be accessed in public places. The term kiosk tends to be used for touch screen computer that is normally used standing up in public places. Health kiosk ...
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Access to the right information at the right time is a crucial ingredient of modern healthcare. Today, within health kiosks, health information can be accessed in public places. The term kiosk tends to be used for touch screen computer that is normally used standing up in public places. Health kiosk is a system with various capabilities. This is an overview article. Different scientific databases were searched to identify articles published during the period of 1995 to 2013. The information is also gathered from personal observation and oral interview in Tehran. Health kiosks can be utilized for self-management of chronic diseases, reduce health disparities, better outreach of healthcare services and can be a cost effective way to improve delivery of healthcare services. A search performed on health kiosks in Tehran shows a significant difference in a structure and use of it with global ones. One of the main reason is that theses kiosk are independent from ministry of health and medical education. Several variables such as health literacy, lack of culturally adaptive health information and limited availability of tailored health material are some of the existing barriers to greater adoption of health technologies and their impact in the improvement of health outcomes.
Hamed Mehdizadeh; Kambiz Bahaedin Beigi
Volume 11, Issue 4 , November 2014, , Pages 515-525
Abstract
Over the last decade telemedicine services particularly in dermatology domain has seen significant advances and it became as routine medical services in many parts of the world. In Iran although it is not being used in usual practice but many research projects have been conducted on this issue. The main ...
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Over the last decade telemedicine services particularly in dermatology domain has seen significant advances and it became as routine medical services in many parts of the world. In Iran although it is not being used in usual practice but many research projects have been conducted on this issue. The main and important point that has not yet been paid enough attention is meeting standard guidelines in telemedermatology services. Ignoring these points can result in misdiagnosis by medical specialists. The value of this matter is that important that American Telemedicine Association has suggested a comprehensive standard guideline about it. Having considered that any similar paper has not yet been published in Iran, this paper aims to conduct a comprehensive review on available resources and guidelines and published papers between 1997-2013 in Teledermatology domain such as the minimum requirements for photography in teledermatology , skin lesions photography techniques , distances, resolution, macro imaging , use of flash, compression, attention to balance between image size and the quality of images for a Teledermatology consultation service.
Ali Sanayei; Javad Khazaei Pool; Sajad Jafari; Hadi Balouei Jamkhaneh
Volume 10, Issue 4 , November 2013, , Pages 571-580
Abstract
Introduction: Prerequisite for implementing telemedicine for providing medical services and health is its acceptance. The overall objective of this study was investigating the factors that influence the adoption of it with using ICT. Methods: method of this study was Analysing and data collection instrument ...
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Introduction: Prerequisite for implementing telemedicine for providing medical services and health is its acceptance. The overall objective of this study was investigating the factors that influence the adoption of it with using ICT. Methods: method of this study was Analysing and data collection instrument was combination of Theory of Planned Behavior and the Technology Acceptance model questionnaires. The present population of the study was physicians in Isfahan hospitals and 125 of them were selected as sample with classification random sampling. The validity of the model was performed by structural equation modeling method. For data analysis used software was SPSS19 and AMOS20. Results: Results show that perceived usefulness (β= 0.54) and perceived ease (β= 0.43) was effective on attitude toward telemedicine usage. The findings also shown a positive effect of perceived usefulness (β=0.61) and perceived behavioral control (β=0.39) on people's tendency toward this type of technology While the effect of subjective norm (β=0.18) on behavioral intention had not confirmed. Conclusion: The results suggest that the technology acceptance model and theory of planned behavior can predict people intention in application of telemedicine. Keywords: Telemedicine; Technology; Health Care; Hospitals
