Marziye Hadian, Zahra Khakdel Jelodar, Mohammadreza Jabbari Khanbebin, Pezhman Atafimanesh, Ali Sarabi Asiabar, Seyed Mehdi Hejazi Dehagani
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The keywords \"telemedicine,\" \"telehealth,\" \"E-health,\" and \"tele care\" were used in combination with the Boolean operators OR and AND. The ISI Web of Science, PubMed, Scopus, Science Direct, Ovid, Pro Quest, Wiley, and Google Scholar were searched.</p><p><strong>Results: </strong>In this study, based on the search strategy, databases were searched from January 2012 to January 2022, and in the final stage, analysis was performed on 27 selected identified articles. The use of telemedicine technology faced major formality and legality, required bandwidth, development of multilingual systems, economic efficiency, available patterns, payment for services, moral barriers, social status, differences and national and legal contradictions in the world, lack of insurance coverage challenges, and so on. Recognizing gaps and challenges can provide a way to fill these gaps and create opportunities for improvement.</p><p><strong>Conclusions: </strong>Utilizing telemedicine technology can be considered as an effective step in the health system. This technology has weaknesses that may challenge it. 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引用次数: 0
摘要
背景:当今世界,科技发展日新月异,全球信息基础设施迅速普及。不同国家的卫生系统在应用远程医疗服务方面面临着各种挑战。本研究旨在确定不同国家的卫生系统在应用远程医疗方面所面临的挑战:本研究于 2022 年开展,对与远程医疗挑战相关的研究进行了系统回顾。本研究采用系统综述首选报告项目(Preferred Reporting Items for Systematic Reviews,PRISMA)和批判性评估技能计划(Critical Appraisal Skills Program,CASP)指南对文章进行评估。关键词 "远程医疗"、"远程保健"、"电子保健 "和 "远程护理 "与布尔运算符 OR 和 AND 结合使用。检索了 ISI Web of Science、PubMed、Scopus、Science Direct、Ovid、Pro Quest、Wiley 和 Google Scholar:在本研究中,根据检索策略,对 2012 年 1 月至 2022 年 1 月期间的数据库进行了检索,并在最后阶段对选定的 27 篇文章进行了分析。远程医疗技术的使用面临着主要的形式和合法性、所需带宽、多语言系统的发展、经济效益、可用模式、服务付费、道德障碍、社会地位、世界差异和国家与法律的矛盾、缺乏保险覆盖的挑战等问题。认识到差距和挑战可以为弥补这些差距和创造改进机会提供途径:利用远程医疗技术可被视为医疗系统的一个有效步骤。这项技术也有可能面临挑战的弱点。不消除这些障碍,远程医疗技术的成功应用就不可能非常有效。
Challenges of Implementing Telemedicine Technology: A systematized Review.
Background: Today, the technologies in the world are rapidly evolving, and global infrastructure of information is spreading rapidly. The health system of different countries is facing a variety of challenges in order to apply telemedicine services. The aim of this study was to determine the challenges facing the health system of different countries in the application of telemedicine.
Method: The present research was conducted in 2022 as a systematized review of studies related to challenges of telemedicine. In this study, Preferred Reporting Items for Systematic Reviews (PRISMA) and Critical Appraisal Skills Program (CASP) guidelines were used to assess the articles. The keywords "telemedicine," "telehealth," "E-health," and "tele care" were used in combination with the Boolean operators OR and AND. The ISI Web of Science, PubMed, Scopus, Science Direct, Ovid, Pro Quest, Wiley, and Google Scholar were searched.
Results: In this study, based on the search strategy, databases were searched from January 2012 to January 2022, and in the final stage, analysis was performed on 27 selected identified articles. The use of telemedicine technology faced major formality and legality, required bandwidth, development of multilingual systems, economic efficiency, available patterns, payment for services, moral barriers, social status, differences and national and legal contradictions in the world, lack of insurance coverage challenges, and so on. Recognizing gaps and challenges can provide a way to fill these gaps and create opportunities for improvement.
Conclusions: Utilizing telemedicine technology can be considered as an effective step in the health system. This technology has weaknesses that may challenge it. Successful application of telemedicine technology cannot be very effective without removing these barriers.
期刊介绍:
International Journal of Preventive Medicine, a publication of Isfahan University of Medical Sciences, is a peer-reviewed online journal with Continuous print on demand compilation of issues published. The journal’s full text is available online at http://www.ijpvmjournal.net. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. The journal will cover technical and clinical studies related to health, ethical and social issues in field of Preventive Medicine. Articles with clinical interest and implications will be given preference.