جستجوی مقالات مرتبط با کلیدواژه « پزشکی از راه دور (تله مدیسین) » در نشریات گروه « پزشکی »

A health crisis can disrupt primary health care where telemedicine technology can facilitate the delivery of healthcare services. This study aimed to identify telemedicine applications in primary health care during a crisis.This research was conducted by scoping review method. All studies had been systematically searched through "Web of Science", "Embase", "PubMed", "MEDLINE", "SID", and "Magiran" databases with appropriate keywords in three groups: "telemedicine", "primary health care" and "health crises". Among 2949 screened studies, 76 were included in this research. Finally, the studies were analyzed using the framework analysis method in MAXQDA software. A total of 47 applications were found for telemedicine in primary health care in critical situations, which were classified into 6 areas including teleconsultation, e-learning, remote monitoring, source of medical information, decision support, and patient self-management. The most common medical applications were remote visits, patient consultation, patient education at home, provider screening, self-management of COVID-19 disease, and psychological and social support for patients. Telemedicine technology enables the control and management of crises that arise in health and treatment fields. By improving access, promoting interaction between specialists in urban and rural areas, reducing costs, and reducing mortality and disability, telemedicine provides socioeconomic benefits to patients, providers, and the health care system.

Telemedicine is considered as an integral part of the management of health care services and health information systems. This study aimed to review the studies on the goals and applications of telemedicine in different countries and to present a suggestion for the health system of Iran.

In this systemic study using keywords of tele-medicine, electronic health، tele health, health care, system, technology, program and tele medical, the related studies in databases of Iranian National Medical Digital Library were reviewed from April 2000 to April 2017.

After applying the entry criteria and evaluating the quality of the studies, 70 eligible papers were selected. The main identified obstacles to the establishment of electronic health in Iran were vagueness and complexity of the IT infrastructure, cultural and educational problems, frequent changes of managers, inability to attract skilled IT staff in the field of electronic health, lack of a specified mechanism for funding electronic health systems and failure to develop technical standards.

Telemedicine in Iran can transfer from the pilot phase to a stable major phase provided that it be cost-effective. Therefore, it is suggested that sufficient attention be paid by custodians to issues such as allocating adequate funding, raising the awareness of authorities regarding the necessary infrastructure requirements, and creating motivation and cooperation feeling using briefing and training sessions.