جستجوی مقالات مرتبط با کلیدواژه « tele-health » در نشریات گروه « پزشکی »

 Telemedicine provides medical services remotely. There are some problems with implementing telemedicine projects. The purpose of this study was to investigate the most common telemedicine services in Iran and other developed countries as well as examine the legal, financial and privacy challenges of telemedicine services in these countries, especially in the era of the COVID-19 epidemic.  

 In this study, the status of telemedicine in Iran and developed countries was reviewed. Thus, related papers and grey literature were retrieved from PubMed, Scopus, SID and Magiran scientific databases. Also, related websites including the Ministry of Health and Medical Education of the Islamic Republic of Iran were examined. According to the study’s purposes, the relevant resources were selected and summarized by researchers.       

 Radiology, psychiatry and cardiology are the most widely used telemedicine services for interaction with patients as well as emergency, pathology and radiology for healthcare professional communication. Teleconsulting is the most widely used telemedicine service in Iran. There are some laws such as article 74 from section 14 in the Iran development plan to support the provision of e-health and telemedicine services. Also, there are some limited laws for patients’ privacy. In Europe, there is a set of guidelines for health websites, mobile health and cross-border exchange of health information, etc. although there are no uniform laws about telemedicine. HIPAA in the United States and GDPR in Europe are some privacy laws in developed countries. There are some restrictions on telemedicine reimbursement in the United States including the fee-for-service payment model; however, the costs of telemedicine in the United States are usually less than face-to-face treatment. 

 In the present era using telemedicine services become a requirement due to the outbreaks of epidemics such as COVID-19. Concerning the experience of developed countries, telemedicine services development in Iran requires some considerations in terms of legal, financial and privacy aspects including the creation of explicit laws on patients and healthcare provider’s rights, providing the telemedicine guidelines in different clinical fields such as structured formats for teleconsultation as well as the explicit laws for preserving the patient’s privacy.

Telecardiology provides a useful diagnostic tool for accurate and rapid diagnosis of patients with cardiac disorders to specialist and general practitioners. In this study, a systematic review was conducted to identify effective components and approaches in Telecardiology, such as the opportunities and challenges of applying this system in different domains.

Information sources or data:

 This review study was conducted by a systematic search for studies and articles of telecardiology in the databases of Scopus, PubMed, Science Direct, ProQuest and EBSCO. The keywords such as  Challenges, Opportunity, Telecardiology, Workflow, Tele electrocardiogram and Telehealth were used to search articles.

Selection methods for study:

 All types of Telecardiology studies were reviewed without time limitation. Articles were reviewed using the PRISMA checklist. Of 6770 articles obtained through database searching, 11 articles were finally included in the study.

Among the most opportunities cited in the articles, we can mention faster and more access to services, reduction of misdiagnosis, and saving time. One of the main challenges of this system is the lack of equipment and physicianschr('39') unwillingness to use technology. Most studies were performed in Australia (29%) and the most frequently reported opportunity was rapid diagnosis (64. 29%).

The results of this study indicate that Telecardiology, in addition to opportunities, also has challenges, but a large number of opportunities indicates the effectiveness of this technology in health care systems.

Considering the capabilities and potentials of health information technology in the field of art therapy and its effective role in increasing the quality of life of patients and improving the capabilities of health care personnel, the purpose of this study is to review the challenges and opportunities of applying art in education and treatment based on information technology. Information source or data: In this study, the review was conducted on English scientific databases, including PubMed, Scopus, Science Direct ProQuest, Ovid, Google Scholar, as well as Persian scientific databases including IranMedex, MagIran, IranDoc and SID.

In the present study, first articles and soft wares related to the use of information technology in art therapy were searched from the mentioned websites and databases. Keywords used for searching were art therapy, medical education, treatment, information technology, expert system, virtual reality and Telehealth. The results were extracted from related articles.

The results were presented in three sections including application of art in medicine, application of information technology in art therapy and challenges in this field. In the field of application of art in medicine, three aspects of improving patient education, lack of education of students and health care personnel and improving clinical outcomes were examined. In the field of application of information technology in art therapy, a review of technologies such as virtual reality, expert systems and telemedicine was performed. The main challenges identified in this area were high cost and confidentiality of information.

The high acceptance of the use of information technology in communities is seen as an opportunity for therapists to share art in the context of information technology. In designing IT-based art therapy programs, one should pay attention to the implementation process, execution time, and the type of art and technology interventions based on the dominant conditions.

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.

Tele health unit, as the dynamic organization Has put on the agenda for changes in various aspects of educational, research and services in field of health development and health literacy in the armed forces. Evaluation of the organizational culture as a tool for data collection in this unit. Enables administrators for improvement the gap between Current and Optimal Condition aimed to compare the working groups, identify priority problems of perception and staff expectations.
Descriptive- survey study in 1394, in 60 administrators was done. Sample size was calculated by the Cochrane. data by the standard questionnaire Denison of 60 questions and four sections were collected. Data analysis was carried out by the SPSS -22.
Based on the four dimentions of Denison Model (Participation, Adjustment, Adaptation, Mission) and 7 expert group, the most of points, the mission dimension of related (Goals & Objective & vision), The Involvement dimension of related (Team Orientation, Empowerment), and the of most points 1/3, The Customer focused dimension of adaptability.
It seems, at an optimal level (the mean and top of mean) is the organizational culture of tele health unit. However, some of the indicators, customer-oriented and Coordination & Integration needs to improve. Terms spectrum, tendency to lexibility and the focus is almost equally to internal and external environment.