从卫生政策制定者的角度来看,在伊朗实施远程医疗的挑战和解决方案
Seyed Mojtaba Hosseini1, Shiva Abdolahnejad Boushehri2, Khalil Alimohammadzadeh1,3
1Department of Health Services Management, North Tehran Branch, Islamic Azad University, Tehran, Iran.
BMC health services research
|January 10, 2024
概括
伊朗有限的远程医疗使用源于政策,基础设施和文化障碍. 解决方案包括国家承诺,战略路线图和加强的电子健康基础设施,以实现更广泛的医疗保健服务.
科学领域:
- 卫生政策 卫生政策
- 远程医疗的实施
- 医疗保健管理的管理
背景情况:
- 远程医疗的采用在全球范围内正在增长,但在伊朗仍然有限.
- 本研究从政策角度探讨了伊朗远程医疗挑战和解决方案的首次调查.
研究的目的:
- 调查阻碍伊朗采用远程医疗的挑战.
- 从卫生政策制定者的角度确定扩大远程医疗服务的潜在解决方案.
主要方法:
- 在2022年期间在伊朗进行的定性研究.
- 进行了深入的,半结构化的采访,对19位有意挑选的卫生政策制定者进行了深入的,半结构化的采访.
- 使用MAXQDA软件进行内容分析,遵循Erlingsson的方法.
主要成果:
- 发现了八个主要挑战:政策缺陷,运营不确定性,基础设施不足 (通信,文化,电子),官僚主义,法律缺口和经济因素.
- 提出了四个关键解决方案:国家对远程医疗的承诺,专门的路线图,增强的电子健康基础设施和社区接受倡议.
结论:
- 伊朗远程医疗的实施受到国家医疗保健系统问题和政策相关的组织因素的阻碍.
- 克服这些挑战需要大量的组织间合作和强有力的治理领导力.
- 解决这些复杂的问题是一个长期的努力,需要持续的努力.
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