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Jorjani Biomed J 2020, 8(1): 11-23 |
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Kazemi S B, jafari M, Hosseini S M, Maher A, bahadori M K. Factors Affecting the Establishment of Teledermatology in Iran; A Mixed-Method Study. Jorjani Biomed J 2020; 8 (1) :11-23
URL: http://goums.ac.ir/jorjanijournal/article-1-703-en.html
URL: http://goums.ac.ir/jorjanijournal/article-1-703-en.html
Sakine Beygom Kazemi1 
, Mehrnoosh Jafari 2, Seyed Mojtaba Hosseini1 , Ali Maher3 , Mohammad karim Bahadori4
, Mehrnoosh Jafari 2, Seyed Mojtaba Hosseini1 , Ali Maher3 , Mohammad karim Bahadori4
1- Department of Health Services Management, Islamic Azad University, Tehran North Branch, Tehran, Iran
2- Department of Health Services Management, Islamic Azad University, Tehran North Branch, Tehran, Iran ,mehr_j134@yahoo.com
3- School of Management and Medical Education Management, Economics and Health Policy, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4- Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
2- Department of Health Services Management, Islamic Azad University, Tehran North Branch, Tehran, Iran ,
3- School of Management and Medical Education Management, Economics and Health Policy, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4- Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
Abstract: (7182 Views)
Background and Objective: One of the important and common applications of telemedicine is the diagnosis and treatment of skin diseases. However, teledermatology requires further commitments to provide standard services and appropriate electronic data transfer for reliable diagnostics to comply with technical standards and legal requirements. The present study aimed to determine the factors affecting the establishment of Teledermatology in the qualitative and quantitative sections .
Material and Methods: A mixed-method study (including quantitative and qualitative sections) was conducted in 2018. In the qualitative section, experts were selected by purposive sampling and the data were collected through 2 focus group discussions and 6 semi-structured interviews. The content of sessions and interviews were transcribed and then analyzed by the content analysis method. In the quantitative section, 384 participants were selected randomly. The data were collected using a researcher-made questionnaire whose validity and reliability were confirmed. Data analyses were performed in SPSS.
Results: A total of 8 categories and 58 subcategories were extracted. The 8 categories of the factors affecting the establishment of teledermatology in Iran included service provider, service recipient, structural, technological, economic, policymaking, legal, and cultural. Cultural factors (3.95±0.77) and policymaking factors (3.22±0.84), respectively, had the highest and the lowest effects on the establishment of teledermatology in Iran.
Conclusion: Factors affecting the establishment of Teledermatology are diverse and extensive, which the most effective factors were cultural factors, technological factors and factors related to service providers. These findings can help the policymakers and managers interested in the establishment of teledermatology in Iran.
Type of Article: Original article |
Subject:
Health
Received: 2020/01/10 | Accepted: 2020/02/29 | Published: 2020/03/1
Received: 2020/01/10 | Accepted: 2020/02/29 | Published: 2020/03/1
References
1. Coates SJ, Kvedar J, Granstein RD. Teledermatology: from historical perspective to emerging techniques of the modern era: part I: history, rationale, and current practice. Journal of the American Academy of Dermatology. 2015;72(4):563-74. [view at publisher] [DOI] [Google Scholar]
2. Chellaiyan VG, Nirupama A, Taneja N. Telemedicine in India: Where do we stand? Journal of Family Medicine and Primary Care. 2019;8(6):1872. [DOI] [Google Scholar]
3. Salehahmadi Z, Hajialiasghari F. Telemedicine in Iran: chances and challenges. World journal of plastic surgery. 2013;2(1):18. [Google Scholar]
4. Ayatollahi H, Khoei A, Mohammadian N, Sadeghian MH, Azari JB, Ghaemi MR, et al. Telemedicine in diagnostic pleural cytology: a feasibility study between universities in Iran and the USA. Journal of telemedicine and telecare. 2007;13(7):363-8. [view at publisher] [DOI] [Google Scholar]
5. Panse N. Telemedicine and plastic surgery in India. World journal of plastic surgery. 2014;3(1):70-1. [view at publisher] [Google Scholar]
6. Safdari R, Masouri N, Ghazi Saeedi M, Sharifian R, Soltani A, Shahmoradi L. Wireless and mobile systems in telemedicine. ISMJ. 2012;15(4):327-38. [view at publisher] [Google Scholar]
7. Aoki N, Dunn K, Johnson-Throop KA, Turley JP. Outcomes and methods in telemedicine evaluation. Telemedicine Journal and e-Health. 2003;9(4):393-401. [view at publisher] [DOI] [Google Scholar]
8. Keshvari H, Haddadpoor A, Taheri B, Nasri M, Aghdak P. Survey determinant factors of telemedicine strategic planning from the managers and experts perspective in the health department, isfahan university of medical sciences. Acta Informatica Medica. 2014;22(5):320. [DOI] [Google Scholar]
9. Ajami S, Arzani-Birgani A. The use of telemedicine to treat prisoners. J Inform Tech Soft Engg. 2013;7:e002. [DOI] [Google Scholar]
10. Darvish A, Far M. A review on implementation of electronic health in Iran literature. MOJ Womens Health. 2017;5(5):00136. [DOI] [Google Scholar]
11. Zakaria A, Maurer T, Su G, Amerson E. Impact of teledermatology on the accessibility and efficiency of dermatology care in an urban safety-net hospital: A pre-post analysis. Journal of the American Academy of Dermatology. 2019;81(6):1446-52. [view at publisher] [DOI] [Google Scholar]
12. Azfar RS, Weinberg JL, Cavric G, Lee-Keltner IA, Bilker WB, Gelfand JM, et al. HIV-positive patients in Botswana state that mobile teledermatology is an acceptable method for receiving dermatology care. Journal of telemedicine and telecare. 2011;17(6):338-40. [view at publisher] [DOI] [Google Scholar]
13. Reichert A, Jacobs R. The impact of waiting time on patient outcomes: Evidence from early intervention in psychosis services in E ngland. Health economics. 2018;27(11):1772-87. [view at publisher] [DOI] [Google Scholar]
14. Yim KM, Florek AG, Oh DH, McKoy K, Armstrong AW. Teledermatology in the United States: an update in a dynamic era. Telemedicine and e-Health. 2018;24(9):691-7. [view at publisher] [DOI] [Google Scholar]
15. Rajda J, Seraly MP, Fernandes J, Niejadlik K, Wei H, Fox K, et al. Impact of direct to consumer store-and-forward teledermatology on access to care, satisfaction, utilization, and costs in a commercial health plan population. Telemedicine and e-Health. 2018;24(2):166-9. [view at publisher] [DOI] [Google Scholar]
16. Finnane A, Dallest K, Janda M, Soyer HP. Teledermatology for the diagnosis and management of skin cancer: a systematic review. JAMA dermatology. 2017;153(3):319-27. [DOI] [Google Scholar]
17. Damari B, Hajebi A, Bolhari J, Heidari A. Developing a Training Course for Spiritual Counselors in Health Care: Evidence from Iran. Indian J Palliat Care. 2018;24(2):145-149. [DOI] [Google Scholar]
18. Heidari A, Arab M, Etemad K, Damari B. challenges of implementation of the national phenylketonuria screening program in Iran: a qualitative study. Electronic physician 2016;8(10): 3048. [DOI] [PubMed] [Google Scholar]
19. Heidari A, Arab M, Etemad K, Damari B, lotfi M. National phenylketonuria screening program in Iran; why and how. SJSPH 2018; 16(2):148-163. [view at publisher] [Google Scholar]
20. Etemad K, Heidari A, Panahi MH, Lotfi M, Fallah F, Sadeghi S. Challenges of Access to Data of Ministry of Health from the Perspective of Policy-makers, Producers, and Consumers of Data: A Qualitative Study. Iranian Journal of Epidemiology 2017; 13 (3): 174-182. [view at publisher] [Google Scholar]
21. Coates SJ, Kvedar J, Granstein RD. Teledermatology: from historical perspective to emerging techniques of the modern era: part II: emerging technologies in teledermatology, limitations and future directions. Journal of the American Academy of Dermatology. 2015;72(4):577-86. [view at publisher] [DOI] [Google Scholar]
22. Mannaro K, Baralla G, Pinna A, Ibba S. A blockchain approach applied to a teledermatology platform in the Sardinian region (Italy). Information. 2018;9(2):44. [view at publisher] [DOI] [Google Scholar]
23. Fogel AL, Teng J, Sarin KY. Direct-to-consumer teledermatology services for pediatric patients: Room for improvement. Journal of the American Academy of Dermatology. 2016;75(5):887-8. [view at publisher] [DOI] [Google Scholar]
24. Alajlani M, Clarke M. Effect of culture on acceptance of telemedicine in Middle Eastern countries: case study of Jordan and Syria. Telemedicine and e-Health. 2013;19(4):305-11. [view at publisher] [DOI] [Google Scholar]
25. Ilahi L, Ghannouchi SA. Improving telemedicine processes via BPM. Procedia Technology. 2013;9:1209-16. [view at publisher] [DOI] [Google Scholar]
26. Martin AB, Probst JC, Shah K, Chen Z, Garr D. Differences in readiness between rural hospitals and primary care providers for telemedicine adoption and implementation: findings from a statewide telemedicine survey. The Journal of Rural Health. 2012;28(1):8-15. [view at publisher] [DOI] [Google Scholar]
27. Oikonomou S, Gwynedd Y, Trust N, editors. Teledermatology: Digital revolution in the management of skin disease. Proceedings of the 2nd WSEAS international conference on Biomedical electronics and biomedical informatics; 2009: World Scientific and Engineering Academy and Society Stevens Point, WI. [Google Scholar]
28. Maia RS, von Wangenheim A, Nobre LF, editors. A statewide telemedicine network for public health in brazil. 19th IEEE Symposium on Computer-Based Medical Systems (CBMS'06); 2006: IEEE. [view at publisher] [DOI] [Google Scholar]
29. Yeung H, Sargen MR, Luk KM, Berry EG, Gurnee EA, Heuring E, et al. Teledermatology and teledermatopathology as educational tools for international dermatology: a virtual grand rounds pilot curriculum. International journal of dermatology. 2018;57(11):1358-62. [view at publisher] [DOI] [Google Scholar]
30. Novillo-Ortiz D, D'Agostino M, Becerra-Posada F. El rol de la OPS/OMS en el desarrollo de capacidad en eSalud en las Américas: análisis del período 2011-2015. Revista Panamericana de Salud Pública. 2016;40:85-9. [view at publisher] [Google Scholar]
31. O'Reilly M, Nason G, Liddy S, Fitzgerald C, Kelly M, Shields C. DOCSS: doctors on-call smartphone study. Irish Journal of Medical Science (1971-). 2014;183(4):573-7. [view at publisher] [DOI] [Google Scholar]
32. van den Berg N, Schumann M, Kraft K, Hoffmann W. Telemedicine and telecare for older patients-A systematic review. Maturitas. 2012;73(2):94-114. [view at publisher] [DOI] [Google Scholar]
33. Cheung C-mM, Muttardi K, Chinthapalli S, Ismail F. Pilot Teledermatology Service for Assessing Solitary Skin Lesions in a Tertiary London Dermatology Center. The Journal for Healthcare Quality (JHQ). 2019;41(1):e1-e6. [view at publisher] [DOI] [Google Scholar]
34. Tull R, Wanat KA, editors. Teledermatology in the inpatient setting. Seminars in cutaneous medicine and surgery; 2017. [DOI] [Google Scholar]
35. Leavitt ER, Kessler S, Pun S, Gill T, Escobedo LA, Cockburn M, et al. Teledermatology as a tool to improve access to care for medically underserved populations: A retrospective descriptive study. Journal of the American Academy of Dermatology. 2016;75(6):1259-61. [view at publisher] [DOI] [Google Scholar]
36. Campagna M, Naka F, Lu J. Teledermatology: An updated overview of clinical applications and reimbursement policies. International journal of women's dermatology. 2017;3(3):176-9. [view at publisher] [DOI] [Google Scholar]
37. Keshtkaran A, Taft V, Keshtkaran V, Heidari A, Shahmohammadi J, Dehbozorgi M, et al. Client Tribute Plan and Patient Satisfaction in Shiraz Hospitals. Journal of Payavard Salamat. 2017;11(1):115-23. [view at publisher] [Google Scholar]
38. Keshtkaran A, Heidari AR, Keshtkaran V, Taft V, Almasi A. Satisfaction of outpatients referring to teaching hospitals clinics in Shiraz, 2009. Payesh (Health Monitor). 2012;11(4):459-65. [view at publisher] [Google Scholar]
39. Nobakht S, Bagheri S, Mehraeen E, Shamsabadi AR. The Feasibility of Telemedicine Technology Implementation in the Selected Hospitals of Iran. Journal of Payavard Salamat. 2018;12(1):25-33. [view at publisher] [Google Scholar]
40. Merchant K, Ward M, Mueller K. Hospital Views of Factors Affecting Telemedicine Use. Rural policy brief. 2015(2015 5):1-4. [view at publisher] [Google Scholar]
41. Montazeri M, bahaadinbeigy K, tofighi S. Design and implementation a web base teledermatology system to reduce provincial travelling in kerman medical university. 2015. [Google Scholar]
42. Dargahi H, Razavi M. The role of organizational culture in impelenting telemedicine technology in healthcare centers Tehran university of Medical Scinces 1382-1383. Journal of Medical Faculty. 2011;2:99-107. [Google Scholar]
43. Sadoughi F, Moulaei K, Ahmadi Farsani M, Hadian M. Effciency and effectiveness of telemedicine in the management and monitoring of heart disease: Systematized review. Journal of Modern Medical Information Science. 2018;4(2):51-9. [view at publisher] [Google Scholar]
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