伊朗的远程医疗：机遇与挑战。
Telemedicine in iran: chances and challenges.
作者信息
Salehahmadi Zeinab, Hajialiasghari Fatemeh
机构信息
Information Technology, Bushehr, University Instructor, Tehran University of Medical Science, Tehran, Iran;
Deputy of Health, Tehran University of Medical Science, Tehran, Iran; ; Director of Information Technology Department, Academy of Russian Sciences, Tajikestan.
出版信息
World J Plast Surg. 2013 Jan;2(1):18-25.
BACKGROUND
Technology is likely to transform the way care is delivered at home and in the community. Telemedicine, the child of IT and Medicine sciences is the use of telecommunication equipment and information technology to provide clinical care to individuals at distant sites and the transmission of medical and surgical information and images needed to provide that care. Undoubtedly, the advantages outweight its disadvantages, but just like any other innovations, it has some drawbacks. The present study outlines telemedicine strong and weak points. In this regard a survey has been done in Tehran University of Medical Sciences in Iran.
METHODS
Between 14(th) May and 14(th) August 2012, 90 medical specialist men and 42 women from different hospitals of Tehran Medical Sciences University, Iran were enrolled by a simple ran- dom sampling method. They all completed a questionnaire to consider what are telemedicine chances and challenges.
RESULTS
Making use of telemedicine was a profitable alternative in remote, rural/urban places especially in new project of "family physician" presented by Iran Ministry of Health. The results also highlighted that security considerations was an inevitable challenge of telemedicine, while shorter hospital stays and reduced warm ischemic time, and reduced morbidity and mortality rates were telemedicine merits. Despite most previous studies results, telemedicine has been recognised as a cost-effective alternative. Cultural, language distinctions as well as the level of literacy were barriers on deploying tele- medicine. There was no strong evidence showing that using telemedicine caused a decrease in tactile feedback.
CONCLUSION
We need to fully understand and consider various outcomes and challenges of telemedicine before applying it.
背景
科技可能会改变家庭和社区护理的提供方式。远程医疗作为信息技术与医学科学的产物，是利用电信设备和信息技术为远程患者提供临床护理，并传输提供该护理所需的医疗和手术信息及图像。毫无疑问，其优点大于缺点，但与其他任何创新一样，它也有一些缺点。本研究概述了远程医疗的优缺点。为此，在伊朗德黑兰医科大学进行了一项调查。
方法
2012年5月14日至8月14日期间，通过简单随机抽样方法，招募了伊朗德黑兰医科大学不同医院的90名男性医学专家和42名女性医学专家。他们都完成了一份问卷，以考量远程医疗的机遇和挑战。
结果
在偏远的农村/城市地区，尤其是在伊朗卫生部提出的“家庭医生”新项目中，使用远程医疗是一种有益的选择。结果还凸显出，安全考量是远程医疗不可避免的挑战，而缩短住院时间、减少热缺血时间以及降低发病率和死亡率是远程医疗的优点。尽管与大多数先前研究结果不同，但远程医疗已被认为是一种具有成本效益的选择。文化、语言差异以及识字水平是部署远程医疗的障碍。没有有力证据表明使用远程医疗会导致触觉反馈减少。
结论
在应用远程医疗之前，我们需要充分理解并考虑其各种结果和挑战。
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