开发远程医疗业务框架的关键组成部分和关键因素：一项定性研究。
Key components and critical factors for developing a telehealth business framework: a qualitative study.
机构信息
Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Health Management and Economics Research Center, Heath Management Research Institute, Iran University of Medical Sciences, Tehran, Iran.
出版信息
BMC Med Inform Decis Mak. 2021 Dec 4;21(1):339. doi: 10.1186/s12911-021-01707-3.
BACKGROUND
Telehealth technology and related products can help to solve the problems associated with providing health care services and equal distribution of resources. However, in order to run a telehealth business successfully, key components and critical factors need to be taken into account. A telehealth business framework can provide a rich understanding of these components and factors. Therefore, the present study aimed to identify the key components and critical factors for developing a telehealth business framework from the experts' perspectives.
METHODS
The present qualitative study was conducted in 2020. The participants were 22 experts in the fields of medical informatics, health information management, telemedicine, telehealth, health entrepreneurship, health insurance, and digital health start-ups. In depth semi-structured interviews were conducted to collect data, and the data were analyzed using framework analysis.
RESULTS
Four main themes derived from data analysis. The themes included key components for developing a telehealth business framework, success factors, challenges, and barriers of a telehealth business. Overall, the results indicated that the key components in a telehealth business framework included created value, key resources, key activities, key partners, licenses and permissions, product pricing, revenue, marketing, supporting services, and getting feedback from customers. Although receiving support from different individuals and organizations as well as economic benefits of telehealth services may consider as success factors, there are a number of challenges and barriers which should be taken into account. Otherwise, these factors may hinder the success of a telehealth business.
CONCLUSIONS
The development of a telehealth business framework might be an important step towards developing a more complete business plan, facilitating the commercialization of telehealth products, and providing a solution for product sustainability in a competitive market. In the current study, the key components and critical factors for developing a telehealth business framework were identified; however, further research is needed to explore how these components and factors can be helpful in developing business plans and running a successful telehealth business.
背景
远程医疗技术和相关产品有助于解决提供医疗服务和资源均衡分配方面的问题。然而，要成功开展远程医疗业务，需要考虑关键组件和关键因素。远程医疗业务框架可以提供对这些组件和因素的深入理解。因此，本研究旨在从专家的角度确定开发远程医疗业务框架的关键组件和关键因素。
方法
本定性研究于 2020 年进行。参与者为医学信息学、健康信息管理、远程医疗、远程医疗、健康创业、健康保险和数字健康初创企业领域的 22 名专家。采用深度半结构化访谈收集数据，并采用框架分析对数据进行分析。
结果
从数据分析中得出四个主要主题。这些主题包括开发远程医疗业务框架的关键组件、成功因素、远程医疗业务的挑战和障碍。总体而言，结果表明远程医疗业务框架的关键组件包括创造价值、关键资源、关键活动、关键合作伙伴、许可证和权限、产品定价、收入、营销、支持服务以及从客户那里获得反馈。虽然获得不同个人和组织的支持以及远程医疗服务的经济效益可能被视为成功因素，但也存在一些需要考虑的挑战和障碍。否则，这些因素可能会阻碍远程医疗业务的成功。
结论
开发远程医疗业务框架可能是制定更完整业务计划、促进远程医疗产品商业化以及为竞争激烈的市场中产品可持续性提供解决方案的重要步骤。在本研究中，确定了开发远程医疗业务框架的关键组件和关键因素；然而，需要进一步研究如何这些组件和因素有助于制定业务计划和开展成功的远程医疗业务。
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