识别为老年人建立远程护理系统的挑战并提供解决方案：一项定性研究。
Identifying the challenges of a telecare system establishment for older adults and providing a solution: a qualitative study.
作者信息
Saraee Forough, Atashi Alireza, Shabestari Alireza Namazi, Rasouli Akbar, Arab Mohammad
机构信息
PhD. student in Health Care Management, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Department of E-Health, Virtual School, Tehran University of Medical Sciences, Tehran, Iran.
出版信息
BMC Geriatr. 2025 Apr 17;25(1):256. doi: 10.1186/s12877-025-05890-0.
BACKGROUND
New approaches to health care delivery, including telecare, provide an opportunity to address the challenges in an aging population. Thus, this study aims to identify the challenges of the telecare system establishment for older adults in Iran and provide a solution.
METHODS
The present research is qualitative and inductive study. Accordingly, 19 semi-structured interviews are conducted with experts in the fields of geriatrics, information technology management, informatics, and health services management. The data are analyzed by Braun & Clarke's thematic approach using MAXQDA.
RESULTS
According to the study results, the challenges of a telecare system establishment for older adults in Iran are classified into three categories: socio-cultural, structural-organizational, and legal. Within the socio-cultural domain, educational and behavior-communicational challenges are particularly noteworthy. The structural-organizational domain encompasses challenges related to workforce, policy, technical and infrastructure, standardization, and financial challenges. The legal domain also includes legal and security challenges.
CONCLUSIONS
The present study results indicated that a telecare system establishment for older adults faces numerous obstacles. EHealth initiatives in Iran are in their early stages, but it seems that the prerequisite for establishing telemedicine and telecare is the creation of electronic health records.
背景
包括远程护理在内的新型医疗服务提供方式为应对人口老龄化带来的挑战提供了契机。因此，本研究旨在确定伊朗为老年人建立远程护理系统所面临的挑战并提供解决方案。
方法
本研究为定性归纳研究。据此，对老年医学、信息技术管理、信息学和卫生服务管理领域的专家进行了19次半结构化访谈。使用MAXQDA软件，采用布劳恩和克拉克的主题分析法对数据进行分析。
结果
根据研究结果，伊朗为老年人建立远程护理系统面临的挑战分为三类：社会文化、结构组织和法律。在社会文化领域，教育和行为沟通方面的挑战尤为突出。结构组织领域包括与劳动力、政策、技术和基础设施、标准化以及财务相关的挑战。法律领域还包括法律和安全挑战。
结论
本研究结果表明，为老年人建立远程护理系统面临诸多障碍。伊朗的电子健康计划尚处于早期阶段，但建立远程医疗和远程护理的前提似乎是创建电子健康记录。
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