Hayavi-Haghighi Mohammad Hosein, Choobin Niloofar, Alipour Jahanpour
Associate Professor, Department of Health Information Technology, School of Allied Medical Sciences, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Social Determinants in Health Promotion Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
PLoS One. 2025 Jul 21;20(7):e0327095. doi: 10.1371/journal.pone.0327095. eCollection 2025.
The widespread use of telehealth in healthcare institutions depends on removing its barriers. This study examines the barriers to the widespread adoption of telehealth in the teaching hospitals of Hormozgan University of Medical Sciences (HUMS).
A cross-sectional descriptive-analytical study was conducted in 2024 in three teaching hospitals. The study population included 239 physicians working at teaching hospitals of HUMS, all of them were included in the sample. Data collection was performed utilizing a questionnaire developed by the researchers. The analysis of the data involved both descriptive (mean and standard deviation) and analytical (Pearson's and Spearman's correlation coefficients) statistics.
A total of 169 physicians completed and returned the questionnaire. The mean score of personal, technical, behavioral, organizational, legal, clinical, and financial from the physician's perspective was 3.83 ± 0.66, 3.81 ± 0.56, 3.75 ± 0.52, 3.66 ± 0.53, 3.64 ± 0.59, 3.59 ± 0.55, and 3.54 ± 0.67, respectively. The organizational factor had the highest correlation with others. Pearson's correlation test showed that there was a significant positive and fair correlation between the organizational factor and financial (r = 0.524, P < 0.01), clinical (r = 0.399, P < 0.01), technical (r = 0.308, P < 0.01), behavioral (r = 0.321, P < 0.01), and personal (r = 0.307, P < 0.01) factors.
The correlation between factors demonstrates that the success of telehealth necessitates the consideration of a multitude of interdependent dimensions. Training physicians, improving the delivery of healthcare to patients, and developing and updating guidelines for telehealth services are potential solutions for eliminating the barriers.
医疗机构中远程医疗的广泛应用取决于消除其障碍。本研究调查了霍尔木兹甘医科大学（HUMS）教学医院中远程医疗广泛采用的障碍。
2024年在三家教学医院进行了一项横断面描述性分析研究。研究人群包括在HUMS教学医院工作的239名医生，他们均被纳入样本。数据收集使用研究人员编制的问卷进行。数据分析涉及描述性统计（均值和标准差）和分析性统计（皮尔逊和斯皮尔曼相关系数）。
共有169名医生完成并返回了问卷。从医生角度来看，个人、技术、行为、组织、法律、临床和财务方面的平均得分分别为3.83±0.66、3.81±0.56、3.75±0.52、3.66±0.53、3.64±0.59、3.59±0.55和3.54±0.67。组织因素与其他因素的相关性最高。皮尔逊相关检验表明，组织因素与财务（r = 0.524，P < 0.01）、临床（r = 0.399，P < 0.01）、技术（r = 0.308，P < 0.01）、行为（r = 0.321，P < 0.01）和个人（r = 0.307，P < 0.01）因素之间存在显著的正相关且相关性中等。
各因素之间的相关性表明，远程医疗的成功需要考虑众多相互依存的维度。培训医生、改善患者医疗服务的提供以及制定和更新远程医疗服务指南是消除障碍的潜在解决方案。
