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关键医学专科的需求评估与优先级确定:基于混合方法框架的远程医疗路线图。

Needs assessment and prioritization of key medical specialties: A telemedicine roadmap based on a mixed-methods framework.

作者信息

Izadi Reyhane, Jafari Abdosaleh, Goli Ali, Khosravi Mohsen, Bahrami Mohammad Amin

机构信息

Department of Health Care Management, School of Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.

Health Human Resources Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Digit Health. 2025 Aug 26;11:20552076251374215. doi: 10.1177/20552076251374215. eCollection 2025 Jan-Dec.

Abstract

INTRODUCTION

In an era where geographical distance has become a barrier to equitable access to health services, an intelligent needs assessment of medical specialties is the key to enabling effective telemedicine. A systematic needs assessment of medical specialties is the cornerstone in designing a telemedicine roadmap. This study aimed to identify and prioritize key specialties based on needs-based criteria for the development of telemedicine in the community covered by Shiraz University of Medical Sciences.

METHODS

This study's methodology was modeled on the "need-based planning framework for telemedicine services" developed by the University of Queensland, Australia. A mixed approach was used in the study design. In the first three steps, quantitative and qualitative data were collected to identify the community's specialized medical needs. In the fourth step, the identified needs were prioritized.

RESULTS

A total of 11 specialties, including neurosurgery, cardiology, general surgery, general internal medicine, orthopedics, pediatrics, neurology, psychiatry, obstetrics and gynecology, imaging, and urology, were identified as key priority specialties needed for the development of telemedicine in the community covered by Shiraz University of Medical Sciences. These specialties were prioritized into eight ranks based on need-based criteria.

CONCLUSION

By identifying and prioritizing 11 key medical specialties, this study has laid a valuable foundation for the development of telemedicine services. Its findings provide policymakers with an effective guide to strategically allocate resources toward prioritized specialties, enhance technological infrastructure, and implement relevant educational programs, thereby ensuring equitable access to services and taking a significant step toward advancing justice in healthcare.

摘要

引言

在一个地理距离已成为公平获取医疗服务障碍的时代,对医学专科进行智能需求评估是实现有效远程医疗的关键。对医学专科进行系统的需求评估是设计远程医疗路线图的基石。本研究旨在根据基于需求的标准,确定设拉子医科大学所覆盖社区远程医疗发展的关键专科并进行优先级排序。

方法

本研究的方法以澳大利亚昆士兰大学制定的“基于需求的远程医疗服务规划框架”为模型。研究设计采用了混合方法。在前三个步骤中,收集定量和定性数据以确定社区的专科医疗需求。在第四步中,对确定的需求进行优先级排序。

结果

共确定了11个专科,包括神经外科、心脏病学、普通外科、普通内科、骨科、儿科、神经病学 Psychiatry(原文有误,应为Psychiatry)、妇产科、影像学和泌尿外科,作为设拉子医科大学所覆盖社区远程医疗发展所需的关键优先专科。这些专科根据基于需求的标准被分为八个等级。

结论

通过确定11个关键医学专科并进行优先级排序,本研究为远程医疗服务的发展奠定了宝贵基础。其研究结果为政策制定者提供了有效指导,以便战略性地将资源分配到优先专科,加强技术基础设施,并实施相关教育项目,从而确保公平获取服务,并朝着推进医疗保健公平迈出重要一步。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5838/12381444/522251e152f0/10.1177_20552076251374215-fig1.jpg

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