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Mahdi Isazadeh, Zahra Sadat Asadi, Mahdi Tahmasebi Gharajehmalek, Manijeh Soleimanifar,
Volume 14, Issue 1 (3-2020)
Abstract

Background and Aim: Currently, electronic health(e-health) tools are known as an effective means of communication and educational tool in the field of health to manage conditions in sensitive situations. The purpose of this study was to evaluate the level of electronic health literacy of patients referring to a selected military hospital.
Materials and Methods: The present descriptive-analytical study was performed on 204 patients who referred to a selected military hospital in Tehran in 2019. Data collection tools included a demographic information questionnaire and an e-health literacy questionnaire. SPSS software was used for data analysis, and the level of significance was set at 0.05.
Results: The mean score of electronic health literacy was 29.28±5.47. The level of e-health literacy of patients with different educational backgrounds was significantly different. Also, the electronic health literacy of patients using the Internet differed significantly. Patients' e-health literacy had a significant correlation with their educational level(p=0.02, r =0.169) and using the Internet(p<0.001, r=0.328).
Conclusion: Higher education is associated with higher levels of e-health literacy, and can be improved by creating internet training areas to access health information to improve e-health literacy.

Marjan Ghazi Saeedi, Mozhgan Tanhapour,
Volume 15, Issue 5 (1-2022)
Abstract

Background and Aim: Telemedicine provides medical services remotely. There are some problems with implementing telemedicine projects. The purpose of this study was to investigate the most common telemedicine services in Iran and other developed countries as well as examine the legal, financial and privacy challenges of telemedicine services in these countries, especially in the era of the COVID-19 epidemic.  
Material and Methods: In this study, the status of telemedicine in Iran and developed countries was reviewed. Thus, related papers and grey literature were retrieved from PubMed, Scopus, SID and Magiran scientific databases. Also, related websites including the Ministry of Health and Medical Education of the Islamic Republic of Iran were examined. According to the study’s purposes, the relevant resources were selected and summarized by researchers.       
Results: Radiology, psychiatry and cardiology are the most widely used telemedicine services for interaction with patients as well as emergency, pathology and radiology for healthcare professional communication. Teleconsulting is the most widely used telemedicine service in Iran. There are some laws such as article 74 from section 14 in the Iran development plan to support the provision of e-health and telemedicine services. Also, there are some limited laws for patients’ privacy. In Europe, there is a set of guidelines for health websites, mobile health and cross-border exchange of health information, etc. although there are no uniform laws about telemedicine. HIPAA in the United States and GDPR in Europe are some privacy laws in developed countries. There are some restrictions on telemedicine reimbursement in the United States including the fee-for-service payment model; however, the costs of telemedicine in the United States are usually less than face-to-face treatment. 
Conclusion: In the present era using telemedicine services become a requirement due to the outbreaks of epidemics such as COVID-19. Concerning the experience of developed countries, telemedicine services development in Iran requires some considerations in terms of legal, financial and privacy aspects including the creation of explicit laws on patients and healthcare provider’s rights, providing the telemedicine guidelines in different clinical fields such as structured formats for teleconsultation as well as the explicit laws for preserving the patient’s privacy. 

Fatemeh Abbasi Ghaletaki, Maryam Kazerani, Azam Shahbodaghi,
Volume 19, Issue 1 (4-2025)
Abstract

Background and Aim: Hospital library services are among the basic infrastructures for promoting e-health readiness. This study evaluated the components of e-health readiness in hospital libraries in Isfahan.
Materials and Methods: This is an applied-descriptive survey. The statistical population is 10 government hospital libraries in Isfahan city. The questionnaire completers are the managers of the aforementioned libraries. The research tool is a researcher-made questionnaire that was prepared by a deep and comprehensive review of related literature. The 61-question questionnaire is based on the Likert scale and has four sections: learning readiness (R1), core readiness (R2), social readiness (R3), and technology readiness (R4). To determine the content validity of the questionnaire, the opinions of professors, specialists, and experts were used and its validity was confirmed. Its reliability was confirmed using Cronbach’s alpha of 0.83. Descriptive statistics were used to examine the data.
Results: Isfahan government hospital libraries are in a good state in terms of learning readiness with a score of 3.77. They were in a moderate state in terms of core readiness with a score of 3.49. Social readiness with a score of 2.47 and technology readiness with a score of 2.48 were reported as poor state. “Literacy level of technology and services related to health care” component with a score of 2.9 from the core readiness, “reimbursement policies” component with a score of 1 from the social readiness, “resources training” component with a score of 1.8 from the learning readiness, and “organization access to ICT education” component with a score of 1.35 from the technology readiness were identified as weak components. In general, all government hospital libraries in Isfahan are in a moderate state in terms of e-health readiness.
Conclusion: Hospital libraries face various challenges in joining the e-health category, including a lack of readiness in the technology sector. The lack of appropriate policies for implementing e-health in libraries, lack of users’ skills in using information and communication technology, users’ ignorance of the e-health services needed in the library, lack of professional human resources, and lack of e-health-related training for users are some of the weaknesses of hospital libraries in the e-health readiness sector.

Sadrieh Hajesmaeel-Gohari, Elahe Imani, Zahra Khajeh, Mahkameh Mehdipour,
Volume 20, Issue 1 (4-2026)
Abstract

Background and Aim: Electronic health literacy (eHealth literacy) refers to the ability to search, comprehend, and effectively apply health-related information obtained from digital sources, thereby enabling individuals to make informed decisions regarding their health. In the context of increasing reliance on the internet and online health resources, this skill has become essential for personal and public health. The aim of this study was to evaluate the level of eHealth literacy among adults aged 18 years and older in the city of Kerman, Iran.
Materials and Methods: This cross-sectional, descriptive-analytical study assessed eHealth literacy among 700 adults (≥18 years) in Kerman City. Participants were sampled from different city areas to ensure representativeness. Data were collected using the validated 8-item eHealth Literacy Scale (eHEALS) on a 5-point Likert scale (total score 8–40; higher scores indicate greater literacy). Analyses were performed in SPSS using descriptive statistics (frequency, mean, SD) and inferential tests (Mann–Whitney U and Kruskal–Wallis) to explore associations with demographic variables.
Results: The mean eHealth literacy score was 26.26±6.80, reflecting a moderate level of proficiency. While over half of the participants reported being capable of searching for and utilizing online health resources, less than half possessed the skills required to critically evaluate the quality of such information. The Mann-Whitney U test revealed a significant relationship between gender and eHealth literacy (P=0.002), with women scoring significantly higher than men. Furthermore, the Kruskal–Wallis test demonstrated statistically significant associations between eHealth literacy and age (P<0.001), level of education (P=0.001), employment status (P=0.001), and economic status (P<0.001). So that, higher scores were observed among younger adults (18–40 years), individuals with university education, students, and those with a higher economic status.
Conclusion:  The study indicates a moderate level of eHealth literacy among the population, with significant gaps in the ability to evaluate credible sources and use health information confidently. To address these gaps, policymakers should implement infrastructure improvements and public education programs that enhance access to reliable resources, foster critical appraisal skills, and support informed health decision-making.


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