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Showing 5 results for Telemedicine
Study Of Teleotolaryngology In ENT Diseases
Reza Safdari, Nilufar Masuri, Kambiz Bahaodini, Mahdiye Khorasanizadeh,
Volume 6, Issue 3 (9-2012)
Abstract

Background and Aim: With the increasing spread of technology, the use of telemedicine to treat diseases is increasing. Diseases of the ear, throat and nose, are among the most common illnesses, especially among children, which can be diagnosed and treated through tele-otolaryngology.

Materials and Methods: This comparative study is conducted in the United Stated, Australia and England. The information needed for the present study was collected from print sources such as texts, journals, and articles found in such databases as Medline, Embase, CINAHL, Web of knowledge, Google Scholar, and Scopus. To this end, certain key words like Telemedicine, Telehealthotolaryngology, ENT, ear diseases, otology and Teleconsultation were used.

Results: The most common way to send information is through the standard otoscopy, video-otoscopy and videoconferencing equipment (Audio-Video Receiver). The information needed for Telehealthotolaryngology includes demographic information (patient's name, identification number, date of receiving services) together with the data related to the diagnosis and treatment of the disease (disease history, radiology and scan results, eardrum images, laboratory results and previous consultation results).

Conclusion: For telehealthotolaryngology, suitable equipment is required to transmit audio-visual data properly so that ENT specialists and audiologists can benefit from it in their examination and treatment. The application of this method can help patients to economize on their treatment expenses and to follow their treatment in a better way.


Study of Telemental Health Services for Veterans from Viewpoints of Experts
Maryam Ahmadi, Tayebeh Noori, Kambiz Bahaadin Beigy , Esmaeil Mehraeen,
Volume 10, Issue 1 (4-2016)
Abstract

Background and Aim: For more than forty years, telemental health services have been used as a successful mean in various fields such as treatment and preventive interventions. This study was aimed to determine the viewpoints of health information management (HIM), and mental health professionals about telemental health services for veterans with mental disorders.

Materials and Methods: This cross-sectional survey was conducted in 2013. The study population consisted of two groups: the first group included mental health professionals working in psychiatric hospitals in Tehran and the second group comprised HIM professionals. The data were collected using a questionnaire that its validity was confirmed by experts and the reliability was estimated through test-retest method. The data analysis was performed using SPSS 17.0 and descriptive statistics.

Results: The findings showed that from the mental health experts' viewpoints, highest impact of the use of telemental health services related to medical travel costs with average 4.37 and the lowest impact replacement with the face to face treatment with average 2.68.

Conclusion: In general, the groups participating in this study stated that in situations where access to care was difficult, telemental health services could be used as a reliable alternative for the war disabled care needs. Therefore, it is suggested that Iranian foundation of Martyrs and Veterans Affairs and the health system administrators take more serious measures for the implementation of telemedicine for veterans.


The Feasibility of Telemedicine Technology Implementation in the Selected Hospitals of Iran
Samin Nobakht, Somayeh Bagheri, Esmaeil Mehraeen, Ahmad Reza Shamsabadi,
Volume 12, Issue 1 (5-2018)
Abstract
Background and Aim: Successful implementation and optimum use of telemedicine technology depends on providing the necessary infrastructure and the success factors of this technology, such as high-speed broadband. The present study is aimed at feasibility study on the implementation of telemedicine in selected hospitals of Iran.
Materials and Methods: This descriptive-analytic study was conducted in selected hospitals in 2016. The data gathering tool was a researcher-made questionnaire that its content validity and structure were measured by four professors of health information management. Reliability of the questionnaire was determined using internal correlation test (Cronbach's alpha=0.83). The results were analyzed using descriptive statistics (average and standard deviation) and inferential statistics.
Results: According to the findings, 82.2% of the hospitals had no access to 
high-speed broadband and only 5.5% had optics fiber. Insurance and repayment obstacles and shortages of technical staff were identified as the main barriers and medical personnel's resistance and licensing issues were identified as the low importance barriers to the implementation of this technology. Organizational and cultural factors (p-value=0.001), technical infrastructure (p-value=0.005) and financial requirements (p-value=0.021) of telemedicine technology had a significant difference of 5% error rate with education level and orientation.
Conclusion: Due to barriers such as lack of video conferencing tools, the lack of high-speed broadband, and inadequate funding for the purchase and implementation of the necessary equipment, the studied hospitals currently were not able to provide telemedicine services.

Telemedicine System: A Mandatory Requirement in Today’s World
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. 

Determining Information Security Requirements in the Telemedicine Network from the Point of View of Managers and Employees of the Information Technology Unit of Birjand University of Medical Sciences and Teaching Hospitals
Fatemeh Bahador, Azam Sabahi, Somayeh Paydar, Fatemeh Zangooei Seno,
Volume 16, Issue 6 (1-2023)
Abstract
Background and Aim: Today along with information technology development, telemedicine technology has expanded dramatically. Sinse telemedicine technology relies on data transmission, it is essential to pay attention to issues such as network security, confidentiality, and privacy of patients. Therefore, the aim of this study was to determine the importance of information security requirements in telemedicine networks based on managers and employees of the information technology unit of the University and teaching hospitals of Birjand city 
Materials and Methods: This descriptive cross-sectional study was conducted in year 2021. The research population was The managers and employees of the information technology unit of the university and teaching hospitals of Birjand city (40 people), who were surveyed by the census. The study tool was a researcher-made questionnaire that confirmed its validity by faculty members and experts, and its reliability was calculated with Cronbach’s alpha (0.83). After collecting the data, they were entered into the SPSS software and were analyzed using descriptive statistics.
Results: The results showed that the security requirement related to information transportation is more important than other requirements. Also in the field of human resources, providing detailed documentation and training guides for users of the systems was with an average of (4.47). In the medical diagnosis equipment field, telemedicine network systems are equipped with emergency power was with an average of (4.72). In the storage and access to information context, installing antiviruses and anti-malware on all systems was with an average of (4.75), and also in the field of information transfer, encryption of important and sensitive files and information was with an average of (4.69) were the most important security needs.
Conclusions: As the results showed, security requirements related to information transfer have more importance than other requirements; Initially, information security can be guaranteed by creating security policies, updating and monitoring their implementation, as well as training employees. However, in order to transfer sensitive medical information, encryption and qualification verification methods, secure information transfer protocols, virtual and private networks (VPN) and other new technologies can be used in this field. Of course, necessary preparations should be made to create appropriate technical infrastructure for the implementation of security policies in information transmission.

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