Export file:


  • RIS(for EndNote,Reference Manager,ProCite)
  • BibTex
  • Text


  • Citation Only
  • Citation and Abstract

Iranian physicians’ expectations of telemedicine development and implementation infrastructures in teaching hospitals

1 School of Medicine, Semnan University of Medical Sciences, Semnan, Iran
2 Department of English Language, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran
3 Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran
4 Department of Health Information Technology, School of Allied Medical Sciences, Semnan University of Medical Sciences, Semnan, Iran
5 Department of Health Information Technology, Khalkhal University of Medical Sciences, Khalkhal, Iran
6 Department of Health Information Technology, School of Allied Medical Sciences, Hamadan University of Medical Sciences, Hamadan, Iran

Special Issues: Recent advances in Public Health (Basic and Clinical Studies)

Introduction: In spite of the fact that telemedicine has various advantages; similarly as in some other data systems, it is essential to investigate clients’ perspective of technology. Besides, the clients’ awareness and satisfaction of the telemedicine are significant issues that ought to be considered before starting a telemedicine program. The present examination in this way looks to assess Iranian doctors’ demeanor and recognition toward the infrastructures of telemedicine development and implementation. Methods: The participants of this examination included doctors working in health care organizations subsidiary to Semnan University of Medical Sciences during 2019 in Iran. A valid and reliable questionnaire was used in order to evaluate the subjects’ attitudes. Results: The mean score of physicians’ attitudes towards human factors was 3.43 ± 0.59, towards educational factors was 3.68 ± 0.94 and towards security factors was 3.50 ± 0.52. Regression analysis showed that there were significant relationships between physicians’ knowledge and their attitudes towards human (P < 0.001), educational (P < 0.001) and security (P = 0.046) infrastructures. Conclusion: the findings of this study show that there are several obstacles that can be reduced through teaching, change-management methods and personal patient-to-provider communication. These techniques can improve acceptance and continuous usage of telemedicine among Iranian physicians.
  Article Metrics


1. Harst L, Lantzsch H, Scheibe M (2019) Theories Predicting End-User Acceptance of Telemedicine Use: Systematic Review. J Med Internet Res 21: e13117.    

2. Scott Kruse C, Karem P, Shifflett K, et al. (2018) Evaluating barriers to adopting telemedicine worldwide: A systematic review. J Telemed Telecare 24: 4–12.    

3. Mohammadi A, Valinejadi A, Sakipour S, et al. (2018) Improving the distribution of rural health houses using elicitation and GIS in Khuzestan province (the southwest of Iran). Int J Health Policy Manage 7: 336.

4. Alipour J, Safari Lafti S, Askari Majdabadi H, et al. (2016) Factors affecting hospital information system acceptance by caregivers of educational hospitals based on technology acceptance model (TAM): A study in Iran. IIOAB J 119–123.

5. Hanson RE, Truesdell M, Stebbins GT, et al. (2019) Telemedicine vs Office Visits in a Movement Disorders Clinic: Comparative Satisfaction of Physicians and Patients. Mov Disord Clin Pract 6: 65–69.

6. Kamal SA, Hussain S, Shafiq M, et al. (2018) Investigating the Adoption of Telemedicine Services: An Empirical Study of Factors Influencing Physicians' Perspective in Pakistan. The Nucl 55: 153–163.

7. Jansen-Kosterink S, Dekker-van Weering M, van Velsen L (2019) Patient acceptance of a telemedicine service for rehabilitation care: A focus group study. Int J Med Inf 125: 22–29.    

8. Ward MM, Merchant KA, Carter KD, et al. (2018) Use of telemedicine for ED physician coverage in critical access hospitals increased after CMS policy clarification. Health Aff 37: 2037–2044.    

9. Zayapragassarazan Z, Kumar S (2016) Awareness, knowledge, attitude and skills of telemedicine among health professional faculty working in teaching hospitals. J Clin Diagn Res JCDR 10: JC01.

10. Alaboudi A, Atkins A, Sharp B, et al. (2016) Barriers and challenges in adopting Saudi telemedicine network: The perceptions of decision makers of healthcare facilities in Saudi Arabia. J Inf Public Health 9: 725–733.    

11. Salehahmadi Z, Hajialiasghari F (2013) Telemedicine in Iran: chances and challenges. World J Surg 2: 18.

12. Nobakht S, Bagheri S, Mehraeen E, et al. (2018) The Feasibility of Telemedicine Technology Implementation in the Selected Hospitals of Iran. J Payavard Salamat 12: 25–33.

13. Sadeghi M (2013) Feasibility of Telepathology Implementation in the training hospitals affiliated to Tehran University of medical sciences. Thesis, School of Health Management and Information Sciences, Tehran University of Medical Science.

14. Miandoab AT, Alizadeh G, Rezaei P (2017) 148: The Study of Specialist Physician Knowledge and Attitude of Telemedicine and Barriers to its Implementation in Tabriz Teaching Hospitals. BMJ open 7(Suppl 1): bmjopen-2016-015415.148.

15. Rezaei P, Maserrat E, Torab-Miandoab A (2018) Specialist Physicians' Perspectives about Telemedicine and Barriers to using it in Tabriz Teaching Hospitals. ISMJ 20: 562–572.

16. Ray KN, Felmet KA, Hamilton MF, et al. (2017) Clinician attitudes toward adoption of pediatric emergency telemedicine in rural hospitals. Pediatr Emerg Care 33: 250–257.    

17. De La Torre-Díez I, López-Coronado M, Vaca C, et al. (2015) Cost-utility and cost-effectiveness studies of telemedicine, electronic and mobile health systems in the literature: a systematic review. Telemed E-Health 21: 81–85.    

18. Hoonakker P (2016) Human factors in telemedicine. In Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. CRC Press, 322–333.

19. Hwang D, Chang JW, Benjafield AV, et al. (2018) Effect of telemedicine education and telemonitoring on continuous positive airway pressure adherence. The tele-OSA randomized trial. Am J Respir Crit Care Med 197: 117–126.    

20. Chang MJ, Jung JK, Park MW, et al. (2015) Strategy to reinforce security in telemedicine services. In: 2015 17th International Conference on Advanced Communication Technology (ICACT), IEEE, 170–175.

21. Ayatollahi H, Mirani N, Nazari F, et al. (2018) Iranian healthcare professionals' perspectives about factors influencing the use of telemedicine in diabetes management. World J Diabetes 9: 92.    

22. Ly BA, Kristjansson E, Labonté R, et al. (2018) Determinants of the Intention of Senegal's Physicians to Use Telemedicine in Their Professional Activities. Telemed E-Health 24: 897–898.    

© 2019 the Author(s), licensee AIMS Press. This is an open access article distributed under the terms of the Creative Commons Attribution Licese (http://creativecommons.org/licenses/by/4.0)

Download full text in PDF

Export Citation

Article outline

Show full outline
Copyright © AIMS Press All Rights Reserved