Challenges of Implemention and Developing of Telehomecare: A Qualitative Study

Motahhareh Khorshidzadeh, M. Dehghani
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Abstract

Background: Providing health services through tele homecare in addition to increasing community access to health care services, reduce the challenges of aging communities. Objectives: In this study, the implementation and development challenges of telehomecare are examined. Methods: This qualitative study was conducted with a content analysis in 2022 in Iran. Twenty-three participants were selected by purposive sampling. Semi-structured interviews were used to collect data. Data were analyzed by content analysis (conceptual analysis) method and MaxQDA-10 software. Results: Five categories including costs imposed, rules and standards, infrastructure, health information security, and sociocultural were identified as challenges to the implementation and development of tele-homecare. These five categories were divided into 19 subcategories. Conclusions: The implementation and use of tele homecare is face with several challenges. It seems that the most important reason for these challenges is related to the lack of responsible organizations and weakness in the rules.
远程家庭护理实施与发展的挑战:一项质的研究
背景:通过远程家庭护理提供保健服务除了增加社区获得保健服务的机会外,还可以减少老龄化社区面临的挑战。目的:在本研究中,考察远程家庭护理的实施和发展挑战。方法:本定性研究于2022年在伊朗进行,并进行内容分析。采用有目的抽样的方法,选取23名参与者。采用半结构化访谈收集数据。采用内容分析法(概念分析法)和MaxQDA-10软件对数据进行分析。结果:确定了实施和发展远程家庭护理面临的挑战,包括成本、规则和标准、基础设施、卫生信息安全和社会文化等五个方面。这五个类别又分为19个小类别。结论:远程家庭护理的实施和使用面临着一些挑战。这些挑战的最重要原因似乎与缺乏负责任的组织和规则的薄弱有关。
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