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Iranian Association of Medical InformaticsFrontiers in Health Informatics2676-710411120220305Challenges and Opportunities of Using Telemedicine During Covid-19 Epidemic: A Systematic Review34634610.30699/fhi.v11i1.346ENSeyyedeh FatemehMousavi BaigiMSc Student, Health Information Technology Student, Department of Medical Records and Health Information Technology, Faculty of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran. MousaviBF992@mums.ac.irSeyyed MohammadMousavi BaigiMohammad RezaMazaheri Habibi202112162022022220220119Introduction: Covid-19 pandemic is spreading rapidly around the world. Given the high risk of transmission of the disease in order to curb the effects of the epidemic, governments and health care organizations must maximize the capacity of medical care, protective equipment and preventive measures. One of the most important innovative strategies to control epidemic control is through medicine. It is far. Therefore, in this study, the challenges and recommendations for the use and development of telemedicine technologies during the Covid-19 epidemic were examined.Materials and Method: A systematic review of English-language studies was conducted by searching for keywords in the authoritative scientific databases Embase, Web of Science, Scopus and PubMed on November 24, 2021. Studies related to the challenges and recommendations of telemedicine at the time of the Covid-19 epidemic were considered as inclusion criteria. Titles and abstracts were screened independently based on eligibility criteria. Complete texts were then retrieved and screened independently based on eligibility criteria. The checklist was used to extract data such as study title, first author name, year of publication, country, challenges and telemedicine recommendations during the Covid-19 epidemic. A total of 4105 related studies were extracted and finally 34 articles were selected based on inclusion and exclusion criteria.Results: In this study, the existing challenges and recommendations for the use and development of telemedicine technologies were examined. Challenges studied in the studies include three categories of human, managerial and technical challenges. Human factors include user age (15.5%), inadequate education (12.4%), informed satisfaction (12.4%), privacy and data security (35.12%). Management factors include failure to regulate the legal framework (3%, 9%), health insurance and repayments (26.9%), access to sufficient budget (9.3%), coordination in licensing conditions (12.4%), leader selection Clinical (6.2%), team building (6.2%) and access to electronic medical records infrastructure (3.1%). Technical factors include reduced access to information technology infrastructure (18.6%), quality bandwidth (18.6%).Conclusion: In this study, the challenges and recommendations of telemedicine as an innovative solution to reduce the prevalence of Covid-19, which can be a beacon for the development and implementation of telemedicine technology, were investigated. The results of systematic review show that today human and managerial challenges play a more fundamental and important role than technical challenges. In addition, Covid-19 emergencies are effective in addressing telemedicine challenges, and efforts are underway to expand telemedicine more rapidly as a response to managing and controlling the outbreak of Covid-19 epidemics. The use of telemedicine technologies can also help reduce the risk of transmitting the virus and protecting patients and health care providers from spreading the infection.

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