Document Type : Original Article
Authors
1 Department of Artificial Intelligence AI, university of Applied science and Technology, Tehran, Iran
2 Health Law Department, Smart University of Medical Science, Tehran, Iran
Abstract
Background and Objective: The advancement of science and technology in the field of electronic communications has led to significant changes in scientific, practical, and applied fields, including educational and medical services. Smart medical universities and smart hospitals are considered to be one of these important advancements. Each of these new ideas has its own advantages and disadvantages.
Methods: First, the literature of the article was reviewed using books, printed and online articles, then qualitative data was analyzed through content analysis and an applied theory entitled “digital-human integration in the health system” was presented.
Findings: Reduced educational costs, elimination of the need for physical training location, the possibility of using multimedia tools, flexibility in time and method of education, facilitated storage of materials, reducing travel time and costs, and accelerating interactive processes are among the benefits of virtual education. Improved access to services, better selection of centers and doctors, ease of hospitalization and services utilization, remote monitoring of patient status, and better support and assistance for service users are also considered benefits of virtual hospitals.
Conclusion: Due to the complexity and sensitivity of some concepts and the hands-on nature of some medical science courses, it is not possible to provide education in this field only through virtual means. Therefore, blended learning, consisting of in-person and virtual classes, is recommended. In the field of medical sciences, which is a human-centered discipline with an emphasis on the interaction between doctors and paramedics and patients, it is better not to be limited to a virtual relationship that reinforces a sense of isolation.
Keywords
- Virtual Education
- Smart Hospital
- Healthcare
- Information Sharing
- Digital Integration Theory in the Health System
Main Subjects
Article Title [Persian]
مدیریت مراکز آموزشی و درمانی هوشمند به‌عنوان ابزارهای انفورماتیک سلامت
Authors [Persian]
- آرش عبدی 1
- یاسر زندی شفق 2
- سالار زینالی 2
1 گروه هوش مصنوعی، دانشگاه علم و صنعت، تهران، ایران
2 گروه حقوق سلامت، دانشگاه علوم پزشکی هوشمند، تهران، ایران
Abstract [Persian]
زمینه و هدف: پیشرفت علم و فناوری درحوزه ارتباطلات الکترونیکی موجب تحولات عظیم در عرصههای علمی، عملی و کاربردی از جمله خدمات آموزشی و درمانی شده است. دانشگاه‌های علوم پزشکی هوشمند و بیمارستان‌های هوشمند یکی از این پیشرفت‌های مهم به شمار می‌روند. این ایدههای جدید، هر یک مزایا و معایب خاص خود را دارند.
روشها: ابتدا ادبیات مقاله با استفاده از کتب، مقالات کاغذی و اینترنتی بررسی شده، سپس دادههای کیفی از طریق تحلیل محتوا مورد تجزیه و تحلیل قرار گرفته و یک نظریه کاربردی با عنوان یکپارچه‌سازی دیجیتال- انسانی در نظام سلامت ارائه گردید.
یافته‌ها: کاهش هزینه‌های آموزشی، عدم نیاز به مکان آموزش، امکان استفاده از ابزارهای چندرسانه‌ای، انعطاف‌پذیری در زمان و شیوه آموزش، تسهیل ذخیره‌سازی مطالب، کاهش زمان و هزینه سفر و تسریع فرآیند‌های تعاملی از جمله مزایای آموزش مجازی شناخته می‌شوند. دسترسی بیشتر به خدمات، انتخاب بهتر مراکز و پزشکان و سهولت در بستری و استفاده از خدمات، کنترل وضعیت بیمار از دور و حمایت و پشتیبانی بهتر خدمت‌گیرندگان نیز، از مزایای بیمارستان‌های مجازی محسوب می‌شوند.
نتیجه‌گیری: به‌دلیل مشکل و حساس بودن برخی مفاهیم و عملی بودن برخی دروس علوم پزشکی، نمی‌توان تنها از طریق مجازی در این حوزه اقدام به آموزش نمود. بنابراین، آموزش ترکیبی، متشکل از کلاس‌های حضوری و مجازی توصیه می‌شود. در حوزه علوم پزشکی که یک حوزه انسان‌محور با تاکید بر رابطه پزشکان و پیراپزشکان با بیماران می‌باشد، بهتر است تنها به رابطه مجازی که حس انزواطلبی را تقویت می‌کند، بسنده نشود.
Keywords [Persian]
- آموزش‌مجازی
- بیمارستان هوشمند
- مراقبت‌سلامت
- اشتراک‌گذاری اطلاعات
- نظریه یکپارچه‌سازی دیجیتال در نظام سلامت
Refrences
- Ghafouri Fard M, Hasankhani H. Virtual Hospital: a new approach in education and treatment. Journal of Medical Education Development. 2015; 8(17): 47-57.
- Emami H, Aghdasi M, Asousheh2 A. Electronic learning in medical education . Research in Medicine 2009; 33 (2) :102-111.
- Sadeghi T, Heidari S, Bakhshi H. Comparison the Lecture and E-learning Training Methods on Knowledge of Nurses Participating in Continuing Medical Education(CME) Programs in Rafsanjan University of Medical Sciences . mededj 2014; 2 (1) :59-64.
- Mathers CD, Stevens GA, Boerma T, White RA, Tobias MI. Causes of international increases in older age life expectancy. The Lancet. 2015 Feb 7;385(9967):540-8.
- Röcker C, Ziefle M, Holzinger A. From computer innovation to human integration: current trends and challenges for pervasive HealthTechnologies. Pervasive Health: State-of-the-art and Beyond. 2014:1-7.
- Kwon H, An S, Lee HY, Cha WC, Kim S, Cho M, Kong HJ. Review of smart hospital services in real healthcare environments. Healthcare Informatics Research. 2022 Jan 31;28(1):3-15.
- Iyawa GE, Herselman M, Botha A. Digital health innovation ecosystems: From systematic literature review to conceptual framework. Procedia Computer Science. 2016 Jan 1;100:244-52.
- Holzinger A, Röcker C, Ziefle M. From smart health to smart hospitals. Smart Health: Open Problems and Future Challenges. 2015:1-20.
- World Health Organization. Atlas of eHealth country profiles: the use of eHealth in support of universal health coverage: based on the findings of the third global survey on eHealth 2015. InAtlas of ehealth country profiles: the use of eHealth in support of universal health coverage: based on the findings of the third global survey on eHealth 2015 2016 (pp. 386-386).
- Australia (2016) Public Governance, Performance and Accountability (Establishing the Australian Digital Health Agency) Rule. vol F2016L00070
- Intelligent Health Association. Welcome to your association [Internet]. Media (PA): Intelligent Health Association; 2020 [cited at 2022 Feb 3]. Available from: http:// ihassociation.org
- Yoon YD. Smart hospital-related technology status and prospects. KESSIA Issue Rep. 2018;2:1-9.
- Cook DA, Levinson AJ, Garside S, Dupras DM, Erwin PJ, Montori VM. Instructional design variations in internet-based learning for health professions education: a systematic review and meta-analysis. Academic medicine. 2010 May 1;85(5):909-22.
- Ong, P. (2020). COVID-19 and the Digital Divide in Virtual Learning. UCLA: Center for Neighborhood Knowledge. Retrieved from https://escholarship.org/uc/item/07g5r002
- Westerhof A, Hilhorst C, Bos WJ. The Impact of Health Information Technology on Hospital Performance: A Systematic Integrative Literature Review. Health. 2024 Apr 11;16(4):257-79.
- Al-Rawashdeh M, Keikhosrokiani P, Belaton B, Alawida M, Zwiri A. IoT adoption and application for smart healthcare: a systematic review. Sensors. 2022 Jul 19;22(14):5377.
- Seidling HM, Bates DW. Evaluating the impact of health IT on medication safety. InEvidence-Based Health Informatics 2016 (pp. 195-205). IOS Press.
- Topol E. Deep medicine: how artificial intelligence can make healthcare human again. Hachette UK; 2019 Mar 12.
- Ostad SN, Ahmady S, Mohammadi A, Sabzevari O, Mojtahedzadeh R, Norouzadeh AN. Evolution of e-Learning in Iran’s Medical Sciences Universities: Formation of Virtual University of Medical Sciences. Medicine and Spiritual Cultivation. 2017; 27(4): 233-243.
- . Seyedi M, Yaghoubi Z. Designing and Implementing Blended Learning in the Field of Rehabilitation. Interdisciplinary Journal of Virtual Learning in Medical Sciences. 2012; 3(2): 26
- Mirsaidi G, Imani M N, Nazem F. Evaluation of organizational infrastructure affecting the use of E-learning. Nursing Management. 2016; 5(2) :51-58
- Dargahi H, Ghazi Saidi M, Ghasemi M. The role of e-learning in Medical Sciences Universities. payavard 2008; 1 (2) :20-29
- Nezam Abadi Z, Jafari N, Farsi Z, Zareiyan A. Application of E-learning on clinical nursing skills education. Educational Studies (Nama). 2014; 4; 39-47
- Mansour Ghafourifard. Virtual Hospital: An Opportunity to Access the Health Care System Without Time and Place Constraints. Journal of Nursing and Care, Volume 6, Issue 1, 1000379, 2017, ISSN: 2167-1168.
- Rieyazi R. 1389, virtual hospital, first international symposium on electronic hospital and telemedicine, Tehran, https://civilica.com/doc/101353
- Shahmoradi L, Almasi S, mehraban far M. Diagnosis and Treatment of Diseases in Virtual Environment. JMIS 2017; 3 (1) :56-66.
- American Hospital Association, Annual Survey IT Supplement, Brief # 2, March 2018.
- Begjani J, Sajadi S.A., Mohammadnejad E. Virtual hospital; A way for public health development. Journal of the School of Army Nursing. 2015; 15(1): 27.
- Hassankhani H, Asgarlo ZH, Asghari E. A Review on Virtual Hospital Concept and its Applications. Depiction of Health. 2012; 3(3): 35.
- Ministry of Health and Medical Education of Iran. "Virtual Medical Education Development Plan", https://behdasht.gov.ir/
- Iran Smart University of Medical Sciences. "Online Medical Education", https://smums.ac.ir/
- Survey of smart hospitals in Iran: "Smart Hospitals in Iran Report", Smart Hospitals of Iran, 2022.
- gov. "HITECH Act Overview", https://www.healthit.gov/
- Mayo Clinic. "Smart Hospital Initiatives", https://www.mayoclinic.org/
- Stanford University. "Telemedicine Research", https://www.stanford.edu/
- Bundesministerium für Gesundheit (BMG). "E-Health Gesetz", https://www.bundesgesundheitsministerium.de/
- University of Hamburg. "Virtual Health Education", https://www.uni-hamburg.de/
- "Digitalization in Health Care: Germany's Vision for 2030", Bundesgesundheitsministerium, 2021.
- Singapore Ministry of Health. "Smart Health Initiatives", https://www.moh.gov.sg/
- National University of Singapore. "Digital Health Technologies Research", https://www.nus.edu.sg/
- Singapore General Hospital. "Digital Transformation in Healthcare", https://www.sgh.com.sg/
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