Background:The unexpected emergence of coronavirus disease 2019 (COVID-19) has changed mindsets about the healthcare system and medical practice in many fields, forcing physicians to reconsider their approaches to healthcare provision. It is necessary to add new, unique, and efficient solutions to traditional methods to overcome this critical challenge. In this regard, telemedicine offers a solution to this problem. Remote medical activities could diminish unnecessary visits and provide prompt medical services in a timely manner.ObjectiveThis scoping review aimed to provide a map of the existing evidence on the use of telemedicine during the COVID-19 pandemic by focusing on delineation functions and technologies, analyzing settings, and identifying related outcomes.MethodsThis review was conducted following the Arksey and O'Malley framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) checklist. PubMed and Scopus databases were systematically searched based on specific eligibility criteria. The English publications included in this study focused on telemedicine systems implemented during the COVID-19 pandemic to provide clinical care services. Two independent reviewers screened the articles based on predefined inclusion and exclusion criteria. The relevant features of telemedicine systems were summarized and presented into the following four domains and their subcategories, including functionality, technology, context, and outcomes.ResultsOut of a total of 1,602 retrieved papers, 66 studies met the inclusion criteria. The most common function implemented was counseling, and telemedicine was used for diagnosis in seven studies. In addition, in 12 studies, tele-monitoring of patients was performed by phone, designed platforms, social media, Bluetooth, and video calls. Telemedicine systems were predominantly implemented synchronously (50 studies). Moreover, 10 studies used both synchronous and asynchronous technologies. Although most studies were performed in outpatient clinics or centers, three studies implemented a system for hospitalized patients, and four studies applied telemedicine for emergency care. Telemedicine was effective in improving 87.5% of health resource utilization outcomes, 85% of patient outcomes, and 100% of provider outcomes.ConclusionThe benefits of using telemedicine in medical care delivery systems in pandemic conditions have been well–documented, especially for outpatient care. It could potentially improve patient, provider, and healthcare outcomes. This review suggests that telemedicine could support outpatient and emergency care in pandemic situations. However, further studies using interventional methods are required to increase the generalizability of the findings.
Today, with the emergence of new technologies and massive data, big data analysis has attracted the attention of researchers, industries and universities on a global scale. The present research aims to explore students’ attitude to big data analysis in different fields of study. The present cross-sectional study was conducted with students at different universities and fields of study in Iran. A questionnaire was developed. This questionnaire explored students’ attitude toward big data analysis. To this aim, 359 university students participated in the research. The data were analyzed using descriptive and inferential statistics. The age of the students ranged between 25 and 34 years. 55.2% were female and 54% were economically active. 40.9% had a work experience of less than a year. The academic degree of the majority of participants was master’s degree. 93.9% of the participants believed that big data analysis was essential for the country. 43.2% maintained that big data mostly belonged to the communication industry. 28.1% perceived MATLAB useful software for analysis. 40.9% were familiar with the benefits of analysis. Engage in economic activities, less than 1 year of experience and studies for a Master’s degree showed to be significantly correlated with familiarity with the benefits of big data (p≤0.01). Such issues as high costs, managers’ unfamiliarity and lack of expertise and complexity were raised by the respondents. Considering the undeniable benefits of big data analysis, it seems essential to familiarize university students with these analyses through particular training courses, conferences and so on.
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