A SYSTEMATIC EVALUATION OF TELEMEDICINE IMPLEMENTATION IN HEALTHCARE SYSTEMS: AN ANALYSIS BASED ON THE INSTITUTE OF MEDICINE QUALITY FRAMEWORK
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Abstract
Telemedicine has become a critical innovation in global healthcare systems, particularly during the COVID-19 pandemic. This article presents a systematic evaluation of telemedicine implementation using the Institute of Medicine (IOM) quality framework, encompassing six core domains: safety, effectiveness, patient-centeredness, timeliness and accessibility, efficiency, and health equity. A review of literature and empirical evidence indicates that telemedicine has the potential to enhance healthcare access, especially in remote areas and for populations with limited access to traditional services. It also demonstrates effectiveness in managing various chronic conditions and shows promise in reducing medical costs. However, challenges persist in data security, doctor-patient relationships, and technology access inequalities. The article proposes guidelines for quality telemedicine implementation, including developing evaluation standards, promoting empirical research, improving technological infrastructure, and refining relevant policies. Continuous and comprehensive evaluation is crucial for advancing telemedicine to enhance healthcare quality, increase service accessibility, and reduce health inequities, ultimately contributing to the development of a sustainable healthcare system.
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