Mohammad Narimani, Moslem Abbasi, Abbas Abolghasemi, Batoul Ahadi
The effectiveness of training acceptance / commitment and training emotion regulation on high-risk behaviors of students with dyscalculia
International journal of high risk behaviors & addiction
covid19 pandemic accelerated adoption telemedicine means reducing facetoface contact protecting professionals patients portugal number hospital telemedicine consultations significantly increased however rapid implementation telemedicine also led disparities access services resulting inequalities healthcare delivery aim study identify main challenges accessing hospital medical specialty consultations telemedicine portugal covid19 pandemic additionally study aimed establish consensus possible solutions challenges identified study used nominal group technique involved panel 10 experts panel generated total 71 ideas categorized three groups challenges relating patients impact access hospitalbased medical specialty consultations telemedicine b challenges relating professionals institutions health systems impact access hospital medical specialty consultations telemedicine c recommendations overcome challenges faced adopting telemedicine solutions ideas assessed scored ranked based relevance considering study objectives study identified several significant challenges impacted adoption telemedicine portugal covid19 pandemic challenges related patients deemed relevant low digital literacy lack information telemedicine processes low familiarity technologies distrust quality services challenges impacted healthcare professionals institutions health systems b deemed relevant lack integration telemedicine patients journey low motivation adopt telemedicine solutions poor interoperability systems absence necessary technological equipment relevant recommendations c included investing healthcare institutions developing clear guidelines safety quality telemedicine practices incorporating telemedicine curricula health professions study identified several challenges impacted adoption implementation telemedicine services hospital care portugal pandemic period challenges related digital health literacy technological operational conditions reluctance technological adoption overcome challenges training programs healthcare professionals patients may necessary along investment technological infrastructures interoperability systems effective communication strategies strengthening specific regulations