title: E-health implementation challenges in Iranian medical centers: a qualitative study in Iran.
abstract: BACKGROUND
  E-health encompasses a wide scope and has excellent potential to grow in the future. Growing numbers of experts believe that e-health will fuel the next breakthroughs in health system improvements throughout the world. There is frequent evidence that largely indicates failures or unsustainable e-health implementations in different countries for different reasons. Iran is also a developing country that is presently applying this promising technology for its traditional healthcare delivery.
  
  
  METHODS
  Two phases of research have been carried out for this study. In the first phase, a general Internet search was performed in different databases to extract e-health implementation activities in the world, particularly in Iran. MEDLINE and laboratory research were used for this purpose, using the key words "information technology," "e-health," "health IT," "health informatics," "health," and "Iran." In the second phase, a panel of experts from Isfahan, Iran, who specialized in e-health applications, was selected for a qualitative survey.
  
  
  RESULTS
  Efficient administration of e-health implementation improves the quality of healthcare, reduces costs and medical errors, and enables transfer of healthcare resources to rural areas, among other benefits. However, there are numerous issues affecting the successful implementation of e-health such as lack of standardized e-health applications, deployment costs, training costs, legal challenges, privacy and security fears, implementation and acceptance time of such applications, technical difficulties, educational issues, resistance to change, and pilot projects or small implementations with limited numbers of patients in healthcare organizations.
  
  
  CONCLUSIONS
  The implementation of e-health in Iran, particularly Isfahan, is subject to similar challenges as in other countries throughout the world. Hence, e-health implementers need to adhere to the proposed solutions in order to overcome the mentioned challenges in such complex projects.
authors: Faculty of Management and Human Resource, Malaysia Technological University, Johor Bahru, Malaysia. sharifi1400@yahoo.com
authors: Mohammad
authors: M
authors: Sharifi
authors: Masart
authors: M
authors: Ayat
authors: Maryam
authors: M
authors: Jahanbakhsh
authors: Nahid
authors: N
authors: Tavakoli
authors: Haibiollah
authors: H
authors: Mokhtari
authors: Wan Khairuzzaman
authors: WK
authors: Wan Ismail
mesh_terms: D003362:Cost-Benefit Analysis; D003906:Developing Countries; D004059:Diffusion of Innovation; D006291:Health Policy; D006801:Humans; D007492:Iran; D008491:Medical Informatics Applications; D036301:Qualitative Research