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  4. Policy Brief

Vol. 13 No. 1 (1404)

December 2025

Developing a Governance, Infrastructure, and Empowerment Framework: A National Strategy for Implementing Telemedicine in Iran’s Family Physician Program

  • Shahram Taghioghli
  • Ehsan Zarei

Irtiqa Imini Pishgiri Masdumiyat (Safety Promotion and Injury Prevention), Vol. 13 No. 1 (1404), 2 December 2025 , Page 30 - 26
https://doi.org/10.22037/iipm.v13i1.50538 Published: 2026-01-27

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Abstract

Telemedicine, as an essential technological solution, holds considerable potential for improving equity in access to primary health care, particularly by reducing disparities in rural and remote areas and for enhancing the efficiency of the Family Physician Program. Findings from this qualitative study indicate that, despite its strong potential to expand access, especially for specialist consultations, treatment follow-up, and chronic disease management and to reduce costs and save time, telemedicine implementation faces structural and systemic barriers. These include the lack of reliable communication infrastructure in rural areas and significant ambiguities in governance, legal, and financial frameworks. To enable a successful transition, three key policy recommendations are proposed: 1) Establishing a comprehensive legal and regulatory framework, including clinical guidelines, reimbursement regulations, and privacy protections; 2) Strategic investment in communication infrastructure and a national telemedicine platform; and 3) Simultaneous empowerment of providers and patients through targeted training. Adopting this three-pillar strategy is an urgent policy priority to prevent resource waste and to realize health .system equity

Please cite this article as:

Taghioghli Sh, Zarei E. Developing a Governance, Infrastructure, and Empowerment Framework: A National Strategy for Implementing Telemedicine in Iran’s Family Physician Program. Irtiqa Imini Pishgiri Masdumiyat .2026;13(1):26-30. https://doi.org/10.22037/iipm.v11i3.50538

Keywords:
  • Telemedicine, Family physician, Digital health
  • pdf 5 (فارسی)

How to Cite

1.
Taghioghli S, Zarei E. Developing a Governance, Infrastructure, and Empowerment Framework: A National Strategy for Implementing Telemedicine in Iran’s Family Physician Program. Irtiqa Imini Pishgiri Masdumiyat [Internet]. 2026 Jan. 27 [cited 2026 Jul. 25];13(1):30-26. Available from: https://journals.sbmu.ac.ir/spip/article/view/50538
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References

Shams L, Mobinizadeh M, Nasiri T, Mohammadi F. Prioritizing implementation solutions for the urban family physician policy in Iran: a multi-criteria decision-making study. BMC Health Services Research. 2025;25(1):143.

Parthasarathi A, George T, Kalimuth MB, Jayasimha S, Ullah MK, Patil R, et al. Exploring the potential of telemedicine for improved primary healthcare in India: a comprehensive review. The Lancet Regional Health-Southeast Asia. 2024;27:100431.

Mahdavi S, Fekri M, Mohammadi-Sarab S, Mehmandoost M, Zarei E. The use of telemedicine in family medicine: a scoping review. BMC Health Services Research. 2025;25(1):376.

Onsongo S, Kamotho C, Rinke de Wit TF, Lowrie K. Experiences on the utility and barriers of telemedicine in healthcare delivery in Kenya. International journal of telemedicine and applications. 2023;2023(1):1487245.

Gomez T, Anaya YB, Shih KJ, Tarn DM. A qualitative study of primary care physicians’ experiences with telemedicine during COVID-19. The Journal of the American Board of Family Medicine. 2021;34(Supplement):S61-S70.

Ramezankhani A, Mohamadloo A, Tabrizchi N. A review of the concepts of part 2 of the general health policy, announced by the supreme leader. Iranian journal of culture and health promotion. 2018;2(2): 149-159.

Academy of Medical Sciences of Islamic Republic of Iran. Health Sector Priorities in the Seventh Economic, Social and Cultural Development Plan of the Islamic Republic of Iran in the Framework of General Health Policies. Iranian Journal of Culture and Health Promotion. 2022;6(1):3-6.

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