The usability of telephone-based telemedicine in primary healthcare: A quantitative evaluation and a hypothesized framework of determinants from the physicians’ perspective in Oman
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https://doi.org/10.26900/hsq.1925Keywords:
Oman, physicians, primary healthcare, scale, telemedicine, usability, usability determinantsAbstract
Telemedicine has been appreciated as a smart solution to bridge the gaps in the delivery and coverage of healthcare worldwide. With the great impetus to integrate this service into primary healthcare facilities, evaluating its usability should be an ongoing process. This study aimed to quantitatively evaluate the usability of telemedicine from the primary healthcare physicians’ perspective in Oman. The evaluation was conducted using a cross-sectional study design. A self-administered online questionnaire was developed and validated as a scale to evaluate the usability of telemedicine as a safe and useful communication channel and outpatient record. Following a pilot study, the questionnaire was distributed to a sample of primary healthcare physicians who ran telemedicine clinics in Oman during 2020-2022. The questionnaire was completed by 143 primary healthcare physicians from different governorates. The total mean scale and subscale scores were computed. In addition, the frequency distribution of responses to each question was presented. The results showed that the total mean scale score of the usability of telemedicine in our clinics was 3.43/5.00. The subscale scores of the usability of telemedicine as a safe and useful service, the usability of telemedicine as a communication channel, and the usability of telemedicine as an outpatient record were 3.42/5.00, 3.23/5.00, and 3.99/5.00, respectively. In conclusion, the current telemedicine service in Oman’s primary healthcare facilities has some usability features, but there is still much room for improvement. With logical reasoning, a framework of potential determinants was inferred and proposed to improve the usability of telemedicine services in the future and comply with the principles of biomedical ethics.
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References
World Health Organization. The world health report 1998 - Life in the 21st century: a vision for all. Geneva, Switzerland: WHO; 1998. https://apps.who.int/iris/handle/10665/42065 [Accessed December 1, 2022].
World Health Organization Group Consultation on Health Telematics. A health telematics policy in support of WHO's Health-for-all strategy for global health development: report of the WHO Group Consultation on Health Telematics, 11-16 December 1997. Geneva, Switzerland: WHO; 1998. https://apps.who.int/iris/handle/10665/63857 [Accessed December 1, 2022].
World Health Organization Global Observatory for eHealth. Telemedicine: opportunities and developments in Member States: report on the second global survey on eHealth. Geneva, Switzerland: WHO; 2010. Available at: https://apps.who.int/iris/handle/10665/44497 [Accessed December 1, 2022].
World Health Organization. Global diffusion of eHealth: making universal health coverage achievable: report of the third global survey on eHealth. Geneva, Switzerland: WHO; 2016. https://apps.who.int/iris/handle/10665/252529 [Accessed December 1, 2022].
World Health Organization. WHO guideline: recommendations on digital interventions for health system strengthening. Geneva, Switzerland: WHO; 2019. https://www.who.int/publications/i/item/9789241550505 [Accessed December 1, 2022].
Alonso SG, Marques G, Barrachina I, GarciaZapirain B, Arambarri J, Cabo Salvador J, et al. Telemedicine and e-Health research solutions in literature for combatting COVID-19: A systematic review. Health Technol. 2021;11(2):257-66. doi: 10.1007/s12553-021-00529-7.
European Observatory on Health Systems and Policies, Fahy N, Williams GA. Use of digital health tools in Europe: before, during and after COVID-19. WHO Regional Office for Europe; 2021. https://apps.who.int/iris/handle/10665/345091 [Accessed December 1, 2022].
Koç Yekedüz M, Doğulu N, Sürücü Kara İ, Öncül Ü, Bakirarar B, Kullu P, et al. Pros and cons of telemedicine for inherited metabolic disorders in a developing country during the COVID-19 pandemic [published online ahead of print, 2022 Mar 30]. Telemed J E Health. 2022. doi: 10.1089/tmj.2021.0610.
Al Fannah J, Al Harthy H, Al Salmi Q. COVID-19 Pandemic: Learning lessons and a vision for a better health system. Oman Med J. 2020;35(5):e169. doi: 10.5001/omj.2020.111.
Al-Mahrouqi T, Al-Alawi K, Al-Alawi M, Al Balushi N, Al Ghailani A, Al Sabti H, et al. A promising future for tele-mental health in Oman: A qualitative exploration of clients and therapists’ experiences. SAGE Open Med. 2022;10:1-13. doi: 10.1177/20503121221086372.
Alsaffar H, Almamari W, Al Futaisi A. Telemedicine in the era of COVID-19 and beyond: A new horizon. Sultan Qaboos Univ Med J. 2020;20(4):e277-e279. doi: 10.18295/squmj.2020.20.04.001.
Hasani SA, Ghafri TA, Al Lawati H, Mohammed J, Al Mukhainai A, Al Ajmi F, et al. The use of telephone consultation in primary health care during COVID-19 pandemic, Oman: Perceptions from physicians. J Prim Care Community Health. 2020;11:1-8. doi: 10.1177/2150132720976480.
Bashshur RL. Telemedicine and Health Care. In: Bashshur RL, Mandil SH, Shannon GW, eds. Stateof-the-Art Telemedicine/Telehealth Symposium: An International Perspective. New York, NY: Mary Ann Liebert; 2002:5-12. https://www.researchgate.net/publication/235042598_State_of_the_Art_TelemedicineTelehealth [Accessed December 1, 2022].
Fakılı F, Bayram N. Anxiety levels, sleep quality and follow-up of obstructive sleep apnoea patients during the COVID-19 pandemic. J Turk Sleep Med. 2022;9:147-52. doi: 10.4274/jtsm.galenos.2021.76476.
Alodhayani AA, Hassounah MM, Qadri FR, Abouammoh NA, Ahmed Z, Aldahmash AM. Culture-specific observations in a Saudi Arabian Digital Home Health Care Program: Focus group discussions with patients and their caregivers. J Med Internet Res. 2021;23(12):e26002. doi: 10.2196/26002.
Feroze K. Teledermatology in India: practical implications. Indian J Med Sci. 2022;62(5):208-14. doi: 10.4103/0019-5359.40988.
Rubin J, Chisnell D. Handbook of Usability Testing: How to Plan, Design, and Conduct Effective Tests. 2nd ed. Indianapolis, IN: Wiley Publishing; 2008. https://docplayer.net/78863249-Handbook-of-usability-testing.html [Accessed December 1, 2022].
Alonso-Ríos D, Vázquez-García A, MosqueiraRey E, Moret-Bonillo V. Usability: A critical analysis and a taxonomy. Int J Hum-Comput Int. 2010;26(1):53-74. doi: 10.1080/10447310903025552.
Abran A, Khelifi A, Suryn W, Seffah A. Usability meanings and interpretations in ISO standards. Softw Qual J. 2003;11(4):325-38. doi: 10.1023/A:1025869312943.
Haron SN, Hamida Y, Talib A. Towards healthcare service quality: An understanding of the usability concept in healthcare design. Procedia Soc Behav Sci. 2012;42:63-73. doi: 10.1016/j.sbspro.2012.04.167.
International Organisation for Standardization. ISO 9241-11 Ergonomic requirements for office work with visual display terminals (VDTs) - Part 11: Guidance on usability. Geneva, Switzerland: ISO; 1998. doi: 10.3403/01879403.
Schug S, Atzori W, Lange M, Sanna L. Renewing Health User Requirement Reference Framework. D4.2 v1.0. Regions of Europe Working Together for Health; 2012. https://www.eu-patient.eu/globalassets/projects/renewing-health/renewinghealth-user-requirement-ref-framework.pdf [Accessed December 1, 2022].
World Bank Country and Lending Groups. The World Bank. https://datahelpdesk.worldbank.org/knowledgebase/articles/906519-world-bankcountry-and-lending-groups Published 2021. [Accessed December 1, 2022].
Oman Ministry of Information. Oman a vision of future. Sultanate of Oman: Ministry of Information; 2021. https://www.omaninfo.om/library/47 [Accessed December 1, 2022].
Oman National Centre for Information and Statistics. Population Statistics 2021. Sultanate of Oman: National Centre for Information and Statistics; 2021. https://www.ncsi.gov.om/Elibrary/LibraryContentDoc/bar_Population%202022.%20Issue%2012_acd27374-e060-4eb7-a125-7cbaa4958e47.pdf [Accessed December 1, 2022].
Oman Ministry of Health. Human Resources for Health. In: Annual Health Report 2020. Sultanate of Oman: Department of Information & Statistics; 2020.
Garg R. Methodology for research I. Indian J Anaesth. 2016;60(9):640-5. doi: 10.4103/0019-5049.190619.
Patino CM, Ferreira JC. Inclusion and exclusion criteria in research studies: definitions and why they matter. J Bras Pneumol. 2018;44(2):84. doi: 10.1590/s1806-37562018000000088.
Bakken S, Grullon-Figueroa L, Izquierdo R, Lee N-J, Morin P, Palmas W, Teresi J, et al. Development, validation, and use of English and Spanish versions of the telemedicine satisfaction and usefulness questionnaire. J Am Med Inform Assoc. 2006;13(6):660-7. doi: 10.1197/jamia.M2146.
Brooke J. SUS-A quick and dirty usability scale. In: Jordan PW, Thomas B, Weerdmeester BA, McClelland AL, eds. Usability Evaluation in Industry. London, UK: Taylor and Francis; 1996:189-94. doi: 10.1201/9781498710411-35.
Davis FD. User Acceptance of information technology: System characteristics, user perceptions and behavioral impacts. Int J Man Mach Stud. 1993;38:475-87. doi: 10.1006/IMMS.1993.1022.
Hirani SP, Rixon L, Beynon M, Cartwright M, Cleanthous S, Selva A, et al. Quantifying beliefs regarding telehealth: Development of the whole systems demonstrator SUTAQ - service user technology acceptability questionnaire (WSDSUTAQ). J Telemed Telecare. 2017;23(4):460-9. doi: 10.1177/1357633X16649531.
Lewis JR. Psychometric evaluation of the poststudy system usability questionnaire: The PSSUQ. Proceedings of the Human Factors Society 36th annual meeting. 1992;36(16):1259-60. doi: 10.1177/154193129203601617.
Lund A. Measuring Usability with the USE Questionnaire. Usability and User Experience Newsletter of the STC Usability Special Interest Group. 2001;8. https://www.researchgate.net/publication/230786746_Measuring_Usability_with_the_USE_Questionnaire [Accessed December 1, 2022].
Morgan DG, Kosteniuk J, Stewart N, O’Connell ME, Karunanayake C, Beever R. The telehealth satisfaction scale: Reliability, validity, and satisfaction with telehealth in a rural memory clinic population. Telemed J E Health. 2014;20(11):997-1003. doi: 10.1089/tmj.2014.0002.
Parmanto B, Lewis AN, Jr Graham KM, Bertolet MH. Development of the telehealth usability questionnaire (TUQ). Int J Telerehabilitation. 2016;8(1):3-10. doi: 10.5195/ijt.2016.6196.
Yip MP, Chang AM, Chan J, MacKenzie AE. Development of the telemedicine satisfaction questionnaire to evaluate patient satisfaction with telemedicine: a preliminary study. J Telemed Telecare. 2003;9(1):46-50. doi: 10.1258/135763303321159693.
Hinkin TR, Tracey JB, Enz CA. Scale construction: Developing reliable and valid measurement instruments. J Hosp Tour Res. 1997;21(1):100-20. doi: 10.1177/109634809702100108.
Gharbal A, Al-Lawati NA, Al-Sumri NH, Al-Raisi SS. Developing a scale to evaluate the usability of telemedicine as a safe and useful communication channel and outpatient record. Atlantic J Med Sci Res. 2023;3(1):7-16. doi: 10.55358/atjmed.2022.12.02.
Barlett JE, Kotrlik, Higgins C. Organizational research: Determining appropriate sample size in survey research. Inf Technol Learn Perform J. 2001;19(1):43-50.
Beavers AS, Lounsbury JW, Richards JK, Huck SW, Skolits GJ, Esquivel SL. Practical considerations for using exploratory factor analysis in educational research. Pract Assess Res Evaluation. 2013;18:6. doi: 10.7275/qv2q-rk76.
Rogers P. Best practices for your exploratory factor analysis: A Factor tutorial. Rev Adm Contemp. 2021. “in press”. doi: 10.1590/1982-7849rac2022210085.en.
DiStefano C, Zhu M, Mîndrilã D. Understanding and using factor scores: Considerations for the applied researcher. Pract Assess Res Evaluation. 2009;14(20):1-11. doi: 10.7275/da8t-4g52.
Ware JE, Snow KK, Kosinski M, Gandek B. SF36 Health Survey: Manual and Interpretation Guide. Boston, MA: New England Medical Center Hospitals; 1993. https://www.researchgate.net/publication/247503121_SF36_Health_Survey_Manual_and_Interpretation_Guide [Accessed December 1, 2022].
Ackerman MJ, Craft RL, Ferrante FE, Kratz M, Mandil S, Sapci HA. Telemedicine Technology. In: Bashshur RL, Mandil SH, Shannon GW, eds. Stateof-the-Art Telemedicine/Telehealth Symposium: An International Perspective. New York, NY: Mary Ann Liebert; 2002:71-78. https://www.researchgate.net/publication/235042598_State_of_the_Art_TelemedicineTelehealth [Accessed December 1, 2022].
American Academy of Family Physicians. A Toolkit for Building and Growing a Sustainable Telehealth Program in Your Practice. AAFP; 2020. https://www.aafp.org/dam/AAFP/documents/practice_management/telehealth/2020-AAFPTelehealth-Toolkit.pdf [Accessed December 1, 2022].
Erbayraktar A, Koc EM, Pamuk G. Evaluation of possible telehealth scenarios in Turkey by family medicine residents in Izmir. Med Science. 2022;11(1):280-4. doi: 10.5455/medscience.2021.11.374.
Thong HK, Wong DKC, Gendeh HS, Saim L, Athar PPBSH, Saim A. Perception of telemedicine among medical practitioners in Malaysia during COVID-19. J Med Life. 2021;14(4):468-80. doi: 10.25122/jml-2020-0119.
Breton M, Sullivan EE, Deville-Stoetzel N, McKinstry D, DePuccio M, Sriharan A, et al. Telehealth challenges during COVID-19 as reported by primary healthcare physicians in Quebec and Massachusetts. BMC Fam Pract. 2021;22:192. doi: 10.1186/s12875-021-01543-4.
Heyer A, Granberg RE, Rising KL, Binder AF, Gentsch AT, Handley NR. Medical oncology professionals’ perceptions of telehealth video visits. JAMA Netw Open. 2021;4(1):e2033967. doi: 10.1001/jamanetworkopen.2020.33967.
Al-Samarraie H, Ghazal S, Alzahrani AI, Moody L. Telemedicine in Middle Eastern countries: Progress, barriers, and policy recommendations. Int J Med Inform. 2020;141:104232. doi: 10.1016/j.ijmedinf.2020.104232.
Bali S. Barriers to Development of Telemedicine in Developing Countries. In: Heston TF, ed. Telehealth. London, UK: IntechOpen; 2018. doi: 10.5772/intechopen.81723.
Alaboudi A, Atkins A, Sharp B, Balkhair A, Alzahrani M, Sunbul T. Barriers and challenges in adopting Saudi telemedicine network: The perceptions of decision makers of healthcare facilities in Saudi Arabia. J Infect Public Health. 2016;9(6):725-33. doi: 10.1016/j.jiph.2016.09.001.
Galpin K, Sikka N, King SL, Horvath KA, Shipman SA, AAMC Telehealth Advisory Committee. Expert Consensus: Telehealth Skills for Health Care Professionals. Telemed J E Health. 2021;27(7):820-4. doi: 10.1089/tmj.2020.0420.
Pathipati AS, Azad TD, Jethwani K. Telemedical education: Training digital natives in telemedicine. J Med Internet Res. 2016;18(7):e193. doi: 10.2196/jmir.5534.
Pourmand A, Ghassemi M, Sumon K, Amini SB, Hood C, Sikka N. Lack of telemedicine training in academic medicine: Are we preparing the next generation? Telemed J E Health. 2021;27(1):62-7. doi: 10.1089/tmj.2019.0287.
Stovel RG, Gabarin N, Cavalcanti RB, Abrams H. Curricular needs for training telemedicine physicians: A scoping review. Med Teach. 2020;42(11):1234-42. doi: 10.1080/0142159X.2020.1799959.
Shore JH, Yellowlees P, Caudill R, Johnston B, Turvey C, Mishkind M, et al. Best practices in videoconferencing-based telemental health April 2018. Telemed J E Health. 2018;24(11):827-32. doi: 10.1089/tmj.2018.0237.
Abd Ghani MK, Jaber MM. The effect of patient privacy on telemedicine implementation in developing countries: Iraq case study. Res J Appl Sci Eng Technol. 2015;11(11):1233-7. doi: 10.19026/rjaset.11.2230.
Alkraiji A, El-Hassan O, Amin F. Health informatics opportunities and challenges: Preliminary study in the Cooperation Council for the Arab States of the Gulf. J Health Inform Dev Ctries. 2014;8(1):36-45. https://www.jhidc.org/index.php/jhidc/article/view/115/159 [Accessed December 1, 2022].
Kaliyadan F, Al Ameer MA, Al Ameer A, Al Alwan Q. Telemedicine practice in Saudi Arabia during the COVID-19 Pandemic. Cureus. 2020;12(12):e12004. doi: 10.7759/cureus.12004.
Stapic Z, Vrček N, Hajdin G. Legislative framework for telemedicine. Paper presented at: Central European Conference on Information and Intelligent Systems; September, 2008. Varaždin, Croatia. doi: 10.13140/2.1.3461.1200.
Abu Dhabi Department of Health / Strategic Affairs. DOH Standard on Tele-Medicine. Abu Dhabi: Department of Health; 2020. https://www.doh.gov.ae/en/resources/standards [Accessed December 1, 2022].
Saudi Arabia National Health Information Centre. The governing rules of Telehealth in the kingdom of Saudi Arabia. Kingdom of Saudi Arabia: Saudi Health Council; 2021. https://nhic.gov.sa/Initiatives/Documents/The%20Executive%20Rules%20of%20Telehealth.pdf [Accessed December 1, 2022].
Oman Ministry of Health / Department of Primary Health Care in Muscat. Policy on Tele-medicine service in primary health care. Sultanate of Oman: Directorate General of Health Services in Muscat; 2021.
Mehta SJ. Telemedicine’s potential ethical pitfalls. Virtual Mentor. 2014;16(12):1014-7. doi: 10.1001/virtualmentor.2014.16.12.msoc1-1412.
Oman Ministry of Heritage and Tourism. Press Kit 2021. Sultanate of Oman. Ministry of Heritage and Tourism; 2021. https://www.experienceoman.om/wp-content/uploads/2021/06/OMAN-TOURISMPRESS-KIT-ENGLISH_2021.pdf [Accessed: March 9, 2023].
Hardan A, Amzat IH. Bedouins status in Oman: Development and education towards cultural beliefs. OIDA Int J Sustain Dev. 2012;3(9):41-52. https://www.researchgate.net/profile/Ismail-Amzat-3/publication/255698813_Bedouins_Status_in_Oman_Development_and_Education_Towards_Cultural_Beliefs/links/597816c00f7e9b277721d7ad/BedouinsStatus-in-Oman-Development-and-EducationTowards-Cultural-Beliefs.pdf [Accessed March 9, 2023].
Omantel. Management Discussion & Analysis Report. Sultanate of Oman: Oman Telecommunications Company SAOG; 2020. https://www.omantel.om/wcm/connect/35c541a5-e2eb-4284-8229-9588ccde9162/Management+Discussion+%26+Analysis.pdf?MOD=AJPERES&CONVERT_TO=URL&CACHEID=ROOTWORKSPACE35c541a5-e2eb-4284-8229-9588ccde9162-nwLWh3K [Accessed December 1, 2022].
Ooredoo. Financial Report 2021. Sultanate of Oman: Omani Qatari Telecommunications Company SAOG; 2021. https://www.ooredoo.om/Portals/0/pdf/IR/Financial_Report_2021_E.pdf [Accessed December 1, 2022].
Catapult. Towards Oman’s First National Smart Cities Stack. London, UK: Connected Places Catapult; 2021. https://www.ita.gov.om/itaportal/Data/English/DocLibrary/202172911511454/Oman%E2%80%99s%20First%20National%20Smart%20Cities%20Stack.pdf [Accessed December 1, 2022].
Oman Ministry of Transport, Communications and Information Technology. Future Opportunities for Artificial Intelligence Applications and Advanced Technologies in the Sultanate of Oman. Sultanate of Oman: Ministry of Transport, Communications and Information Technology; 2021. https://www.ita.gov.om/itaportal/Data/English/DocLibrary/202161395323666/Future%20Opportunities%20for%20Artificial%20Intelligence%20(AI)%20Applications%20in%20the%20Sultanate%20of%20Oman%202.pdf [Accessed December 1, 2022].
Gupta P, Ghosh M. Revolutionizing healthcare with 5G. Telecom Business Review. 2019;12(1):41-5. https://www.scribd.com/document/519581818/Revolutionizing-Healthcare-With-5G [Accessed December 1, 2022]
Janjua MB, Duranay AE, Arslan H. Role of wireless communication in healthcare system to cater disaster situations under 6G vision. Front Comms Net. 2020;1:610879. doi: 10.3389/frcmn.2020.610879.
Oman Information Technology Authority. E-OMAN. Sultanate of Oman: Ministry of Transport, Information Technology Authority; 2008. https://www.ita.gov.om/itaportal/Data/English/DocLibrary/FID2010921144034803/ITA_e.oman_eng_new.pdf [Accessed December 1, 2022].
Oman National Centre for Information and Statistics. Poll Access measurement and use of ICT 2021. Sultanate of Oman: National Centre for Information and Statistics; 2021. https://www.ncsi.gov.om/Elibrary/LibraryContentDoc/bar_Poll%20Access%20measurement%20and%20use%20of%20ICT%202021_6a924572-80d9-4832-8251-54ced1aff13a.pdf [Accessed March 9, 2023].
Alaboudi AA, Atkins AS, Sharp BA. Holistic framework for assisting decision makers of healthcare facilities to assess telemedicine applications in Saudi Arabia. Paper presented at: eTELEMED 2015: The Seventh International Conference on eHealth, Telemedicine, and Social Medicine; February 22-27, 2015. Lisbon, Portugal: IARIA; 2015: 203-208. Available at: http://eprints.staffs.ac.uk/2184/1/Alaboudi%20paper%20lisbon%202015.pdf [Accessed December 1, 2022].
Jaber MM, Abd Ghani MK, Burhanuddin MA, Mohammed MA, Abdullah I. Inferring on the factors that influence the use of telemedicine in developing Countries: Toward developing countries telemedicine framework. Eur J Sport Sci. 2015;2(1):1-17. Available at: http://nabujournals.com/web/articles/2015%20UPDATED.pdf [Accessed December 1, 2022].
Butler SM. After COVID-19: Thinking differently about running the health care system. JAMA. 2020;323(24):2450-1. doi: 10.1001/jama.2020.8484.
Hoffer-Hawlik MA, Moran AE, Burka D, Kaur P, Cai J, Frieden TR, et al. Leveraging telemedicine for chronic disease management in low- and middle-income countries during Covid-19. Glob Heart. 2020.15(1):63. doi: 10.5334/gh.852.
Kumar P, Huda F, Basu S. Telemedicine in the COVID-19 era: The new normal. Eur Surg. 2020;52(6):300-1. doi: 10.1007/s10353-020-00666-9.
Malhotra N, Sakthivel P, Gupta N, Nischal N, Ish P. Telemedicine: A new normal in COVID era; perspective from a developing nation. Postgrad Med J. 2022;98:e78-e80. doi: 10.1136/postgradmedj-2020-138742.
Oman Ministry of Economy. Oman Vision: Moving Forward with Confidence. Sultanate of Oman: Ministry of Economy; 2020. https://isfu.gov.om/2040/Vision_Documents_En.pdf [Accessed December 1, 2022].
Merrell RC, Doarn CR. Sustainable development goals and telemedicine. Telemed J E Health. 2016;22(10):787-8. doi: 10.1089/tmj.2016.29013.rcm.
Palozzi G, Schettini I, Chirico A. Enhancing the sustainable goal of access to healthcare: Findings from a literature review on telemedicine employment in rural areas. Sustainability. 2020;12(8):3318. doi: 10.3390/su12083318.
Jafarzadeh F, Rahmani F, Azadmehr F, Falaki M, Nazari M. Different applications of telemedicine assessing the challenges, barriers, and opportunities a narrative review. J Family Med Prim Care. 2022;11:879-86. doi: 10.4103/jfmpc.jfmpc_1638_21.
Krupinski E, Nypaver M, Poropatich R, Ellis D, Safwat R, Sapci H. Clinical applications in telemedicine/telehealth. In: Bashshur RL, Mandil SH, Shannon GW, eds. State-of-theArt Telemedicine/Telehealth Symposium: An International Perspective. New York, NY: Mary Ann Liebert; 2002:13-34. https://www.researchgate.net/publication/235042598_State_of_the_Art_TelemedicineTelehealth [Accessed March 9, 2022].
Beauchamp TL and Childress JF. Principles of Biomedical Ethics. 7th ed. New York, USA: Oxford University Press; 2013.
Garland T Jr. The scientific method as an ongoing process. Cited by: Dai L, Boos M. How Much Sharing Is Enough? Cognitive Patterns in Building Interdisciplinary Collaborations: Interdisciplinary Approaches and Case Studies. In: Fu X, Jar-Der L, Boos M, eds. Social Network Analysis. Boca Raton, FL: CRC Press; 2017:41-70. doi: 10.1201/9781315369594.
Lexis L, Julien B. Researching science using the scientific method. In: Lexis L, Julien B, eds. How to do science: A guide to researching human physiology. Melbourne, Australia: La Trobe University; 2017:16-29. doi: 10.26826/1001.
Walton D. Abductive Reasoning. Alabama, USA: The University of Alabama Press; 2005. https://www.academia.edu/39530375/Douglas_Walton_Abductive_Reasoning [Accessed December 1, 2022].
Nunez-Moscoso J. Abductive reasoning: A contribution to knowledge creation in education. Cad Pesqui. 2019;49(171)308-29. doi. 10.1590/198053145255.
Flach PA, Kakas AC. Abductive and Inductive Reasoning: Background and Issues. In: Flach PA, Kakas AC, eds. Abduction and Induction. Dordrecht, Netherlands: Springer; 2000:1-27. doi: 10.1007/978-94-017-0606-3_1.
Copi IM, Cohen C, McMahon K. Science and Hypothesis. In: Copi IM, Cohen C, McMahon K, eds. Introduction to Logic. 14th ed. London, UK: Pearson Education Limited; 2014:559-585. https://dorshon.com/wp-content/uploads/2018/03/Introduction-to-Logic.pdf [Accessed December 1, 2022]
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