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Table 2 Obstacles and challenges of health informatics research

From: A qualitative study of students’ perspectives on barriers to and challenges in health informatics research in Iran

Main theme

Main categories

Subcategories

Educational factors

Weaknesses among professors

- Some professors lack up-to-date knowledge.

- Some professors show inadequate competency.

- Professors provide insufficient support to students.

Deficiencies in training programs

- Weaknesses in the curriculum

- Insufficient focus on practical training

- Lack of clarity in educational objectives

Lack of scientific resources

- Poor quality of translated textbooks

- Challenges in accessing electronic resources

- Shortage of reference books in Persian

- Limited access to English-language resources

- Absence of suitable educational workshops

- Lack of resource books for research methodology, particularly in Persian

Stewardship factors

Legal challenges

- Absence of mechanisms for healthcare providers to utilize produced software

- Legal gaps concerning software usage

- Lack of regulatory oversight for the production of HI-related software

- Absence of accreditation or approval standards

Structural issues

- Non-targeted training programs

- Neglect of innovative approaches

- Weak collaboration between academia and industry

- Inadequate promotion criteria for professors

- Inadequate communication between medical informatics professors and medical professionals

- Overemphasis on article extraction from research

- Focus on publication in foreign journals

- Incompetence in staff recruitment

- Undefined mechanisms for organizations to conduct research projects

- Structural deficiencies in the Ministry of Health

- Absence of an accreditation and approval organization

Inadequate necessary infrastructure

- Limited access to necessary equipment

- Insufficient educational facilities

- Absence of specialized laboratories for software testing

- Lack of adequately equipped libraries

- Insufficient computational infrastructure and expertise for artificial intelligence and machine learning

- Inadequate computer systems in certain colleges

- Slow internet connectivity and restricted access in hostels and colleges

- Blocking of valuable websites (e.g., YouTube)

- Absence of a dedicated research center for Health Informatics

Problems related to project management

- Extensive scope of research projects

- Projects not aligned with specific needs

- Lack of transparency in research prioritization by universities and research centers

- Low level of innovation in research projects

- Weaknesses in the evaluation system

- Neglect of the evaluation system

- Inadequate oversight in the implementation of research projects

- Undefined mechanisms for organizations to conduct research projects

- Bias in certain research projects

Cultural factors

Culture of individualism

- Low willingness to engage in teamwork

- Limited interdisciplinary cooperation

Resistance to adopting new technologies

- Resistance from service providers

- Opposition from executives and policymakers

Financial factors

Insufficient funding

- Minimal financial support for research ideas

- Insufficient budget allocation for research centers

-Lack of financial backing for theses from universities

Lack of information about sponsors

- Poor communication with accelerators

- Weak visibility of research products from startups

High costs of tools and equipment required

- Absence of clear standards

- Lack of high-speed internet access in remote areas

- Insufficient availability of customized hardware and software

- Challenges in self-health assessment and lack of necessary facilities

Impact of international sanctions

- Sanctions affecting certain biosensors

- Impact of international sanctions restricting access to valuable databases, standards, and websites

- Devaluation of the national currency impacting article publication and international collaboration