https://journal.achsm.org.au/index.php/achsm <p>The Asia Pacific Journal of Health Management (APJHM) is a peer-reviewed journal for managers of organisations offering healthcare and aged care services. The APJHM aims to promote the discipline of health management throughout the region by facilitating the transfer of knowledge among readers by widening the evidence base for management practices.<br /><br />*Print 1(1);2006 - 5(1);2010 Online 4(2);2009 - current<br />*ISSN 2204-3136 (online); ISSN 1833-3818 (print)</p> Australasian College of Health Service Management en-US Asia Pacific Journal of Health Management 1833-3818 https://journal.achsm.org.au/index.php/achsm/article/view/4005 <p><span data-contrast="none">This article aims to provide a commentary on the changing healthcare landscape due to the advent of telemedicine using the viewpoints and frameworks presented by Ramdas et al. in their 2012 article, ‘Four Ways to Reinvent Service Delivery’ — the “four ways” being changes in structure of interactions, service boundary, allocation of tasks, and delivery locations. We evaluate these four focal points as they have transformed within healthcare by a shift in the mode of delivery of specific touchpoints in patientcare towards the digital medium, substantially accelerated by the COVID-19 pandemic. We present how face-to-face consultations have been replaced by virtual interactions, which offer more frequent, though shorter, exchanges. The commentary argues that though the boundaries of healthcare extending beyond physical locations into patients' homes expand service possibilities, there are limitations in complex procedures. We see that some tasks traditionally performed by healthcare providers are increasingly delegated to patients via self-management and technological interventions. We also look at care being decentralized, with teleconsultations forging distances between a healthcare provider and their patient by adding a layer of screens between them.</span><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:240}">&nbsp;</span></p> <p><span data-ccp-props="{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559740&quot;:240}">&nbsp;</span></p> Mriganka Banerjee Neha Sadhotra Copyright (c) 19 1 https://journal.achsm.org.au/index.php/achsm/article/view/4003 <h1>Abstract</h1> <p><strong>Objective:</strong> Iranian public hospitals in the 2032 horizon will be significantly affected by technological developments and demographic changes. Using a futures studies design, the present study examined the prospect of Iranian public hospitals in the 2032 horizon with a scenario development approach.</p> <p><strong>Design:</strong> This applied exploratory study was conducted using a futures studies design. The members of the Delphi team were selected using judgmental (purposive) sampling. Accordingly, 20 experts and specialists were selected as the participants from academic and research centers in 2023 and 2024. Delphi analysis was performed with Excel. Moreover, ScenarioWizard software was used to identify future scenarios of Iranian public hospitals.</p> <p><strong>Results: </strong>A total of 39 criteria were assessed using Delphi analysis and were placed into three main categories. Then, the extracted categories were used in scenario development. A total of 48 states were divided into 4 modes and 3 scenarios. There were 28 possible favorable scenarios accounting for 58% of the states. Moreover, there were 7 fixed states, accounting for 15% of the scenario states. Finally, there were 13 unfavorable states accounting for 27% of all states.</p> <p><strong>Conclusions</strong>: Following scientific and technological advances in medicine, hospitals need to update their equipment and facilities to provide the best and most up-to-date services to patients. These updates include advanced medical equipment, hospital information systems, and new medical procedures, all of which play an important role in increasing the quality of healthcare services.</p> <p><strong>Keywords: </strong>Futures Studies, Iranian Public Hospitals, Scenario Development</p> Golsa Danesh Somayeh Hessam Shaghayegh Vahdat Soad Mahfoozpour Copyright (c) 19 1