4. Lack of experience in medical informatics and lack of qualified human resources.
Evidence suggests that health professionals often lack knowledge about current e-health practices43-44 . Determining the minimum qualifications necessary for integrating e-health applications into clinical practice requires needs analysis and expert opinions derived from academic knowledge and performance assessments. The learning process can be further facilitated through motivational experiences drawn from daily practice45-46 . However, utilizing e-health applications in daily practice is, in itself, an educational endeavor, and educational needs should not be indefinitely postponed at the expense of field activities18 . The necessity for e-health education has been advocated for the past decade, yet there are limited educational initiatives even on a global scale46 . In one study, a majority of family physicians believed that e-health would alleviate their workload, while another study conducted in the same country revealed that only 10% held similar expectations47 . It is recommended that e-health learning programs be integrated into medical curricula to promote standardization and widespread dissemination. Such integration would facilitate a smoother transition to widespread e-health practices in primary care, overcoming resistance encountered along the way48 .