Table 4 shows the appropriate indices at this level. The indices are approximately at the appropriate level, which confirms the relevance of the model. In this context, we introduced 6 barriers for the implementation of telemedicine and then, using factor analysis, we analyzed these factors and their indices. According to the research results, and according to Figure 3, we can see that the barriers to the implementation of telemedicine with regard to their importance are as follows: cultural barriers, legal and technical barriers (with equal importance) , infrastructural barriers, financial and ethical barriers. barriers. As mentioned, cultural barriers are the most significant obstacles to implementing telemedicine. Indices of this barrier, with regard to their importance (according to the load factors), are the following: concern about the quality of telemedicine services, lack of support individuals for the diffusion of telemedicine, preference of the traditional medicine of doctors and patients. Some doctors believe that the implementation of this complicated plan in Iran is very difficult and people hardly accept telemedicine visits and doctors also do not believe much in this healing method which shows the preference of doctors and patients for traditional medicine. This topic is due to the lack of electronic preparedness of the Iranian population and another reason is that they fear that they will not benefit from the same services as traditional medicine when it comes to telemedicine. Above all, to implement this plan, it is necessary to prepare cultural infrastructure among patients and doctors. According to the ideas of the doctors we consulted, the most important problem in the use of new technologies in different layers of society is inertia. People and systems have used ...... middle of paper ...... to eliminate these barriers. We also recommend that legal researchers in law departments conduct a survey of legal obstacles and clarify how the government or the Ministry of Health can establish special regulations well suited to telemedicine. Socialists can also use the category of cultural problems introduced in this research and find the root of these barriers in order to eliminate them. We had two troublesome limitations in this research. The first was that Iran is a very big country and to build the sample we had to talk to doctors from almost all provinces in Iran or at least all provinces facing the same situations. It was so difficult and took a long time. The second was to convince doctors to answer our questionnaires. Some of them did not have enough time to answer the questions and others refused to answer the questionnaires because they did not agree with the implementation of telemedicine..