Table 4 shows fit indices at this level. The indices are approximately at the appropriate level, so the suitability of the model is confirmed. Within this framework, we introduced 6 barriers to telemedicine implementation 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 telemedicine implementation with respect to their importance are as follows: cultural barriers, legal and technical barriers (with the same importance), infrastructure barriers, financial and ethical barriers barriers. As mentioned, cultural barriers are the most important barriers in implementing telemedicine. The indices of this barrier, with respect to their importance (according to the load factors) are the following: concern for the quality of telemedicine services, lack of support subjects for the diffusion of telemedicine, preference for traditional medicine by doctors and patients. Some doctors believe that the implementation of this complicated plan in Iran is so difficult and people hardly accept to be examined via telemedicine and doctors also do not believe much in this way of treatment which shows the preference of traditional medicine by doctors and patients. This topic is due to the lack of electronic availability among Iranians and the other reason is that they are worried about not receiving the same services as traditional medicine in telemedicine. Mainly, to implement this plan, it is necessary to set up cultural infrastructures among both patients and doctors. According to the idea of ​​​​the doctors with whom we consulted, the most important problem in the use of new technologies in different strata of society is inertia. People and systems have used…half the paper…to eliminate these barriers. We also recommend that legal researchers in the law department do some investigation into legal barriers and clarify how the government or ministry of health can establish special regulations that are well suited to telemedicine. Socialists can also use the category of cultural issues introduced in this research and find the root of these barriers to eliminate them. In this research we found 2 annoying limitations. The first was that Iran is a very large country and to complete the sample we had to talk to doctors from almost all provinces of Iran or at least all provinces with the same situations. It was so difficult and time consuming. The second was to get doctors to answer our questionnaires. Some of them did not have enough time to answer the questions and others rejected the questionnaires because they did not agree with the implementation of telemedicine.