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Rural Telemedicine Network India
 

Rural Telemedicine Network India

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    Rural Telemedicine Network India Rural Telemedicine Network India Presentation Transcript

    • The uses of Telemedicine are limited Only by our IMAGINATION
    • Healthcare in Rural India 70 % of India’s population live in rural areas
        • Lack of investment in health care in rural areas
      90% of secondary & tertiary care facility are in cities and towns Low penetration of healthcare services Inadequate medical facilities in rural areas Problem of retaining doctors in rural areas specially the specialist doctors Rural & remote areas continue to suffer from absence of quality healthcare services
    • Public Health Care Delivery Model Primary Care Secondary care Tertiary Care Teaching Hospitals 23,236 PHC 1,46,026 Sub centers 3,346 CHC 4,400 Dist. Hospitals 1200 Other Public Hospitals 242 Medical colleges 205 Dental colleges Source : K. Park, 19 th Ed .
    • Relevance of Telemedicine
      • Inadequate infrastructure in rural hospitals
      • Large number of patients require referral for specialty care
      • Low-availability of Health Experts in remote hospitals
      • Dearth of adequate opportunities for training & CME for Healthcare professionals in Rural/Remote Health facilities
      • A significant proportion of patients in remote locations could be successfully managed with some advice and guidance from specialists and super-specialists in the cities and towns
      • Telemedicine has the potential to assist in electronic delivery of diagnostic and healthcare services to remote rural population thus can create a platform to network India
    • Telemedicine: Ideal for India
      • Area : 32,87,268 Sq. Km.
      • Population : over 1 Billion
      • Urban Rural Divide
      • Inaccessible hilly regions, islands, desert, coasts, tribal areas
      • Strong Fiber Backbone
      • Indigenous satellite Communication technology in place
      • IT trained Human resource
      • Pilot Projects with Successful outcomes
    • Evolution of the concept of NRTN
      • National Task Force on Telemedicine
      • Constituted in September 2005
      • Members incorporated from following departments
        • Health, Communication & Information Technology
        • Indian Space Research Organization
        • Indian Council of Medical Research
        • Medical Council of India
        • Center for Development of Advanced Computing
        • Academic medical institutions and corporate hospitals
    • Terms of References
      • To work on inter-operability, standards for data transmission, software, hardware, training etc
      • To define a national telemedicine grid & consider its standards and operational aspects
      • To identify all players and projects currently involved in telemedicine in India and evaluate their performance and capacity
      • To prepare pilot projects for connection of health care facilities especially keeping in mind to provide access to remote areas
    • DIT Initiatives
      • DIT has taken following leads in Telemedicine:
        • Development of Technology
        • Initiation of pilot schemes
            • Selected Specialty e.g. Oncology, Tropical Diseases
            • General telemedicine system covering all specialties
        • Standardization
        • Framework for building IT Infrastructure in health
    • Telemedicine Standardization
      • Need
        • Large number of Telemedicine networks being installed
        • Lack of uniform, multipurpose telemedicine standards hamper effective use of telemedicine
      • Adherence/adoption to standards ensures
        • Telemedicine Systems are interoperable
        • Compatibility with new version of technology
        • Scalability of systems without total replacement while expanding capability
      • The working group on Telemedicine standardization submitted the “Recommended Guidelines & Standards for Practice of telemedicine in India”
    • Draft Proposal NRTN Objectives
      • To provide access to timely and quality specialty medical care to the people living in rural & remote areas.
      • To reduce rural urban divide in delivery of medical care
      • To improve diagnosis and treatment facilities in rural areas
      • To mitigate the obstacles due to geographical isolation
      • To provide continuous medical education and training to the healthcare professionals working in rural/remote areas
    • Draft Proposal : NRTN
      • Scope
      • Expected Benefits
      • Guidelines/framework
      • Standardization
      • Processes
      • Hardware / Software requirements
      • Organizational Plan
      • Project Implementation Strategy
      • Financial requirements
      • Manpower requirement
      • Monitoring / Evaluation
    • Hierarchical Structure of NRTN LEVEL-1: Primary Health Center (PHC) / Community Health Center (CHC) connected to a District Hospital LEVEL-3: State Hospital / National Super Specialty Hospital connected to each other LEVEL-2: District Hospital connected to a State Hospital / National Super Specialty Hospital
    • District Hospital State Medical College CHC PHC Super Specialty Hospital MOBILE Level 1 / M Level 2 Level 3
    • LEVEL-1: PHC / CHC
      • Tele-consultation room
      • Patient engagement facilities (bed, scopes, etc.)
      • Telemedicine Platform
        • Selective medical and medico-IT equipments, preferably IT compatible, with interface to Telemedicine and/or other software / hardware
        • Computer hardware / software platform (PC, switch, etc.) and IT electronics equipments
      • Connectivity / bandwidth requirements (e.g. ISDN, Leased line, VSAT, Broadband, Wireless)
      • Point-to-Point video-conferencing system
    • LEVEL-1:Software &Hardware Tele medicine software 8 Glucometer & Haemogram analyzer Non-invasive Pulse & Blood Pressure unit Connectivity device & Router 9 Digital ECG 4 Desktop PC platform with Laser Printer 1 2 IP Video Conferencing Kit 3 A3 Film Scanner 5 6 Digital Microscope & Camera 7
    • Draft Proposal
      • During the first Phase
        • 100 Level 1
        • 50 Level 2
        • 5 Level 3
        • 50 level M
      • The Draft proposal has been circulated to states and funds released to create / expand the existing initiatives
    • Utility of NRTN Benefits for Health Care Delivery System Benefits to patients Benefits to Health Care Professionals
      • Benefits to Patients
      • Access to specialized health care services to under-served rural, semi-urban and remote areas
      • Access to expertise of Medical Specialists without physical referral
      • Reduced physician’s fees and cost of medicine
      • Reduced visits to specialty hospitals
      • Reduced travel expenses
      • Early detection of disease
      • Reduced burden of morbidity
    • Benefits to Healthcare Professionals: Continuing education and training Click to add Title 1 Improved diagnosis and better treatment management 1 Click to add Title 2 2 Click to add Title 1 Quick and timely follow-up of patients discharged after palliative care 3 Click to add Title 2 Access to computerized comprehensive data of patients, both offline & real time 4 1
      • Benefits for Healthcare Delivery System
      • Significant reduction in unnecessary visits & hospitalization for specialized care at tertiary hospitals
      • Earlier discharge of patients leading to shorter length of stay in hospitals
      • Increase in the scope of services without creating physical infrastructure in remote hospitals
      • Improve monitoring facilities at the rural based centres
      • Increases stuff productivity
      • Training
    • Conclusion
      • India is ideal setting for IT assisted healthcare
      • It is feasible to set up a National Health Grid to be shared by healthcare providers, trainers & beneficiaries taking the advantage of a strong fiber backbone and indigenous satellite communication technology with large trained manpower in this sector
      • The ground work on telemedicine has also been established by ISRO, DIT, State Governments and specialty Institutes/ Hospitals
      • National Rural Telemedicine network will help to provide quality healthcare where there is none and will improve healthcare where there is some