Ehealth
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Ehealth

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Ehealth Ehealth Presentation Transcript

  •  
    • Last year Doctors used the latest technology in medical education which shocked the country
    • By using ICT tools
    • Pen Scanners, Email, GPRS, MMS, SMS, Bluetooth.
    • In leaking Question papers in All India PG entrance
    • Where are we?
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  • Present scenario-INDIA
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  • Relation between Health and ICT ?
    • Why both to be related & Why now?
    • Deals with computers or patients ?
    • Public or Private?
    • Which part of Health is useful?
    • Where is the challenge?
    • How for its useful?
    • Costlier ?
    • Future – telemedicine?
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  • eHealth
    • eHealth is the use, in the health sector, of digital data transmitted, stored and retrieved electronically in support of health care both at the local site and at a distance.
    • A global consultation meeting on eHealth for countries was held on 12-13 February 2004, at WHO headquarters in Geneva
    • The recommendations are….
  • RECOMMENDATIONS
    • 1. Information for health promotion and awareness, medical education, health and biomedical research, evidence-based medicine and e-learning.
    • 2. Information for HIS(disease surveillance, health statistics, MIS, financial, logistical, and GIS), monitoring and evaluation.
    • 3. Information for HCD: diagnostics, treatment, consultation (telemedicine applications) and EPR.
  • TELEMEDICINE
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  • Key challenges
    • 1. Lack of financial support and sustainability
    • 2. Poor quality of technology and infrastructure
    • 3. Lack of technically competent staff at all levels
    • 4. Lack of awareness, access and attitudinal problems among users
    • 5. Legal and policy issues
  • Initiatives taken in India Public Sector
    • Disease surveillance systems under IDSP in Andhra Pradesh and Tamil Nadu.
    • ICDS surveillance system in Orissa
    • Jiva's teledoc initiative, the use of PDAs by ANMs in Nalgonda (sponsored by World Bank),
    • The Electronic Resource Centre for capacity building in HIV/AIDS set up by SAATHI
    • CDAC, an autonomous government IT organization, was a pioneer in developing First HIS in India.
    • First total HIS software in collaboration with Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow in 1997.
    • This has been implemented at SGPGI and GTB hospital, New Delhi
  • NGOs
    • eHealth-Care foundation was conceptualized in 2001 as
    • e-Swasthya (eHealth in Hindi) with a goal to implement it across 21 health centres in the Madhubani district of Bihar.
    • eHealth-Care Foundation, (eHCF) a New Delhi based Not for Profit Organization- Digital Partners, a USA and India based Non-Profit Organization
  • M/s. eHealth-Care - Authorize Channel Partner of France Telecom’s RBGAN Terminal (Mobile Satellite Communication)
    • National Thermal Power Corp. Ltd (NTPC) , New Delhi & Noida (Medical Card & Referral Slip Software)
    • NTPC-SAIL Power Corp. Ltd (NSPCL), New Delhi (Medical Card & Referral Slip Software)
    • NTPC-NCR, Noida (Medical Card & Referral Slip Software)
    • General Hospital, Sirsa, Haryana (Medical Cards & Online Prescription writing Software)
    • Sirsa District Administration, Haryana (Birth & Death Registration Software)
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  • Initiatives telemedicine- Govt
    • Indian Space Research Organisation (ISRO)- GRAMSAT (rural satellite) programme.
    • Presently ISRO’s Telemedicine Network consists of 75 Hospitals
    • 61 Remote/Rural/District Hospital/Health Centre connected
    • 14 Super Specialty
    • Hospital located in the major cities.
    • More than 12,500 patients have been provided with Teleconsultation & treatment under ISRO
    • DIT
    • For telemedicine software systems - C-DAC
    • Started its pilot projects in HP,AP,TN,TRIPURA,WB,PUNJAB,KERALA
    • National Resource Centre for Telemedicine and Biomedical Informatics
    • at SGPGI, Lucknow.
    • DIT grant-in-aid Rs. 515 Lakhs for the presentation.
  • Private sector
    • Apollo
    • set up over 45 Telemedicine Centres across different locations in the country
    • Asia Heart Foundation
    • more than 2000 tele- cardiology consultation through an enterprise based network
    • Escort Heart Institute & Research Center
    • involved in telecardiology service
    • Shankar Nethralaya , Chennai and Meenakshi Eye mission , Madurai
    • Mobile Tele-Ophthalmology service
    • Online Telemedicine Research Institute,Ahmedabad
    • R&D activities in telemedicine
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  • Objectives of Telemedicine
    • Enable the medical experts to take control of a remote medical emergency when required
    • The telemedicine system and sub-system especially at the remote location should be designed for use by non-medical but trained personnel
    • The remote telemedicine system should be designed for easy portability
    • The telemedicine solution should be cost effective requiring minimal training, installation and maintenance
    • The telemedicine equipment used should use a optimum bandwidth for data communication
    • Benefits
    • Patient - Improved access to quality care
    • Doctor - improved Disease management
    • Hospital - Substantial cost reduction in short term and long term health care
  • A model of eHealth- Canada
    • COST
    • $142 Billion business
    • 10.4% of GDP
    • 60% of costs for hospitals, physicians and drugs
    • FINANCING
    • 70% public and 30% private funded
    • SHARED GOVERNANCE
    • Federal Govt coordinates healthcare via the Canada Health Act
    • Provinces & territories have primary responsibility for healthcare
    • 100+ health regions deliver care
  • Courtesy: eHealth India 2007
  • Courtesy: eHealth India 2007
  • Challenges in future
    • Human factors
    • Individuals
    • Address concerns about training, liability, patient security and
    • increased workload among providers
    • Organizations
    • Demonstrate the value of eHealth to the health payer, provider and advocacy organizations
    • Align telemedicine with the increasing emphasis on self-care and multidisciplinary care models
    • Continue clinical trials at academic institutions to demonstrate that eHealth is effective and efficient
    • Governance
    • Promote acceptance of a patient-centred and technology-enabled method of health-care delivery
    • Create practice environments that reduce defensive medicine practices, which in turn limit the adoption of new clinical interventions such as telemedicine (e.g. malpractice reform)
    • Create a compelling case for lifting licensure restrictions that inhibit telemedicine activities across borders
    • Economics
    • Pilot new third-party reimbursement mechanisms to attract greater patient and provider participation, particularly in health systems that are not supported publicly
    • Explore global markets for eHealth that allow the export of medical expertise
    • Seek sustainable economic models that support telemedicine in the developing world to address the growing burden of chronic disease
    • Technology
    • Improve usability for patients with limited function, but who aim to benefit from eHealth.
    • Implement methods that verify and authorize access to health information such as fingerprint and voice recognition
    • Create communications devices that are smaller, less expensive and more powerful, which will be available at the point of care
    • Create sensors that are more sensitive, less expensive, passive and less obtrusive
    • Introduce methods of bridging the ‘digital divide’ faced by developing countries
  • FUTURE- A VISION
    • A patient in mondola will be diagnosed as Peptic ulcer and not MI by the GTB cardiologist by telecardiology.
    • Ectopic pregnancy will be diagnosed in dhallupura by teleradiology.
    • From the health card ,it will be known that a person
    • is diabetic under 10years of listed treatment
    • hypertensive under 5 years of treatment
    • Sulpha drug allergy
    • TT Immunization 2 years back
    • Lipid profile done 1 week back with details
  • Professor of Harvard public health school will elaborate his views to the Health care professionals in rural part of india.
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