Telemedicine ppt

Dr. Vinod Khandhar
MS(ENT), MS(GEN SURG), DIPLOMA IN LASER SURGERY (SPAIN), LLB.
INDIA
TELEMEDICINE PROJECTS IN INDIA

OUTLINE
INTRODUCTION
BENEFITS/UTILITIES
TYPES
PRESENT DAY SCENARIO
INFRASTRUCTURE
GOALS
NEEDS
CHALLENGES
RESULTS
DISCUSSIONS
CONCLUSIONS

TELEMEDICINE

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Improved diagnosis and better treatment management
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Quick and timely follow-up of discharged patients
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Access to computerized comprehensive data of patients, both offline & real time
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Benefits to Healthcare Professionals
Continuingeducation and training

Benefits to patients
Access to specialized health care services to under-served rural, semi-urban and remote areas
Early diagnosis and treatment
Access to expertise of Medical Specialists
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 Government

Types of technology

HEALTHCARE IN RURAL INDIA
70 % of India’s population live in rural areas
90% of secondary & tertiary care facility are in cities and towns
Low penetration of healthcare services
Lack of investment in health care in rural areas
Inadequate medical facilities in rural areas
Problem of retaining doctors in rural areas specially the specialist doctors
SUPERSPECIALITY SERVICES REQUIRED (besides the basic medical health services)

Public Health Care Delivery Model
242 Medical colleges
205 Dental colleges
3,346 CHC
4,400 Dist. Hospitals
1200 Other Public Hospitals
23,236 PHC
1,46,026 Sub centers
Source : K. Park, 20thEd.

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

SUPPORT
In India, telemedicine programs are being actively supported by:
Department of Information Technology (DIT)
Indian Space Research Organization
NEC Telemedicine program for North-Eastern states
Apollo Hospitals
Asia Heart Foundation
State governments
Telemedicine technology also supported by some other private organizations

Evolution of telemedicine
Telemedicine :
ways of communication

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

National Task Force on Telemedicine(2005)

Benefits to patients
Includes members from the 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
Benefits for Health Care Delivery System
Utility of NRTN
Benefits to Health
Care Professionals

PROPOSED OBJECTIVES OF NRTN
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

Tele-consultation room
Patient engagement facilities (bed, scopes, etc.)
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
Mobile vans are a part of
telemedicine service

Digital ECG
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Digital Microscope & Camera
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Desktop PC platform with Laser Printer
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IP Video Conferencing Kit
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A3 Film Scanner
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LEVEL-1:Software &Hardware
Tele medicine software
Glucometer & Haemogram analyzer
Non-invasive Pulse & Blood Pressure unit
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Connectivity device & Router
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GOALS AND NEEDS
Looking to the past experience for success of telemedicine:
Video conferencing
Accompanied by data and image transfer (live)
Common software usage at both ends, thus globalization of a single database software
Role of trained technical personnel is equally important and necessary at the patient end.
Successful remuneration system to attract private practitioners

Plus points
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
indigenous satellite communication technology
large trained manpower
The ground work has also been established by
ISRO
DIT
State Governments
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

CHALLENGES
Low bandwidth
Neither telephone lines nor electricity in rural areas
International bandwidth of RAFT countries is very limited
End 2004: 18 Mbps for the entire country, 1,34 bps/capita (Mali)
Switzerland 2002: 66.000 Mbps, 9.040 bps per capita
(Source: ITU World Telecommunication Indicators Database)
Satellite transmission can help but is pricey
Mobile communication is gaining ground
Unstable electricitysupply.

CHALLENGES
Patients' fear and unfamiliarity
Financial unavailability
Lack of basic amenities
Literacy rate and diversity in languages
Quality aspect
Government Support
Perspective of medical practitioners

DISCUSSIONS
Pragmatism and the realism with tools adapted to the context must remain the rule.
India is a booming economy
Telemedicine is a new yet
extremely lucrative concept
With the right marketing
and government approach,
combined with hard efforts in
the right direction, this can be
a huge success!

CONCLUSION
Paraphrasing Neil Armstrong,
“ Telemedicine: one small step for IT , a giant leap for Healthcare!”

REFERENCES
1. Brown N. A brief history of telemedicine. Telemedicine Information Exchange. 1995;105:833–5.
2. Ganapathy K. Neurosurgeon, Apollo Hospitals, Chennai, Telemedicine in India-the Apollo experience, Neurosurgery on the Web. 2001.
3. Bashshur RL, Armstrong PA, Youssef ZI. Telemedicine: Explorations in the use of telecommunications in health care. Springfield, IL: Charles C Thomas; 1975.
4. Bashshur R, Lovett J. Assessment of telemedicine: Results of the initial experience. Aviation Space Environ Med. 1977;48:65–70.
5. Bashshur R. Superintendent of Documents. Washington DC: US Government Printing Office; 1980. Technology serves the people: The story of a cooperative telemedicine project by NASA, the Indian Health Service and the Papago people.
6. Watson DS. Telemedicine. Med J Aust. 1989;151:62–66. 8,71. [PubMed]
7. Foote D, Hudson H, Parker EB. National Technical Information Service (NTIS) Springfield, VA: US Department of Commerce; 1976. Telemedicine in Alaska: The ATS-6 satellite biomedical demonstration.
8. Allen A, Allen D. Telemedicine programs: 2nd annual review reveals doubling of programs in a year. Telemedicine Today. 1995;3(1):10–4.
9. Report of the Technical Working Group on Telemedicine Standardization, Technical working group for Telemedicine Standardization Department of Information Technology (DIT), Ministry of Communications and Information Technology (MCIT), May 2003.
10. Houtchens BA, Allen A, Clemmer TP, Lindberg DA, Pedersen S. Telemedicine protocols and standards: Development and implementation. J Med Sys. 1995;9(2):93–119.
11. Balas EA, Jaffery F, Pinciroli F. Patient care from a distance: Analysis of evidence. Annu Meet Int Soc Technol Assess Health Care. 1996;12:17.
12. Grigsby J, Schlenker RE, Kaehny MM, et al. Analytic framework for evaluation of telemedicine. Telemedicine J. 1995;1(1):31–39.
13. Bedi BS. Telemedicine in India: Initiatives and Perspective, eHealth 2003: Addressing the Digital Divide-17th Oct. 2003.
14. Mexrich RS, DeMarco JK, Negin S, et al. Radiology on the information superhighway. Radiology. 1995;195(1):73–81. [PubMed]
15. Brown N. Telemedicine coming of age. TIE. 1996 Sep 28;
16. Wachter GW. Telecommunication, linking providers and patients. Telemedicine Information Exchange. 2000 Jun 30;
17. Kopp S, Schuchman R, Stretcher V, Gueye M, Ledlow J, Philip T, et al. Telemedicine. Telemedicine J E-health. 2002;8:18.
18. Grigsby B, Brown N. ATSP Report on US Telemedicine Activity: Portland; 1999 or Association of Telehealth Service Providers.

Thankyou!

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Telemedicine ppt

by khandhar on Feb 25, 2011

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Telemedicine ppt — Presentation Transcript