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Telemedicine ppt

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telemedicine projects in India

telemedicine projects in India

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  • 1. Dr. Vinod Khandhar
    MS(ENT), MS(GEN SURG), DIPLOMA IN LASER SURGERY (SPAIN), LLB.
    INDIA
    TELEMEDICINE PROJECTS IN INDIA
  • 2. OUTLINE
  • TELEMEDICINE
  • 13. 1
    1
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    Improved diagnosis and better treatment management
    2
    2
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    3
    1
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    Quick and timely follow-up of discharged patients
    2
    4
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    Access to computerized comprehensive data of patients, both offline & real time
    1
    Benefits to Healthcare Professionals
    Continuingeducation and training
  • 14. 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
  • 15. Benefits to Government
  • 16. Types of technology
  • 17. HEALTHCARE IN RURAL INDIA
    • 70 % of India’s population live in rural areas
    • 18. 90% of secondary & tertiary care facility are in cities and towns
    • 19. Low penetration of healthcare services
    • 20. Lack of investment in health care in rural areas
    • 21. Inadequate medical facilities in rural areas
    • 22. Problem of retaining doctors in rural areas specially the specialist doctors
    SUPERSPECIALITY SERVICES REQUIRED (besides the basic medical health services)
  • 23. 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.
  • 24. Telemedicine: Ideal for India
    • Area : 32,87,268 Sq. Km.
    • 25. Population : over 1 Billion
    • 26. Urban Rural Divide
    • 27. Inaccessible hilly regions, islands, desert, coasts, tribal areas
    • 28. Strong Fiber Backbone
    • 29. Indigenous satellite Communication technology in place
    • 30. IT trained Human resource
    • 31. Pilot Projects with Successful outcomes
  • 32. 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
  • 33. Evolution of telemedicine
    Telemedicine :
    ways of communication
  • 34. DIT INITIATIVES
    DIT has taken following leads in Telemedicine:
    • Development of Technology
    • 35. Initiation of pilot schemes
    • 36. Selected Specialty e.g. Oncology, Tropical Diseases
    • 37. General telemedicine system covering all specialties
    • 38. Standardization
    • 39. Framework for building IT Infrastructure in health
  • National Task Force on Telemedicine(2005)
  • 40. Benefits to patients
    Includes members from the following departments
    • Health, Communication & Information Technology
    • 41. Indian Space Research Organization
    • 42. Indian Council of Medical Research
    • 43. Medical Council of India
    • 44. Center for Development of Advanced Computing
    • 45. Academic medical institutions and corporate hospitals
    Benefits for Health Care Delivery System
    Utility of NRTN
    Benefits to Health
    Care Professionals
  • 46. PROPOSED OBJECTIVES OF NRTN
    • To provide access to timely and quality specialty medical care to the people living in rural & remote areas.
    • 47. To reduce rural urban divide in delivery of medical care
    • 48. To improve diagnosis and treatment facilities in rural areas
    • 49. To mitigate the obstacles due to geographical isolation
    • 50. To provide continuous medical education and training to the healthcare professionals working in rural/remote areas
  • 51.
    • Tele-consultation room
    • 52. Patient engagement facilities (bed, scopes, etc.)
    • 53. Selective medical and medico-IT equipments, preferably IT compatible, with interface to Telemedicine and/or other software / hardware
    • 54. Computer hardware / software platform (PC, switch, etc.) and IT electronics equipments
    • 55. Mobile vans are a part of
    telemedicine service
  • 56. Digital ECG
    4
    Digital Microscope & Camera
    6
    Desktop PC platform with Laser Printer
    1
    7
    IP Video Conferencing Kit
    2
    A3 Film Scanner
    5
    3
    LEVEL-1:Software &Hardware
    Tele medicine software
    Glucometer & Haemogram analyzer
    Non-invasive Pulse & Blood Pressure unit
    8
    Connectivity device & Router
    9
  • 57. GOALS AND NEEDS
    Looking to the past experience for success of telemedicine:
    • Video conferencing
    • 58. Accompanied by data and image transfer (live)
    • 59. Common software usage at both ends, thus globalization of a single database software
    • 60. Role of trained technical personnel is equally important and necessary at the patient end.
    • 61. 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
    • 62. strong fiber backbone
    • 63. indigenous satellite communication technology
    • 64. large trained manpower
    • 65. The ground work has also been established by
    • 66. ISRO
    • 67. DIT
    • 68. State Governments
    • 69. Specialty Institutes/ Hospitals
    • 70. 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
    • 71. Neither telephone lines nor electricity in rural areas
    • 72. 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
    • 73. Mobile communication is gaining ground
    • 74. 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
  • 75. 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!
  • 76. CONCLUSION
    Paraphrasing Neil Armstrong,
    “ Telemedicine: one small step for IT , a giant leap for Healthcare!”
  • 77. 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.
  • 78. Thankyou!