An Introduction to Tele - medicine: where are we now?

1,263 views

Published on

Published in: Health & Medicine, Education
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
1,263
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
100
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

An Introduction to Tele - medicine: where are we now?

  1. 1. An introduction to Tele Medicine where are we now? Vijay Sardana MD,DM (neurology) Professor &Head Deptt of Neurology, Medical College, Kota
  2. 2. Tele Medicine <ul><li>Definition-Method-patient can be examined, monitored & treated with patient and doctor located at different place </li></ul><ul><li>Tele (Greek) –distance </li></ul><ul><li>Mederi(latin)-to heal </li></ul><ul><li>Healing by wire </li></ul><ul><li>Simplest e.g.-telephone </li></ul><ul><li>Advanced video conferencing between two continents </li></ul>
  3. 3. Tele Medicine: History <ul><li>1876-Alexender graham bell </li></ul><ul><li>1910- 1 st electrical stethoscope &telephone relay </li></ul><ul><li>1959-1 st video communication for medical consultation </li></ul>
  4. 4. <ul><li>The Rapid changes that characterise medicine &computing give us the chance to be behind not one but two fast changing fields. </li></ul><ul><li>In the information age, knowledge is your best weapon </li></ul><ul><li>The problem the future is that it is always ahead of schedule </li></ul>Tele medicine
  5. 5. Tele Medicine: Justification <ul><li>Neurological care-450/1075 million </li></ul><ul><li>1500 Neurologist </li></ul><ul><li>100 Neurologist/year </li></ul><ul><li>50% of medical college have Neurology/Neurosurgery deptt. </li></ul><ul><li>15 centers of excellence </li></ul>
  6. 6. Tele Medicine: Justification <ul><li>City based specialists-unwilling for suburban/ Rural places </li></ul><ul><li>Lack of infrastructure </li></ul><ul><li>Quality of life </li></ul><ul><li>Professional isolation </li></ul><ul><li>Improper distribution </li></ul><ul><li>Delhi>North eastern India </li></ul>
  7. 7. <ul><li>Unpreceduted growth of information technology </li></ul><ul><li>-decreased Computer prices </li></ul><ul><li>-Internet through cables </li></ul><ul><li>-Fibro-optic cable </li></ul><ul><li>-Satellite transmission </li></ul><ul><li>-increase brand width </li></ul><ul><li>-Improvement in video+data compression licensing of private internet service providers </li></ul><ul><li>Telecommunication infrastructure in suburban/rural- easier specialist placement-difficult </li></ul>Tele medicine
  8. 8. Tele Medicine: Advantages <ul><li>Suburban/rural patient care </li></ul><ul><li>Max. utilization of suburban hospitals </li></ul><ul><li>Prim care physician doesn't loose patient </li></ul><ul><li>Up to 95% normal interaction can be established </li></ul><ul><li>Cost saving of unnecessary transfer </li></ul><ul><li>Continuing education for rural practitioners </li></ul><ul><li>Motivation for computer literacy </li></ul>
  9. 9. Tele Medicine: problem <ul><li>No hands on interaction with patient </li></ul><ul><li>Confidentiality of patient interaction </li></ul><ul><li>Reimbursement constraints </li></ul><ul><li>accuracy of diagnosis from remote place </li></ul><ul><li>who should take up? Time constraints </li></ul>
  10. 10. Tele Medicine: Requirement <ul><li>PC </li></ul><ul><li>Scanners </li></ul><ul><li>Digital cameras </li></ul><ul><li>Modified software </li></ul><ul><li>Appropriate networking system </li></ul><ul><li>Appropriate telecommunication technology </li></ul>
  11. 11. Tele Medicine: technologies <ul><li>Store and forward </li></ul><ul><li>Two way interaction television/Two way interactive video conferencing. </li></ul>
  12. 12. Telemedicine- Technologies <ul><li>ISDN lines </li></ul><ul><li>Internet protocol </li></ul><ul><li>Satellite </li></ul>
  13. 13. Tele Medicine <ul><li>Stroke </li></ul><ul><li>-</.5%acute stroke treated with Thrombolytic therapy </li></ul><ul><li>Tele-stroke management. </li></ul>
  14. 14. Tele Medicine: Uses <ul><li>Parkinson’s disease </li></ul><ul><li>Dementia </li></ul><ul><li>Epilepsy </li></ul>
  15. 15. Tele Medicine: Uses <ul><li>Neurotrauma </li></ul><ul><li>-decrease unnecessary transfer </li></ul><ul><li>-Early therapeutic interventions taken before transfer </li></ul>
  16. 16. Tele Medicine:Telepathology <ul><li>Intra-operative Pathology </li></ul><ul><li>Routine Surgical Pathology </li></ul><ul><li>2 nd opinion </li></ul><ul><li>?FNAC </li></ul><ul><li>?Autopsy </li></ul>
  17. 17. Tele Medicine: Indian scenario <ul><li>620 million- rural India </li></ul><ul><li>Bed populationratio-1:13330 (1991) </li></ul><ul><li>-ideal-1:1500 </li></ul><ul><li>2 million beds required. available 0.7 millions </li></ul>
  18. 18. Tele Medicine: Indian scenario <ul><li>ARAGONDA (population 5000) </li></ul><ul><li>First secondary care rural hospital using telemedicine-Apollo chennai </li></ul><ul><li>40 bedded- physician, surgeon, pediatrician, 3 GDMOs </li></ul><ul><li>USG, Echo, ECG,Automated laboratory, CT scan, OT, Telemedicine unit </li></ul><ul><li>Web camera-ISDN lines </li></ul><ul><li>Digital camera-VSAT </li></ul><ul><li>D-microscope </li></ul>
  19. 19. Tele Medicine: Indian scenario <ul><li>ISRO- 200 hospitals </li></ul><ul><li>J&K, Karnataka, NE, Lakshadweep, Army, </li></ul><ul><li>Orrisa </li></ul><ul><li>Apollo hospital- chennai, Delhi, Hyderabad Tele medicine centers - Guwahati, Kolkata, Kohima, Portblair, Silcher, Mysore, Madurai, Military hospital Chennai, Dhaka </li></ul>
  20. 22. Rajasthan <ul><li>Population-56.5 million </li></ul><ul><li>Population growth rate-28.33(21.43) </li></ul><ul><li>Rural: Urban- 77:33 </li></ul><ul><li>Large distances </li></ul>
  21. 28. Rajasthan Telemedicine programme <ul><li>One of Biggest Tele medicine network in India </li></ul><ul><li>Population-56.5 m </li></ul><ul><li>Rural: urban- 77:23 </li></ul><ul><li>Growth rate India:raj- 21.43:28.33 </li></ul>
  22. 29. Rajasthan Telemedicine programme <ul><li>ISRO + Govt </li></ul><ul><li>32 district hosp., 6 medical colleges, 6 mobile vans </li></ul><ul><li>VSAT at each location </li></ul><ul><li>INSAT </li></ul>
  23. 33. MBS Tele medicine unit <ul><li>2 PCs </li></ul><ul><li>TV </li></ul><ul><li>Video conferencing SONY camera with 360 degree tilt </li></ul><ul><li>Digital BP recorder, Digital ECG, Digital microscope, Digital PFT </li></ul><ul><li>Sitting capacity-30 </li></ul><ul><li>384 Kpbs </li></ul>
  24. 37. Tele Medicine: Learning Parts <ul><li>Telemedicine here to stay despite advantages and disadvantages </li></ul><ul><li>Not a goal itself. should be used as a support to treat patients </li></ul><ul><li>Practical Problems-underutilized world over </li></ul><ul><li>Specialist consultation in sub urban and rural India & Rajasthan is now a mouse click away </li></ul>
  25. 38. Thanks

×