Telemedicine in India

Jose K Joy, Manisha Iyer, Nikhil Dev
Information & Interface Design, 2010
Guide: Dr. Bibhudatta Bar...
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Telemedicine Design Research & Concepts

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Objective of the research was to analyze the current Telemedicine scenario and identify areas where Design Intervention was required. Our research showed us that though the main idea behind Telemedicine was to increase the accessibility of Health Care to Rural India, it has not yet reached the grass root levels. The major cause were identified as the lack of reach of Technology, Connectivity, initial investment and absence of standards and guidelines. Keeping these issues in mind a model has been proposed which focuses on increasing the reach & accessibility of Telemedicine in Rural areas.

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Telemedicine Design Research & Concepts

  1. 1. Telemedicine in India Jose K Joy, Manisha Iyer, Nikhil Dev Information & Interface Design, 2010 Guide: Dr. Bibhudatta Baral Abstract Design Concept Telemedicine is the use of Information and Communication Technology for the delivery of Health Care Services to areas where health services are below the required levels. It can be as simple as a telephone conversation between medical professionals disussing the condition of a patient or as complicated as performing a surgery. Telemedicine Kiosk at Anganwadi centres: Rural Areas Urban Areas Population Distribution Doctor Distribution By making use of the existing facilities of Anganwadi and expertise of the Anganwadi workers, telemedicine can be made more accessible. A simple Telemedicine Kiosk can be installed in the Anganwadi Centre. Recommended Specifications: Objective of the research was to analyze the current Telemedicine scenario and identify areas where Design Intervension was required. Our research showed us that though the main idea behind Telemedicne was to increase the acessibility of Health Care to Rural India, it has not been implemented. The major cause were identified as Technology, Connectivity, initial investment and absence of standards and guidelines. Keeping these issues in mind a model has been proposed which focuses on increasing the reach & accessibility of Telemedicine in Rural Areas. Telemedicine Overview In case the request is rejected, the routing mechanism routes the call to next Doctor in the priority order. Error free, reliable and secure transmission has to be ensured. (The Hippa standards for transmission of medical information could be used, but it should be altered according to the Indian context). Location: Small enclosed area, with minimum noise distur- Medical report and prescription can be obtained if scanner and printer is available (optional). bance, within Anganwadi Operated by: Anganwadi worker, who already has basic health care training. Basic Equipments: Web Cam, Thermometer, Pulse, ECG, Stethoscope ideally integrated with the Telemedicine interface. The equipments can be handled by the anganwadi worker with minimum training. A stock of regular medicines are maintained in the anganwadi centres. On prescription, the anganwadi worker gives the medicine to the patient. In case Tests are required only then the patient needs to travel to the PHC/CHS. The telemedicine facility can be used to provide training Connectivity: Router,Telephone line,ISDN, VSAT, GRAMSAT to the anganwadi staff. Tele-Consultation: Video Conferencing with the PHC. If the officer at PHC is busy then, The Request will be routed to the nearby Community Health Centre or District Hospital. 1 Patient goes to Anganwadi 2 Meets Anganwadi staff 3 Leads to telemedicine room ANGANWADI Research Methodology 4 Staff connects to the TM network Analysis of literature Gaps in Literature Identify the sources User Experience Implementaion Experts Narayana Hrudayalaya Equipment manufacturers Apollo Hospitals Service Providers Manipal Hospital Technicians Neurosynaptics End users 6 Does remote consultation Patients sponsored child-care and mother-care centers in India, Managed by Aganwadi workers. Each Anganwadi covers a population of 1000. There are an estimated 1.053 million anganwadi centers in India. The duties of anganwadi worker are Regular health check-up. Immunization. Health education. Non-formal pre-school education. Field work Telemedicine in India Websites. 5 Sets up the equipment Anganwadi is set of nation wide government Research papers on Telemedicine Initiatives in India Latest service delivery models Papers onTechnology Issues in Implemenation Presentations on Rural telemedicine General Public Problem Identification Technological issues Technology is not accessible averywhere Inefficient use of existing technology Software interoperability issues Primary level is not equiped Cost of implementation Cultural issues of people Not effective as face to face consultation Confidentiality and Security issues Benefits 7 Doctor prescribes medicines Maintenance issues Public awareness Government policies and political influences Absence of proper standards & rules Absence in Home based tele-health care 8 Anganwadi has a mini-pharma 9 Satisfied patient Since the anganwadi workers are already trained in conducting health check ups, they can efficiently provide assistance. More anganwadi workers can be trained for this and becomes an employment opportunity for women in rural areas. Kiosk occupies minimum space- just requires a closed space. No additional building cost Care giver to patient ratio: not less than 1: 1000 Automatic Routing mechanism allows the PHC to quickly avail connection to any of the available speciality hospitals/ doctors and makes Urgent consultation possible Medical training Awareness of telemedicine at grass root level.

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