Telemedine services

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Telemedine services

  1. 1. SONAL Hosp. Mgt. 2nd Yr
  2. 2. TELEMEDICINE Telemedicine is an application of clinical medicine where medical information is transferred through the phone or the Internet and sometimes other networks for the purpose of consulting and sometimes remote medical procedures or examinations
  3. 3. TYPES OF TELEMEDICINE • STORE AND FORWARD • REMOTE MONITORING • INTERACTIVE SERVICES
  4. 4. STORE AND FORWARD • Store-and-forward telemedicine involves acquiring medical data like medical images, biosignals etc and then transmitting this data to a doctor or medical specialist at a convenient time offline • It does not require the presence of both parties at the same time
  5. 5. REMOTE MONITORING  Remote monitoring, also known as self-monitoring/testing,enables medical professionals to monitor a patient remotely using various technological devices  In remote monitoring, sensors are used to capture and transmit biometric data. For example robotic surgery which have monitor to tell doctor about surgery and can control it
  6. 6. INTERACTIVE SERVICES • Interactive telemedicine services provide real-time interactions between patient and provider, to include phone conversation,online communication and home visits. • Many activities such as history review, physical examination, psychiatric evaluations can be conducted comparably to those done in traditional face-to-face visits.
  7. 7. OBJECTIVES • To provide specialized health care consultation to patients in remote locations. • To facilitate video-conferencing among health care experts for better treatment & care. • To provide opportunities for continuing education of health care personnel.
  8. 8. TELEMEDICINE MODEL
  9. 9. SEQUENCE OF TELECONSULTATION (I) PATIENT IN Patient visits OPD, local doctor checks up Patients receives treatment and is not referred to telemedicine system OUT Patient referred to the telemedicine system Patient visits Telemedicine data-entry console. Operator enters patient record, data and images of test results, appointment date is fixed for online telemedicine session Offline data transfer from nodal centre OUT
  10. 10. BENEFITS OF TELEMEDICINE BENEFITS TO PATIENTS  Access to specialized health care services to under-served rural, semiurban and remote areas  Access to expertise of Medical Specialists to a larger population without physical referral  Reduced visits to specialty hospitals for long term follow-up care for the aged and terminally ill patients.
  11. 11. BENEFITS TO PHYSICIANS Improved diagnosis and better treatment management Access to computerized, comprehensive data (text, voice, images etc.) of patients – offline as well as real time  Quick and timely follow-up of patients discharged after palliative care Continuing education or training through video conferencing periodically.
  12. 12. BENEFITS TO HOSPITAL  Significant reduction in unnecessary visits & hospitalization for specialized care at tertiary hospitals.  Earlier discharge of patients leading to shorter length of stay in hospitals.  Increase in the scope of services without creating physical infrastructure in remote hospitals.
  13. 13. DRAWBACKS OF TELEMEDICINE • It includes the cost of telecommunication and data management equipment and of technical training for medical personnel who will employ it. • Decreases human interaction between medical professionals and patients. • It increases risk of error when medical services are delivered in the absence of a registered professional. • Poor quality of transmitted records, such as images or patient progress reports. • Difficulty claiming reimbursement from insurers or government programs in some fields.
  14. 14. Apollo Telemedicine Networking Foundation(ATNF), a non-for-profit organization, is a part of the Apollo Hospitals Group. It is credited with being the first to setup a Rural Telemedicine centre in 1999 in Aragonda (in Andhra Pradesh). Today, ATNF has emerged as India's single largest turn key provider in the area of Telemedicine with over 125 peripheral centres including 10 overseas. More than 71,000 teleconsultations in 25 different disciplines have been provided.
  15. 15. Patients have been evaluated from distances ranging from 200 to 7500 km. Commissioning the world’s first VSAT enabled, modern secondary care hospital in a village, at Aragonda, Andhra Pradesh.

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