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Telemedicine ppt


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telemedicine projects in India

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Telemedicine ppt

  2. 2. OUTLINE<br /><ul><li>INTRODUCTION
  4. 4. TYPES
  7. 7. GOALS
  8. 8. NEEDS
  10. 10. RESULTS
  12. 12. CONCLUSIONS</li></li></ul><li>TELEMEDICINE<br />
  13. 13. 1<br />1<br />Click to add Title<br />Improved diagnosis and better treatment management <br />2<br />2<br />Click to add Title<br />3<br />1<br />Click to add Title<br /> Quick and timely follow-up of discharged patients<br />2<br />4<br />Click to add Title<br />Access to computerized comprehensive data of patients, both offline & real time<br />1<br />Benefits to Healthcare Professionals<br />Continuingeducation and training<br />
  14. 14. Benefits to patients<br />Access to specialized health care services to under-served rural, semi-urban and remote areas<br />Early diagnosis and treatment<br />Access to expertise of Medical Specialists<br />Reduced physician’s fees and cost of medicine <br />Reduced visits to specialty hospitals<br />Reduced travel expenses<br />Early detection of disease<br />Reduced burden of morbidity<br />
  15. 15. Benefits to Government <br />
  16. 16. Types of technology<br />
  17. 17. HEALTHCARE IN RURAL INDIA<br /><ul><li>70 % of India’s population live in rural areas
  18. 18. 90% of secondary & tertiary care facility are in cities and towns
  19. 19. Low penetration of healthcare services
  20. 20. Lack of investment in health care in rural areas
  21. 21. Inadequate medical facilities in rural areas
  22. 22. Problem of retaining doctors in rural areas specially the specialist doctors</li></ul>SUPERSPECIALITY SERVICES REQUIRED (besides the basic medical health services)<br />
  23. 23. Public Health Care Delivery Model<br />242 Medical colleges<br />205 Dental colleges<br />3,346 CHC<br />4,400 Dist. Hospitals<br />1200 Other Public Hospitals<br />23,236 PHC<br />1,46,026 Sub centers<br />Source : K. Park, 20thEd.<br />
  24. 24. Telemedicine: Ideal for India<br /><ul><li>Area : 32,87,268 Sq. Km.
  25. 25. Population : over 1 Billion
  26. 26. Urban Rural Divide
  27. 27. Inaccessible hilly regions, islands, desert, coasts, tribal areas
  28. 28. Strong Fiber Backbone
  29. 29. Indigenous satellite Communication technology in place
  30. 30. IT trained Human resource
  31. 31. Pilot Projects with Successful outcomes</li></li></ul><li>
  32. 32. SUPPORT<br /> In India, telemedicine programs are being actively supported by:<br />Department of Information Technology (DIT)<br />Indian Space Research Organization<br />NEC Telemedicine program for North-Eastern states<br />Apollo Hospitals<br />Asia Heart Foundation<br />State governments<br />Telemedicine technology also supported by some other private organizations<br />
  33. 33. Evolution of telemedicine<br />Telemedicine : <br />ways of communication<br />
  34. 34. DIT INITIATIVES<br />DIT has taken following leads in Telemedicine:<br /><ul><li> Development of Technology
  35. 35. Initiation of pilot schemes
  36. 36. Selected Specialty e.g. Oncology, Tropical Diseases
  37. 37. General telemedicine system covering all specialties
  38. 38. Standardization
  39. 39. Framework for building IT Infrastructure in health</li></li></ul><li>National Task Force on Telemedicine(2005)<br />
  40. 40. Benefits to patients <br />Includes members from the following departments<br /><ul><li> Health, Communication & Information Technology
  41. 41. Indian Space Research Organization
  42. 42. Indian Council of Medical Research
  43. 43. Medical Council of India
  44. 44. Center for Development of Advanced Computing
  45. 45. Academic medical institutions and corporate hospitals</li></ul>Benefits for Health Care Delivery System<br />Utility of NRTN<br />Benefits to Health<br />Care Professionals<br />
  46. 46. PROPOSED OBJECTIVES OF NRTN<br /><ul><li>To provide access to timely and quality specialty medical care to the people living in rural & remote areas.
  47. 47. To reduce rural urban divide in delivery of medical care
  48. 48. To improve diagnosis and treatment facilities in rural areas
  49. 49. To mitigate the obstacles due to geographical isolation
  50. 50. To provide continuous medical education and training to the healthcare professionals working in rural/remote areas</li></li></ul><li>
  51. 51. <ul><li>Tele-consultation room
  52. 52. Patient engagement facilities (bed, scopes, etc.)
  53. 53. Selective medical and medico-IT equipments, preferably IT compatible, with interface to Telemedicine and/or other software / hardware
  54. 54. Computer hardware / software platform (PC, switch, etc.) and IT electronics equipments
  55. 55. Mobile vans are a part of </li></ul>telemedicine service<br />
  56. 56. Digital ECG<br />4<br />Digital Microscope & Camera <br />6<br />Desktop PC platform with Laser Printer<br />1<br />7<br />IP Video Conferencing Kit<br />2<br />A3 Film Scanner<br />5<br />3<br />LEVEL-1:Software &Hardware<br /> Tele medicine software<br />Glucometer & Haemogram analyzer<br />Non-invasive Pulse & Blood Pressure unit<br />8<br />Connectivity device & Router<br />9<br />
  57. 57. GOALS AND NEEDS<br />Looking to the past experience for success of telemedicine:<br /><ul><li>Video conferencing
  58. 58. Accompanied by data and image transfer (live)
  59. 59. Common software usage at both ends, thus globalization of a single database software
  60. 60. Role of trained technical personnel is equally important and necessary at the patient end.
  61. 61. Successful remuneration system to attract private practitioners</li></li></ul><li>Plus points<br /><ul><li>It is feasible to set up a National Health Grid to be shared by healthcare providers, trainers & beneficiaries taking the advantage of a
  62. 62. strong fiber backbone
  63. 63. indigenous satellite communication technology
  64. 64. large trained manpower
  65. 65. The ground work has also been established by
  66. 66. ISRO
  67. 67. DIT
  68. 68. State Governments
  69. 69. Specialty Institutes/ Hospitals
  70. 70. National Rural Telemedicine network will help to provide quality healthcare where there is none and will improve healthcare where there is some</li></li></ul><li>CHALLENGES<br /><ul><li>Low bandwidth
  71. 71. Neither telephone lines nor electricity in rural areas
  72. 72. International bandwidth of RAFT countries is very limited</li></ul>End 2004: 18 Mbps for the entire country, 1,34 bps/capita (Mali)<br />Switzerland 2002: 66.000 Mbps, 9.040 bps per capita<br />(Source: ITU World Telecommunication Indicators Database)<br /><ul><li>Satellite transmission can help but is pricey
  73. 73. Mobile communication is gaining ground
  74. 74. Unstable electricitysupply. </li></li></ul><li>CHALLENGES<br />Patients' fear and unfamiliarity<br />Financial unavailability<br />Lack of basic amenities<br />Literacy rate and diversity in languages<br />Quality aspect<br />Government Support<br />Perspective of medical practitioners<br />
  75. 75. DISCUSSIONS<br />Pragmatism and the realism with tools adapted to the context must remain the rule.<br />India is a booming economy <br />Telemedicine is a new yet <br />extremely lucrative concept<br />With the right marketing <br />and government approach, <br />combined with hard efforts in<br /> the right direction, this can be<br />a huge success!<br />
  76. 76. CONCLUSION <br />Paraphrasing Neil Armstrong, <br />“ Telemedicine: one small step for IT , a giant leap for Healthcare!”<br />
  77. 77. REFERENCES<br />1. Brown N. A brief history of telemedicine. Telemedicine Information Exchange. 1995;105:833–5.<br />2. Ganapathy K. Neurosurgeon, Apollo Hospitals, Chennai, Telemedicine in India-the Apollo experience, Neurosurgery on the Web. 2001. <br />3. Bashshur RL, Armstrong PA, Youssef ZI. Telemedicine: Explorations in the use of telecommunications in health care. Springfield, IL: Charles C Thomas; 1975. <br />4. Bashshur R, Lovett J. Assessment of telemedicine: Results of the initial experience. Aviation Space Environ Med. 1977;48:65–70.<br />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.<br />6. Watson DS. Telemedicine. Med J Aust. 1989;151:62–66. 8,71. [PubMed]<br />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.<br />8. Allen A, Allen D. Telemedicine programs: 2nd annual review reveals doubling of programs in a year. Telemedicine Today. 1995;3(1):10–4.<br />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.<br />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.<br />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.<br />12. Grigsby J, Schlenker RE, Kaehny MM, et al. Analytic framework for evaluation of telemedicine. Telemedicine J. 1995;1(1):31–39.<br />13. Bedi BS. Telemedicine in India: Initiatives and Perspective, eHealth 2003: Addressing the Digital Divide-17th Oct. 2003. <br />14. Mexrich RS, DeMarco JK, Negin S, et al. Radiology on the information superhighway. Radiology. 1995;195(1):73–81. [PubMed]<br />15. Brown N. Telemedicine coming of age. TIE. 1996 Sep 28;<br />16. Wachter GW. Telecommunication, linking providers and patients. Telemedicine Information Exchange. 2000 Jun 30;<br />17. Kopp S, Schuchman R, Stretcher V, Gueye M, Ledlow J, Philip T, et al. Telemedicine. Telemedicine J E-health. 2002;8:18.<br />18. Grigsby B, Brown N. ATSP Report on US Telemedicine Activity: Portland; 1999 or Association of Telehealth Service Providers. <br />
  78. 78. Thankyou!<br />