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TELEMEDICINE
A Great Challenge To Improve Health
Problems At Rural Level
By
Captain Ayinun Nahar
Army Medical Corp (AMC)
Bangladesh Army
INTRODUCTION
AIM
To acquaint with the basics of telemedicine with
it’s benefits and applications as a challenge to
improve health problem at rural level.
SCOPE
 Definition
 History
 Objectives
 Core Principles
 Infrastructure &
peripherals
 Benefits of telemedicine
 Applicable fields
 Challenges and risk
 Conclusion
DEFINITION
Telemedicine can be broadly defined as
healthcare services delivered through
telecommunication networks to a distance.
9
WHAT IT IS?
e.
HISTORY
1959
Nebraska University College of medicine,US.
2001
Telemedicine Reference Center ,Dhaka.
OBJECTIVES
 To provide specialized
Healthcare consultation to
patients in remote location.
 To provide opportunities for
continuing education of health
care personnel.
CORE
PRINCIPLES
 Medical tool
 Physician directed
 Established clinical
operations and
routines
 Physician-patient
relationship
PERIPHERALS
&
DEVICES
Telemedicine : The Model
 Patient under treatment
 Physician treating the patient
 A remote telemedicine console having
audio visual and data conferencing
facilitiesNodal HospitalNodal HospitalNodal HospitalNodal Hospital
Referral HospitalReferral HospitalReferral HospitalReferral Hospital
POTS
/ ISDN
/ LEASED
LINE
/ VSAT
POTS
/ ISDN
/ LEASED
LINE
/ VSAT
 An expert / specialised doctor
 A central telemedicine server having
audio visual and data conferencing
facility
DRAWING CONSULTING
CENTRE
Site where patient is present
DRAWING SPECIALITY
CENTRE
Site Where Expert is present
Digital camera
Doctor /
Patient
Scanner
Printer
Electronics
Microscope
ECG
Machine
Electronics
Stethoscop
e
PSTN /
Leased Line
/ ISDN /
VSAT
Specialist Doctor
Digital
Camera
Scanner
Printer
Web Cam
Web Cam
Nodal CenterNodal Center
ReferralReferral
CenterCenter
Schematic System
BENEFITS
PATIENT
 Saves time and money
 Reduces the stress
 Rapid access
 Close to home
 Coordinate preparation
and transfer of patient
HEALTH CARE
PROFESSIONALS
 Real-time specialty
consultations
 Raintaining primary provider
skill
 Education opportunities
 Professional networking and
collegeal support
 Up to date to the latest
information.
APPLICABLE
FIELDS
TELEMEDICI
NE
&
BANGLADESH
TELEMEDICI
NE
IN
ARMED
FORCES
Specially it can
be used at hill tracts
and remote areas
where
transportation of
patient is difficult.
CHALLENGE &
RISKS
 mental satisfaction
 Confidentiality
 Uncomfortable
 Illiteracy & ignorance
 Cost effectiveness
 Power Supply
 Internet service
 Local doctors
RECOMMENDAT
ION
 Conduction of
telemedicine audit
 Exploration of financial
issues
 Development of
telemedicine plan
 Building of training
initiative
 Systematic
implementation of a plan
CONCLUSION
THANK YOU…

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Telemedicine