1. A Presentation on
TELEMEDICINE
THE INDIAN SCENARIO
YIT,SEMESTER Vl
RAJASTHAN TECHNICAL UNIVERSITY
Submitted By :
Balvinder Singh {007}
Devanshi Gupta {011} Submitted To :
Govind Kumar {016} Ms.Ritika Jain
Jagrit Makhija {020} ECE Deptt.
Lecturer
1

2. Telemedicine - Definition
 The practice of medicine delivered across
distances via telecommunications , including
audio , visual & data communications , and
interactive video technology performed by
licensed or legally authorized individuals.
 Useof Information , Communication &
Technology for delivery of clinical care.
2

3. Types of Telemedicine
 Real Time Telemedicine
 Requires the presence of both parties at the same time and
a communications link between them .
 Asynchronous Telemedicine
 Does not require the presence of both parties
at the same time.
3

4. How it works ?
A patient getting treated
NODAL A Doctor
HOSPITAL
A remote telemedicine console having
Audio Visual and data conferencing
facilities
POTS/
ISDN
An expert / specialised doctor
A Central Telemedicine Server having
REFERENTIAL
audio visual and data conferencing
HOSPITAL
4 facilities

5. In Action
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6. Sequence of Operations
PATIENT IN
Patient visits OPD Patient receives local
Local Doctor checks up treatment and not referred OUT
to Telemedicine System
Day One
Patient referred to the Telemedicine System
(some special investigation may be suggested)
Patient visits Telemedicine data-entry console . Operator
entries patient record , data and images of test results,
appointment date is fixed for online Telemedicine session.
Offline Data Transfer
6 From Nodal Centre

7. Sequence {continued}
Patient 1
Patient 2
Patient 3
Day Two
Patient 4
• Online conference for the patient
•
• IN
Patient , Local Doctors at the Nodal OUT
• Hospital and Specialist Doctors at the
• Referral Hospital.
•
Patient
Queue
7

8. Uses Of Telemedicine
 Patient monitoring
- Using Technology
 Medical Consultations
- Remote to Urban
- Emergency Situations
 Patient Education
- Through Internet
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9. Infrastructure
CONNECTIVITY : Options for telemedicine services
 VSAT
 PSTN
 ISDN
 Leased Line
 Wireless LAN / WAN
9

10. Benefits of Telemedicine
 Timely delivery of health care & Lower costs
 Opportunity of research to primary physicians
 Decentralization & Regionalization
 High satisfaction and time savvy for Patients
 Equitable health care with Telemedicine Software
 Isolated communities & areas covered (Rural, Hilly,
Space, Forces, Natural Calamities)
 Physicians referrals reduced by 80% connecting by
10
primary physicians to specialists.

11. Current Efforts by Telemedicine
 Department of Information & Technology
 ISRO
 Telemedicine programs in North Eastern
States
 Apollo hospital
 Asia Heart Foundation
 IIT Kharagpur
 C-DAC , Mohali
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12. Applications
 Home care
 Disease Management
 Disaster Management
 Continuing Medical Education & Public Awareness
 Disease Surveillance
 Remote Consultation & Critical Care Monitoring
 Surgery – Robotics
 Second Opinion & Complex Interpretations
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13. Defining a National
Telemedicine Network
A Three Tier hierarchical connectivity structure
can be contemplated for implementation in
phases to include
 A Primary Health Centre (PHC) / Community Health
Centre connected to District Level hospital
 A District Level hospital connected to a State Level
hospital / Selected Specialty hospital
 State hospitals and Selective District hospitals being
connected to a Super Specialty hospital at the National
Level
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14. Three Tier Connectivity Structure
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15. Integrated Telemedicine
Solution
 Sanjeevani
- Software package with the
expert guidance of doctors
of PGI
e – Sanjeevani
- Web based application
(R&D effort in the area of
Health care & Medical
informatics)
15 Screenshot

16. Features of e - Sanjeevani
 No installation
 No configuration
 Online diagnostic test reports
 Secure environment
 HL – 7 standard support
 Case summary & report generation
 Central repository
16

17. Telemedicine - The Promise
 Taking modern health care to remote areas
using IT
 Majority of diseases not requiring surgery
conductive to Telemedicine
 Can also play a significant role in training of
medical personel across the country
 Decrease in price and complexity of this
technology over last 5 years makes it
17 economically viable

18. Telemedicine
INDIA’s option or necessity
 India characterized by low penetration of
healthcare services
 Indian medical society (survey results)
 75% - Doctors practice in urban centers
 23% - Semi – Urban
 2% - Rural areas
 Hospital / 1000
 0.19 - Rural areas
18  2.20 - Urban areas

19. Telemedicine
INDIA’s option or necessity
 Primary health care facilities for rural
population highly inadequate
 Rural & remote areas continue to suffer
from absence of quality health care
 Several initiatives by
Government & Private
Sector
19

20. Telemedicine
INDIA’s option or necessity
 Successfully managed locally with advice / guidance
from specialists / super – specialists in cities , without
having to travel to the specialists
 Key driver of public : private partnership for health
care delivery to the people of India
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21. References
 Wikipedia encyclopedia
 Websites
 Telemedicine in India : Initiatives &
Perspectives
 Journal of Internal Medicine
 Report of the technical working group for
Telemedicine Standardization
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22. THANK
YOU
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