This document discusses telemedicine projects and initiatives in India. It outlines the benefits of telemedicine including improved access to specialized healthcare for rural populations, cost savings from reduced travel, and continued education for healthcare professionals. It describes the types of telemedicine technologies used in India and provides an overview of the current telemedicine landscape and infrastructure in the country. Key goals of national telemedicine networks are highlighted along with ongoing challenges and the need for standardized software, trained personnel, and stable electricity/connectivity.

1. Dr. Vinod KhandharMS(ENT), MS(GEN SURG), DIPLOMA IN LASER SURGERY (SPAIN), LLB.INDIATELEMEDICINE PROJECTS IN INDIA

2. OUTLINEINTRODUCTION

3. BENEFITS/UTILITIES

4. TYPES

5. PRESENT DAY SCENARIO

6. INFRASTRUCTURE

7. GOALS

8. NEEDS

9. CHALLENGES

10. RESULTS

11. DISCUSSIONS

12. CONCLUSIONSTELEMEDICINE

13. 11Click to add TitleImproved diagnosis and better treatment management 22Click to add Title31Click to add Title Quick and timely follow-up of discharged patients24Click to add TitleAccess to computerized comprehensive data of patients, both offline & real time1Benefits to Healthcare ProfessionalsContinuingeducation and training

14. Benefits to patientsAccess to specialized health care services to under-served rural, semi-urban and remote areasEarly diagnosis and treatmentAccess to expertise of Medical SpecialistsReduced physician’s fees and cost of medicine Reduced visits to specialty hospitalsReduced travel expensesEarly detection of diseaseReduced burden of morbidity

15. Benefits to Government

16. Types of technology

17. HEALTHCARE IN RURAL INDIA70 % of India’s population live in rural areas

18. 90% of secondary & tertiary care facility are in cities and towns

19. Low penetration of healthcare services

20. Lack of investment in health care in rural areas

21. Inadequate medical facilities in rural areas

22. Problem of retaining doctors in rural areas specially the specialist doctorsSUPERSPECIALITY SERVICES REQUIRED (besides the basic medical health services)

23. Public Health Care Delivery Model242 Medical colleges205 Dental colleges3,346 CHC4,400 Dist. Hospitals1200 Other Public Hospitals23,236 PHC1,46,026 Sub centersSource : K. Park, 20thEd.

24. Telemedicine: Ideal for IndiaArea : 32,87,268 Sq. Km.

25. Population : over 1 Billion

26. Urban Rural Divide

27. Inaccessible hilly regions, islands, desert, coasts, tribal areas

28. Strong Fiber Backbone

29. Indigenous satellite Communication technology in place

30. IT trained Human resource

31. Pilot Projects with Successful outcomes

32. SUPPORT In India, telemedicine programs are being actively supported by:Department of Information Technology (DIT)Indian Space Research OrganizationNEC Telemedicine program for North-Eastern statesApollo HospitalsAsia Heart FoundationState governmentsTelemedicine technology also supported by some other private organizations

33. Evolution of telemedicineTelemedicine : ways of communication

34. DIT INITIATIVESDIT has taken following leads in Telemedicine: Development of Technology

35. Initiation of pilot schemes

36. Selected Specialty e.g. Oncology, Tropical Diseases

37. General telemedicine system covering all specialties

38. Standardization

39. Framework for building IT Infrastructure in healthNational Task Force on Telemedicine(2005)

40. Benefits to patients Includes members from the following departments Health, Communication & Information Technology

41. Indian Space Research Organization

42. Indian Council of Medical Research

43. Medical Council of India

44. Center for Development of Advanced Computing

45. Academic medical institutions and corporate hospitalsBenefits for Health Care Delivery SystemUtility of NRTNBenefits to HealthCare Professionals

46. PROPOSED OBJECTIVES OF NRTNTo provide access to timely and quality specialty medical care to the people living in rural & remote areas.

47. To reduce rural urban divide in delivery of medical care

48. To improve diagnosis and treatment facilities in rural areas

49. To mitigate the obstacles due to geographical isolation

50. To provide continuous medical education and training to the healthcare professionals working in rural/remote areas

51. Tele-consultation room

52. Patient engagement facilities (bed, scopes, etc.)

53. Selective medical and medico-IT equipments, preferably IT compatible, with interface to Telemedicine and/or other software / hardware

54. Computer hardware / software platform (PC, switch, etc.) and IT electronics equipments

55. Mobile vans are a part of telemedicine service

56. Digital ECG4Digital Microscope & Camera 6Desktop PC platform with Laser Printer17IP Video Conferencing Kit2A3 Film Scanner53LEVEL-1:Software &Hardware Tele medicine softwareGlucometer & Haemogram analyzerNon-invasive Pulse & Blood Pressure unit8Connectivity device & Router9

57. GOALS AND NEEDSLooking to the past experience for success of telemedicine:Video conferencing

58. Accompanied by data and image transfer (live)

59. Common software usage at both ends, thus globalization of a single database software

60. Role of trained technical personnel is equally important and necessary at the patient end.

61. Successful remuneration system to attract private practitionersPlus pointsIt is feasible to set up a National Health Grid to be shared by healthcare providers, trainers & beneficiaries taking the advantage of a

62. strong fiber backbone

63. indigenous satellite communication technology

64. large trained manpower

65. The ground work has also been established by

66. ISRO

67. DIT

68. State Governments

69. Specialty Institutes/ Hospitals

70. National Rural Telemedicine network will help to provide quality healthcare where there is none and will improve healthcare where there is someCHALLENGESLow bandwidth

71. Neither telephone lines nor electricity in rural areas

72. International bandwidth of RAFT countries is very limitedEnd 2004: 18 Mbps for the entire country, 1,34 bps/capita (Mali)Switzerland 2002: 66.000 Mbps, 9.040 bps per capita(Source: ITU World Telecommunication Indicators Database)Satellite transmission can help but is pricey

73. Mobile communication is gaining ground

74. Unstable electricity supply. CHALLENGESPatients' fear and unfamiliarityFinancial unavailabilityLack of basic amenitiesLiteracy rate and diversity in languagesQuality aspectGovernment SupportPerspective of medical practitioners

75. DISCUSSIONSPragmatism and the realism with tools adapted to the context must remain the rule.India is a booming economy Telemedicine is a new yet extremely lucrative conceptWith the right marketing and government approach, combined with hard efforts in the right direction, this can bea huge success!

76. CONCLUSION Paraphrasing Neil Armstrong, “ Telemedicine: one small step for IT , a giant leap for Healthcare!”

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78. Thankyou!