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

3. BENEFITS/UTILITIES

4. TYPES

5. PRESENT DAY SCENARIO

6. INFRASTRUCTURE

7. GOALS

8. NEEDS

9. CHALLENGES

10. RESULTS

11. DISCUSSIONS

13. 1 1 Click to add Title Improved diagnosis and better treatment management 2 2 Click to add Title 3 1 Click to add Title Quick and timely follow-up of discharged patients 2 4 Click to add Title Access to computerized comprehensive data of patients, both offline & real time 1 Benefits to Healthcare Professionals Continuingeducation and training

14. Benefits to patients Access to specialized health care services to under-served rural, semi-urban and remote areas Early diagnosis and treatment Access to expertise of Medical Specialists Reduced physician’s fees and cost of medicine Reduced visits to specialty hospitals Reduced travel expenses Early detection of disease Reduced burden of morbidity

15. Benefits to Government

16. Types of technology

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 Model 242 Medical colleges 205 Dental colleges 3,346 CHC 4,400 Dist. Hospitals 1200 Other Public Hospitals 23,236 PHC 1,46,026 Sub centers Source : K. Park, 20thEd.

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

32. SUPPORT In India, telemedicine programs are being actively supported by: Department of Information Technology (DIT) Indian Space Research Organization NEC Telemedicine program for North-Eastern states Apollo Hospitals Asia Heart Foundation State governments Telemedicine technology also supported by some other private organizations

33. Evolution of telemedicine Telemedicine : ways of communication

35. Initiation of pilot schemes

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

37. General telemedicine system covering all specialties

38. Standardization

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 System Utility of NRTN Benefits to Health Care Professionals

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

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 ECG 4 Digital Microscope & Camera 6 Desktop PC platform with Laser Printer 1 7 IP Video Conferencing Kit 2 A3 Film Scanner 5 3 LEVEL-1:Software &Hardware Tele medicine software Glucometer & Haemogram analyzer Non-invasive Pulse & Blood Pressure unit 8 Connectivity device & Router 9

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.

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

71. Neither telephone lines nor electricity in rural areas

73. Mobile communication is gaining ground

75. DISCUSSIONS Pragmatism 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 concept With the right marketing and government approach, combined with hard efforts in the right direction, this can be a huge success!

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

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78. Thankyou!