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Dr. Vinod Khandhar MS(ENT), MS(GEN SURG), DIPLOMA IN LASER SURGERY (SPAIN), LLB. INDIA TELEMEDICINE PROJECTS IN INDIA
OUTLINE ,[object Object]
BENEFITS/UTILITIES
TYPES
PRESENT DAY SCENARIO
INFRASTRUCTURE
GOALS
NEEDS
CHALLENGES
RESULTS
DISCUSSIONS
CONCLUSIONS,[object Object]
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
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
Benefits to Government
Types of technology
HEALTHCARE IN RURAL INDIA ,[object Object]
90% of secondary & tertiary care facility are in cities and towns
Low penetration of healthcare services
Lack of investment in health care in rural areas
Inadequate medical facilities in rural areas
Problem of retaining doctors in rural areas specially the specialist doctorsSUPERSPECIALITY SERVICES REQUIRED (besides the basic medical health services)
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.
Telemedicine: Ideal for India ,[object Object]
Population : over 1 Billion
Urban Rural Divide
Inaccessible hilly regions, islands, desert, coasts, tribal areas
Strong Fiber Backbone

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Telemedicine ppt

  • 1. Dr. Vinod Khandhar MS(ENT), MS(GEN SURG), DIPLOMA IN LASER SURGERY (SPAIN), LLB. INDIA TELEMEDICINE PROJECTS IN INDIA
  • 2.
  • 12.
  • 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
  • 17.
  • 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
  • 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.
  • 24.
  • 25. Population : over 1 Billion
  • 27. Inaccessible hilly regions, islands, desert, coasts, tribal areas
  • 30. IT trained Human resource
  • 31.
  • 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
  • 34.
  • 35. Initiation of pilot schemes
  • 36. Selected Specialty e.g. Oncology, Tropical Diseases
  • 37. General telemedicine system covering all specialties
  • 39.
  • 40.
  • 41. Indian Space Research Organization
  • 42. Indian Council of Medical Research
  • 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
  • 46.
  • 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.
  • 51.
  • 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
  • 57.
  • 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.
  • 65. The ground work has also been established by
  • 66. ISRO
  • 70.
  • 71. Neither telephone lines nor electricity in rural areas
  • 72.
  • 73. Mobile communication is gaining ground
  • 74.
  • 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!”
  • 77. REFERENCES 1. Brown N. A brief history of telemedicine. Telemedicine Information Exchange. 1995;105:833–5. 2. Ganapathy K. Neurosurgeon, Apollo Hospitals, Chennai, Telemedicine in India-the Apollo experience, Neurosurgery on the Web. 2001. 3. Bashshur RL, Armstrong PA, Youssef ZI. Telemedicine: Explorations in the use of telecommunications in health care. Springfield, IL: Charles C Thomas; 1975. 4. Bashshur R, Lovett J. Assessment of telemedicine: Results of the initial experience. Aviation Space Environ Med. 1977;48:65–70. 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. 6. Watson DS. Telemedicine. Med J Aust. 1989;151:62–66. 8,71. [PubMed] 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. 8. Allen A, Allen D. Telemedicine programs: 2nd annual review reveals doubling of programs in a year. Telemedicine Today. 1995;3(1):10–4. 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. 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. 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. 12. Grigsby J, Schlenker RE, Kaehny MM, et al. Analytic framework for evaluation of telemedicine. Telemedicine J. 1995;1(1):31–39. 13. Bedi BS. Telemedicine in India: Initiatives and Perspective, eHealth 2003: Addressing the Digital Divide-17th Oct. 2003. 14. Mexrich RS, DeMarco JK, Negin S, et al. Radiology on the information superhighway. Radiology. 1995;195(1):73–81. [PubMed] 15. Brown N. Telemedicine coming of age. TIE. 1996 Sep 28; 16. Wachter GW. Telecommunication, linking providers and patients. Telemedicine Information Exchange. 2000 Jun 30; 17. Kopp S, Schuchman R, Stretcher V, Gueye M, Ledlow J, Philip T, et al. Telemedicine. Telemedicine J E-health. 2002;8:18. 18. Grigsby B, Brown N. ATSP Report on US Telemedicine Activity: Portland; 1999 or Association of Telehealth Service Providers.