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TELEMEDICINE THE INDIAN SCENARIO

YIT,SEMESTER VlRAJASTHAN TECHNICAL

UNIVERSITY

A Presentation on

Submitted By :Balvinder Singh {007}Devanshi Gupta {011}Govind Kumar {016}Jagrit Makhija {020}

Submitted To :Ms.Ritika JainECE Deptt.Lecturer

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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.

Use of Information , Communication & Technology for delivery of clinical care.

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Types of Telemedicine

Real Time Telemedicine Real Time Telemedicine Requires the presence of both parties at the Requires the presence of both parties at the

same time andsame time and

a communications link between them .a communications link between them .

Asynchronous Telemedicine Asynchronous Telemedicine Does not require the presence of both partiesDoes not require the presence of both parties

at the same time.at the same time.

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How it works ?A patient getting treatedA DoctorA remote telemedicine console

having Audio Visual and data conferencing facilities

An expert / specialised doctorA Central Telemedicine Server

having audio visual and data conferencing facilities

NODALHOSPITAL

REFERENTIALHOSPITAL

POTS/ISDN

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In Action

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Sequence of OperationsD

ay

On

e

PATIENT IN

Patient visits OPD Local Doctor checks up

Patient referred to the Telemedicine System (some special investigation may be suggested)

Patient visits Telemedicine data-entry console . Operatorentries patient record , data and images of test results,

appointment date is fixed for online Telemedicine session.

Offline Data TransferFrom Nodal Centre

Patient receives local treatment and not referred

to Telemedicine SystemOUT

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Sequence {continued}

Day

T

wo

Patient 1Patient 2Patient 3Patient 4

• • • • • •

PatientQueue

IN

Online conference for the patient

Patient , Local Doctors at the Nodal Hospital and Specialist Doctors at the

Referral Hospital.

OUT

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Uses Of Telemedicine

Patient monitoring - Using TechnologyMedical Consultations

- Remote to Urban - Emergency Situations

Patient Education - Through Internet

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Infrastructure

CONNECTIVITY : Options for telemedicine services

VSATPSTNISDNLeased LineWireless LAN / WAN

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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 primary physicians to specialists.

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Current Efforts by Telemedicine

Department of Information & Technology ISROTelemedicine programs in North Eastern

StatesApollo hospitalAsia Heart Foundation IIT KharagpurC-DAC , Mohali

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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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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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Three Tier Connectivity Structure

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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)

Screenshot

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Features of e - Sanjeevani

No installationNo configurationOnline diagnostic test reportsSecure environmentHL – 7 standard supportCase summary & report generationCentral repository

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Telemedicine - The Promise

Taking modern health care to remote areas using ITMajority of diseases not requiring surgery

conductive to TelemedicineCan also play a significant role in training of

medical personel across the countryDecrease in price and complexity of this

technology over last 5 years makes it economically viable

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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 2.20 - Urban areas

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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

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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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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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THANK YOU

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