Download - Tele medicine in India
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TELEMEDICINE
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• A Radiologist Interprets Medical Images Coming From Clinics Across The State
• A Surgeon Operates On A Patient Located 300 Miles Away
• A Nurse Takes The Blood Pressure Of A Homebound Patient Without Ever Leaving The Office
• A Cardiologist Sees And Checks Up On A Heart Transplant Patient While Away On A Business Trip
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TELEMEDICINE
• Telemedicine Has Been Defined As The Use Of Telecommunications To Provide Medical Information And Services
• Video Conferencing
• It Helps Eliminate Distance Barriers
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WHY TELEMEDICINE?
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WHY TELEMEDICINE?
• Improved Access
• Cost Efficiency
• Patient Demand
• No Availability Of Full Medical Staff
• Telemedicine is used in optimization of resources
• War or disaster affected areas
• Remote villages
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DEFINING TELEMEDICINE
• Investment By Health Care Institutions In Either
Information Technology Or The Delivery Of Clinical Care
• No Distinction Between Services
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TYPES OF SERVICES
• Specialist And Primary Care
Consultations
• Imaging Services
• Remote Patient Monitoring
• Remote Medical Education And
Consumer Information
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•Networked Programs
•Primary Or Specialty Care To The Home Connections
•Home To Monitoring Center
•Web-based E-health Patient Service Sites
DELIVERY MECHANISM
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APOLLO HOSPITALS
• Estd. in Year 1979 and operations started in 1983-84
• Chairman – Dr. Pratap C. Reddy
• 8500 beds across 50 hospitals
• 3 main hospitals in Chennai, Delhi and Hyderabad
• Apollo Telemedicine
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APOLLO TELEMEDICINE-JOURNEY
• Apollo Telemedicine Networking Foundation: A 12 Year Journey
• World’s first V-SAT enabled village Hospital commissioned in March 2000 by President Bill Clinton
• 135 Telemedicine centers including 10 overseas
• 71,000 Teleconsultations in more than 25 specialties
• Distances covered 100 to 4500 miles
• Pioneer in proof of concept validation studies in mHealth using 3G
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CASE STUDY
• 10.1.1.99.8584.pdf
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AARAGONDA PROJECT
Purpose
Commercializing the concept
Specialty Centers
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TECHNOLOGY
• Polycam, web camera, microscope, PC, microphone, speaker, telephones, facsimile machines and a modem.
• Internet, digital imagery, trans-telephonic ECG
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TELEMEDICINE NETWORK
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ISSUES CONCERNING THE TELEMEDICINE PROJECT
• Cultural Issues
COSTS BENEFITS
Individual interaction via telemedicine platform
Patients saves on travel and post treatment expenses
Marketing cost Savings on physician expenses
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• Legal and Safety Issues
• Technological Issues
• Economic Issues
• End user satisfaction
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CONTROVERSY ABOUT TELEMEDICINE CONSULTATIONS
• If You Can’t Touch A Patient, How Can You Accurately
Diagnose His Condition?
• Can A Patient And Doctor Who See Each Other On A TV
Screen Actually Bond?
• Does The Patient ‘Feel’ He Got A Medical Consultation?
• Is The Doctor At The Other End Legally Liable For
Diagnoses Delivered Via A Telemedicine Link?
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SO WHY IS IT THAT IT HAS NOT HAD A HUGE IMPACT IN OUR COUNTRY?
• Infrastructural Issues
• Implementation Issues
• Acceptance
• Viability Issues
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IN INDIA
AWARENESS AND FUTURE OF TELEMEDICINE
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AWARENESS
• Number of Initiatives - Deployed or Near Completion
• Major Support –
• By DIT Through ISRO
• SPGPI
• Private Players –
• Asia Heart Foundation
• Apollo Hospital
• SGRH
• Max
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FUTURE OF TELEMEDICINE IN INDIA
• Mobile Telemedicine
• Telemedicine Project Is Gaining More Acceptability
• Some States Have Come Forward To Introduce
Telemedicine In An Operational Mode
• Both For Ambulatory & Intensive Care For Cardiac
Related Treatment
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FUTURE OF TELEMEDICINE IN INDIA
• Technically A Feasible Concept
• But It Needs Substantial Investments
• Only Two Ways In Which It Could Be Made
Economically Viable
• Obtaining Government Support For The Infrastructure
• Providing A Bundle Of Shared Services Using The
Same Infrastructure
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THANK YOU