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Telemedicine: Prepared by Sangeeta Soni
Telemedicine: Prepared by Sangeeta Soni
PREPARED BY
SANGEETA SONI
“TELEMEDICINE PROVIDES
HEALTHCARE WHERE THERE IS
NONE AND
IMPROVES THE HEALTH CARE
WHERE THERE IS SOME”
Telemedicine
Realtime (synchronous)
Involves acquiring medical data (like medical images, biosignals etc) and then transmitting
this data to a doctor or medical specialist at a convenient time for assessment offline.
Does not require the presence of both parties at the same time.
Dermatology, radiology, and pathology.
A properly structured Medical Record preferably in electronic form should be a component of
this transfer.
Teleradiology, the sending of x-rays, CT scans, or MRIs (store-and-forward images).
Many radiologists are installing appropriate computer technology in their homes, so they can
have images sent directly to them for diagnosis, instead of making an off-hours trip to a
hospital or clinic.
Application Adopted
Most beneficial for populations living in isolated communities and remote regions and is
currently being applied in virtually all medical domains.
Use a "tele-" prefix;
Useful as a communication tool between a general practitioner and a specialist available at a
remote location.
Telepathology
Telecardiology
Teleradiology
Telesurgery
Teleopthalmology
Home Care and
Ambulatory
Remote
Disaster Consultation and
Management Critical Care
Monitoring
Telemedicine
Application
Medical
Telementored
Education and
Procedure/
Public
Robotic Surgery
Awareness
Second Opinion
Advantages of Telemedicine
Resource utilization
Early intervention
Avoids unnecessary transportation
Community based care
Medical education and research
Cost saving
Improved patient documentation
Increased range of care and education.
Resource Utilization
In India doctor population ratio is 1:15000 in comparison to 1:500 in developed nations, and these doctors
are not distributed equally.
80% Indian population lives in rural and semi urban areas.
Telemedicine can help in cost effective utilization of meager resources and of the same time can decrease
patient work load on few referral centers.
Early Intervention
There are factors that inhibit the continuity of care. Issues such as geographic location, inclement weather,
socioeconomic barriers.
Patient apathy are significant factors that delay and even prevent the specialty care.
By providing these primary cure sites with the ability to quickly access specialty consultation services.
Patients are able to reap the benefits of early intervention while the health care system maintains quality
service and clinical efficiency.
Avoids Unnecessary transportation
Patient can discuss the issues on Video Conferencing with the consultant.
Even the vital parameters and be captured with the help of devices and sent to doctor.
Unnecessary referral and patient transport can be definitely avoided.
Community base Care
When medical students are posted in rural area they can be linked to medical college for
grand rounds and they can also do case presentation
to teachers in medical colleges.
Physicians living in different parts of the world also use telemedicine in collaborative
research, they can also share data or can discuses current
trends.
Cost Saving
ACTUALLY WHAT
HAPPENS DURING A
TELEMEDICINE
PROGRAM?
Telemedicine Infrastructure
This will include minimum standards for all the hardware and software used in a
telemedicine system.
Under hardware it will include standards and guidelines for basic telemedicine platform,
servers, clinical devices, video conferencing system, communication hardware and power
support.
The software standards address operating system, telemedicine software, and server
software.
Hardware
Telemedicine platform:
This will include minimum standards for type of platform to be used, processor/minimum speed, memory requirements,
interfaces, and peripherals.
Clinical devices
This will include minimum standards for all the clinical devices to be interfaced or integrated with the telemedicine system,
including performance specifications for devices measuring diagnostic parameters, imaging devices, compression, and their
safety requirements.
Video conferencing units
This will include minimum standards for video conferencing system, including data rate, picture resolution, frame rate, type of
camera, audio quality etc.
Communication hardware
This will include minimum standards for various hardware used for interfacing the telemedicine system with the
communication network, including all types of terrestrial and satellite based networks.
Software
An operating system
Licensed telemedicine S/W with appropriate User Interface(UI)
Back-end Data Base with the mandatory tables/ fields (if applicable)
Connectivity
High cost of health care and lack of investment for health care in rural areas.
Inadequate medical facilities in rural & inaccessible areas.
Problem of retaining doctors in rural areas where they are required to serve & propagate
widespread health awareness.
Need of Telemedicine in India
mHealth
Wi-Fi Smart Scale Otoscope Blood Pressure
Monitor