TELEMEDICINE IS A MOBILE HOSPITAL AND IS VERY HELPFUL IN REMOTE AREAS. THERE IS NO NEED OF DOCTOR TO BE PRESENT EVERYWHERE WHEN DOCTOR CAN BE CONNECTED WITH YOU AT YOUR PLACE THROUGH VIDEO CONFERENCING.
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TELEMEDICINE
TELEMEDICINE PROVIDES HEALTHCARE WHERE THERE IS NONE AND
IMPROVES THE HEALTH CARE WHERE THERE IS SOME
WHAT IS TELEMEDICINE ? Telemedicine is an upcoming field in
health science arising out of the effective fusion of Information
and Communication Technologies (ICT) with Medical Science having
enormous potential in meeting the challenges of healthcare delivery
to rural and remote areas .
It may be as simple as two health professionals discussing
medical problems of a patient and seeking advice over a simple
telephone to as complex as transmission of electronic medical
records of clinical information, diagnostic tests such as BLOOD
TESTS,URINE TESTS,BP etc,and carrying out real time interactive
medical video conference with the help of IT based hardware and
software, video-conference using broadband telecommunication media
provided by satellite and terrestrial network.
Healthcare in rural india
TYPES OF TELEMEDICINE PROCESS : 1.TECHNOLOGY INVOLVED
2.APPLICATION ADOPTED
TECHNOLOGY INVOLVED : REAL TIME OR SYNCHRONOUS: Real time
telemedicine could be as simple as a telephone call or as complex
as telemedical video conference and tele-robotic surgery. It
requires the presence of both parties at the same time and a
telecommunication link between them that allows a real-time
interaction to take place. Video-conferencing equipment is one of
the most common forms of technology used in synchronous
telemedicine.
STORE-AND-FORWARD TELEMEDICINE OR ASYNCHRONOUS: It involves
acquiring medical data (like medical history, images, etc.) and
then transmitting this data to a doctor or medical specialist at a
convenient time later for assessment offline. It does not require
the presence of both parties at the same time. Examples are tele-
pathology, tele-radiology, tele- dermatolgy.
1.Festivals and melas. 2.During disasters. 3.Emergency cases.
4.Long journey like amarnath yatra . Telemedicine also helps
Through mobile vans during:
Telemedicine for defence personnel The defence personnels used
to give their duty at hard areas, so due to lack of hospital
facility ,we can use telemedicine . Especially mobile vans are very
helpful.
Benefits of telemedicine to patients : 1.Access to specialized
healthcare services to under served rural, semi-urban and remote
areas. 2.Early diagnosis and treatment. 3.Reduced physicians fees
and cost of medicine. 4.Reduced visits to special hospitals.
5.Reduced travel expenses. 6.Early detection of disease. 7. Reduced
burden of morbidity.
CURRENT EFFORTS IN INDIA TELEMEDICINE PROGRAMS ACTIVELY
SUPPORTED BY: Dept. of Information Technology Indian Space Research
Organization ONGC (finding petroleum) Apollo Hospitals Asia Heart
Foundation State governments.
TELEMEDICINE INCLUDES MEMBERS FROM VARIOUS DEPARTMENTS
1.Health communication and information technology. 2.Indian
space research organisation. 3.Indian council of medical research.
4.Medical council of india. 5.Centre for development of advanced
computing. 6.Academic medical institutions and corporate health
hospitals. DEPARTMENTS ARE :
Telemedicine during mela Festivals/disasters Maha Kumbhamela
Attended by about 10 million people in about a month. Implemented
by SGPGIMS, OTRI & State Govt. of uttar pradesh.
Tele-monitoring of Public Health activities.
telemedicine system
ACTUALLYWHATHAPPENS DURINGA TELEMEDICINE PROGRAM?
Typical communication system
Equipments required: 1. Personal computer. 2. Laser printer. 3.
Video conferencing kit. 4. Telemedicine software 5. A3 film
scanner. 6. Digital microscope and camera. 7. Glucometer . 8.
Haemogram analyzer. 9. Non invasive pulse and blood pressure unit.
10.Connectivity device and router. 11.Multimedia speakers and
headphone. 12.EMR 13.ECG
TELEMEDICINE TOOLS
Medical Diagnostic equipments
X-RAY DIGITIZER/SCANNER TELE-PATHOLGY SYSTEM TELE- ECG SYSTEM
DIGITAL STETHOSCOPE
CRUCIAL BRANCH OF TELEMEDICINE
TELE-IMAGING
WHAT IS TELE-IMAGING ? Tele-imaging includes the transmission
of medical digital images, and plays a role in all fields of
telemedicine,such as expertise.consultation,teaching and
research.
Tele-imaging tools : 1. Digital microscope. 2. Digital X-ray.
3. Digital mammography. 4. Digital transparency scanner. 5. Digital
ECG. 6. Digital ultrasound.
TELE- IMAGING EQUIPMENTS
Facilitating quality of tele-imaging: 1.DIGITALIZATION OF
MEDICAL IMAGES IS REQUIRED FOR TELE-IMAGING in TWO WAYS:
-digitalization of medical imaging. -direct acquisition of digital
images. 2. TO OBTAIN GOOD QUALITY OF IMAGE : -compression of data
without loss of information. -transmission requires a high data
rate.
3.TRANSMISSION OF GOOD QUALITY OF IMAGES REQUIRED : -high speed
network. -high database system. -a super high definition imaging
system. -a video conference system.
SCHOOL OF TELEMEDICINE & BIOMEDICAL INFORMATICS, SGPGIMS,
LUCKHNOW
Whole set up of tele-imaging
CHALLENGES OF TELEMEDICINE
1.Low or small bandwidth. 2.Neither telephone lines nor
electricity in rural and remote areas. 3.Satellite transmission can
help but it is very costly. 4.Unstable electricity supply.
5.patients fear and unfamiliarity. 6.Financial unavailability.
7.Lack of basic amenities. 8.Literacy rate and diversity in
languages. 9.Quality aspect. 10.Government support.
Advantages of telemedicine
1.Eliminate distance barriers and improve access to quality
health services. 2.In emergency and critical care situations where
moving a patient may be undesirable and/or not feasible.
3.Facilitate patients and rural practitioners access to specialist
health services and support 4.Lessen the inconvenience and/or cost
of patient transfers. 5.Reduce unnecessary travel time for health
professionals. 6.Reduce isolation of rural practice by upgrading
their knowledge through tele-education or tele-CME.
Conclusion
TELEMEDICINE: ONE SMALL STEP FOR IT , A GIANT LEAP FOR
HEALTHCARE !! -BY NEIL ARMSTRONG