Telemedicine -- a summary
objective / benefit of telemedicine ?
"Right Data sent to Right Person at Right Time in Right Form at Right Cost" ("5R" objective)
what problems causes it use?
- unavailability of medical staff
- remote location [distance , transportation]
- medical condition [emergencies , disasters]
- social condition
why telemedicine ?
- patient centric
- supports self - help , health - behaviour and life style for patients
- allows early diagnosis [A stich in time saves nine]
- lowers the burden and cost of health care
- to overcome obstacles of time and space
- to overcome shortage of medically trained man power
- for patients that require frequent monitoring
- for patients suffering from chronic illness
- for physically challenged people either care provider or patient
- to avoid un necessary hospitalization
- to provide equal health care opportunities to all
- to promote use of science for a social cause
- to bridge the people of different countries in helping each other irrespective of
color, race , country
- to promote knowledge dissemination
- to enhance the abilities of doctors / carers by learning through other success
stories / cases
- to help poor / needy get better medical care in rural , remote less previledge
settings
- to help our government achieve Millenium development goals more
comfortably
- to keep proper patient record for future reference
- to have a healthy community and eventually a nation for a healthy future
- has a wide range of technolgy and applications
where it is used?
- in backward countries
- in backward areas of developed countries
- for old / medically fragile patients
- for home care provided by some sophisticated hospitals
how it is used ?
- a simple telephonic conversation is also a form of telemedicine
- through the use of computers + internet [store and forward] or web based
applications
- video conferencing equipment [live]
- through dedicated gadgets and electronics
- mobile phones / pda s etc
requirements for telemedicine?
- quality of service
- management of time and cost
- effective use of resources
- know-how sharing
where / why telemedicine fails ?
- technological challenges
- [technology not properly introduced to community] / [care providers are not
trained properly rearding equipment use and benefits ]
- funding stopped
- project not self sustaining
- improper staff
- doctors not adaptive to technology
- no proper documentation / evidence available for the telemedicine projects
either short lived or long lived
- short life time of most of the projects
- no future plans after successful project deployment
- proper patient record should also be kept
what can be next to telemedicine ?
- mobile telemedincine
- hospital / clinic network expansion from local to regional , national and
international level
- research on data obtained from patients
why use of mobiles telemedicine getting so popular?
- affordable gadget
- allows a backward country / region to skip 20th century land lines and plunge
directly into 21st century cell phones
- allows easy and cheap access to outside world
- cut throat competition among vendors , manufacturers , programmers for
newer applications
who will benefit from telemedicine ?
- patient
- doctor
- specialist
- medical institutions
- community workers
- local community
how to make telemedicine a success ?
- compulsory 1 month internship programmes in groups during MBBS degree in
rural settings with proper arrangement done by institutions
- proper training sessions for doctors , community workers and local community
regarding its use
- compulsory 1 month internship for computer science students in groups for
training of rural community regarding internet and basic computer usage with
proper arrangement done by institutions
- expansion and networking
- properly documented cases with evidences of its success
- proper funding
- making the project self-sustaining
- proper support from local community
- proper health budget allocation and usage from governments
- telemedicine supportive policies
- assurance of legal and related aspects like privacy, confidentiality and trust
- local norms and traditions , language and life style know how
- government should attact investors both local and foreign into this domain by
offering special incentives
- givernment hospitals to be moved gradually in this direction
- NGOs to support such clinics
- proper registrations for such clinics / facilities
- universities to suppory e-health / m-health research projects
- exchange of valid information for diagnosis , treatment etc.
- etc etc etc :)
conclusion ?
- a different thing will take time to soldify its base & over come challenges but the sooner it is adopted the better
"Right Data sent to Right Person at Right Time in Right Form at Right Cost" ("5R" objective)
what problems causes it use?
- unavailability of medical staff
- remote location [distance , transportation]
- medical condition [emergencies , disasters]
- social condition
why telemedicine ?
- patient centric
- supports self - help , health - behaviour and life style for patients
- allows early diagnosis [A stich in time saves nine]
- lowers the burden and cost of health care
- to overcome obstacles of time and space
- to overcome shortage of medically trained man power
- for patients that require frequent monitoring
- for patients suffering from chronic illness
- for physically challenged people either care provider or patient
- to avoid un necessary hospitalization
- to provide equal health care opportunities to all
- to promote use of science for a social cause
- to bridge the people of different countries in helping each other irrespective of
color, race , country
- to promote knowledge dissemination
- to enhance the abilities of doctors / carers by learning through other success
stories / cases
- to help poor / needy get better medical care in rural , remote less previledge
settings
- to help our government achieve Millenium development goals more
comfortably
- to keep proper patient record for future reference
- to have a healthy community and eventually a nation for a healthy future
- has a wide range of technolgy and applications
where it is used?
- in backward countries
- in backward areas of developed countries
- for old / medically fragile patients
- for home care provided by some sophisticated hospitals
how it is used ?
- a simple telephonic conversation is also a form of telemedicine
- through the use of computers + internet [store and forward] or web based
applications
- video conferencing equipment [live]
- through dedicated gadgets and electronics
- mobile phones / pda s etc
requirements for telemedicine?
- quality of service
- management of time and cost
- effective use of resources
- know-how sharing
where / why telemedicine fails ?
- technological challenges
- [technology not properly introduced to community] / [care providers are not
trained properly rearding equipment use and benefits ]
- funding stopped
- project not self sustaining
- improper staff
- doctors not adaptive to technology
- no proper documentation / evidence available for the telemedicine projects
either short lived or long lived
- short life time of most of the projects
- no future plans after successful project deployment
- proper patient record should also be kept
what can be next to telemedicine ?
- mobile telemedincine
- hospital / clinic network expansion from local to regional , national and
international level
- research on data obtained from patients
why use of mobiles telemedicine getting so popular?
- affordable gadget
- allows a backward country / region to skip 20th century land lines and plunge
directly into 21st century cell phones
- allows easy and cheap access to outside world
- cut throat competition among vendors , manufacturers , programmers for
newer applications
who will benefit from telemedicine ?
- patient
- doctor
- specialist
- medical institutions
- community workers
- local community
how to make telemedicine a success ?
- compulsory 1 month internship programmes in groups during MBBS degree in
rural settings with proper arrangement done by institutions
- proper training sessions for doctors , community workers and local community
regarding its use
- compulsory 1 month internship for computer science students in groups for
training of rural community regarding internet and basic computer usage with
proper arrangement done by institutions
- expansion and networking
- properly documented cases with evidences of its success
- proper funding
- making the project self-sustaining
- proper support from local community
- proper health budget allocation and usage from governments
- telemedicine supportive policies
- assurance of legal and related aspects like privacy, confidentiality and trust
- local norms and traditions , language and life style know how
- government should attact investors both local and foreign into this domain by
offering special incentives
- givernment hospitals to be moved gradually in this direction
- NGOs to support such clinics
- proper registrations for such clinics / facilities
- universities to suppory e-health / m-health research projects
- exchange of valid information for diagnosis , treatment etc.
- etc etc etc :)
conclusion ?
- a different thing will take time to soldify its base & over come challenges but the sooner it is adopted the better

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