Wednesday, February 25, 2009

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

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