TELEMEDICINE

Samta Soni
[email protected]
samta 12/09/2021
2
 Introduction
Telemedicine primarily refers to use of
Telecommunication for diagnosis and treatment of
disease
• Emergent mode of delivery of health care at distance
• Telemedicine provides healthcare where there is
none and improves the health care where there is
some
• One way to bring / provide access to quality health
care to under-served rural & urban masses

samta 12/09/2021
3
 Definitions
1.The use of advanced telecommunications
technologies to exchange health
information and provide health care
services across geographic, time, social,
and cultural barriers

samta 12/09/2021
4
 Definitions

 “The use of telecommunication” to provide

medical information and services. It may be as
simple as two health professionals discussing a
case over the telephone, or as sophisticated as
using satellite technology to broadcast a
consultation between providers at two distant
locations, using videoconferencing
equipment.”1
samta 12/09/2021
5
 Definitions
 Telemedicine is the use of electronic
information and communications technologies
to provide and support health care when
distance separates the participants …

samta 12/09/2021
6
 Objectives

 To make high quality healthcare available

to traditionally under privileged population
 Save the time wasted by both providers and
patients in traveling from one geographic
location to another to avail services on time
 Reduce costs of medical care

samta 12/09/2021
7
 Uses

Patient Monitoring
 Medical Consultations
 Patient Education

samta 12/09/2021
8
 Grudges and Hindrances
 Perspective of medical practitioners
 Patients’ fear and unfamiliarity
 Financial unavailability
 Lack of basic amenities
 Literacy rate and diversity in languages
 Technical constraints
 Quality aspect
 Government Support
 Biological consistency

samta 12/09/2021
9
 Applications

samta 12/09/2021
10
 Relevanance to Indian society
Poor infrastructure
Non-availability of experts (disparate distribution)
Low doctor-patient ratio (large population)
Lack of proper medical education

samta 12/09/2021
11
 Current Efforts

• Many programs worldwide using variety of

telemedicine technologies
• In India telemedicine programs actively
supported by:
• Dept. of Information Technology
• Indian Space Research Organization

samta 12/09/2021
12
 Current Efforts

 NEC Telemedicine program for North-Eastern

states
 Apollo Hospitals
 Asia Heart Foundation
 State governments
 Telemedicine technology also supported by
some other private organizations.

samta 12/09/2021
13
 Telemedicine Initiative of Dept of Space

 Towards improving rural health care in India

under Space for Health Programme
 Uses primarily Satellite connectivity
 Currently 32 Telemedicine nodes

– 11 Super specialty
– 21 District / Rural Hospitals Plans
– 50 nodes by end of 2003
– 100 nodes by 2004

samta 12/09/2021
14
 Bottlenecks for the growth of Telemedicine
in India
1.Lack of health infrastructure and services.
2. Shortage of computer savvy healthcare
personnel.
3. Out flow of doctors .There are about 60,000
and 35,000 Indian doctors in United States of
America and United Kingdom respectively.

samta 12/09/2021
15
 Bottlenecks for the growth of Telemedicine
in India
4. Lack of training facilities with regard to the
application of information an communication
technology in medicine. Terms like HIS, RIS, PACS
etc are unheard of by the medical/healthcare
community.
5. Virtually no exposure to the applications of ICT in
curriculum of medical colleges.
6. Inadequate communication services to facilitate
telemedicine in most of the cities but the situation is
rapidly improving.
samta 12/09/2021
16
 Different types of services
Telecardiology

 Teleradiology

 Telepathology

 Telepsychiatry

 Early Warning System

[ Prevention and control of endemic and infectious diseases
]
samta 12/09/2021
17
 Telemedicine in India
 Existing system limited only to private hospital
• APPOLO Group of Hospitals.
• RN Tagore Cardiac Hospital, Calcutta. (Asia Heart Foundation)

 No Telemedicine system for public health care

 Corporate Sectors Offering Telemedicine Systems
• APPOLO Group
• Online Telemedicine System, Ahmadabad.
• WIPRO GE
• SIEMENS

samta 12/09/2021
18
 Government Efforts
 MCIT
• IIT Kharagpur
• CDAC

 ISRO

samta 12/09/2021
19
 Requirement Specification
• A patient getting treated
Nodal Hospital • A Doctor
• A remote telemedicine console having audio visual
and data conferencing facilities

POTS / ISDN

• An expert/ specialized doctor

Referral Hospital • A central telemedicine server having
audio visual and data conferencing facility

samta 12/09/2021
20
 Sequence of Operation
PATIENT IN

Patient visits OPD Patient receives local treatment and

OUT
Local Doctor checks up not referred to telemedicine system
Day One

Patient referred to the Telemedicine system (some special

investigations may be suggested)

Patient visits Telemedicine data-entry console.

Operator entries patient record, data and images of test OUT
results, appointment date is fixed for online telemedicine
session

Offline Data transfer

from Nodal Centre

samta 12/09/2021
21
 Sequence of Operation

Patient 1
Patient 2
Day Two

Patient 3 Online conference for the patient.

Patient 4
. IN Patient, local doctors at the nodal hospital OUT
. and specialist doctors at the referral
. hospital

Patient queue

samta 12/09/2021
22
 Hardware Configuration
Video Conference

Modem Telephone
Referral Hospital Microscope and other
medical instruments
Video Conference
PSTN/ISDN/VSAT link

Digital camera
Scanner

Telephone Modem Printer

Nodal Hospital

samta 12/09/2021
23
 The Data
• Data related to a patient’s personal information
• Data related to a patients medical information
• Data for patient management in Telemedicine
• Data related to the doctors
• Data for system management

samta 12/09/2021
24
 Technical Requirement

• Broadband communication media

• High resolution display devices
• High end video camera
• Video-conferencing equipment
• Highly skilled technologist
• Equipments e.g. Surgical Robotics

samta 12/09/2021
25
samta 12/09/2021
26
 Plain text

samta 12/09/2021
30
Structured Document

samta 12/09/2021
31
 Images

samta 12/09/2021
32
 Vector Data

samta 12/09/2021
33
 Graphics

samta 12/09/2021
34
 Video Clip

samta 12/09/2021
35
 Thanks

samta 12/09/2021
36