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336 views

Notes

Uploaded by

Yashoda Satpute
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Slide 1 © 2003 By Default!

Tele medicine

Presented by Manisha U. Modi


(F.Y. M.Sc. Nursing)

COLLEGE OF NURSING
CIVIL HOSPITAL
AHMEDABAD.
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INTRODUCTION

The term 'telemedicine’ derives from


the Greek 'tele' meaning ‘at a distance’
and the present word 'medicine' which
It self derives from the Latin ‘mederi’
meaning ‘healing’.
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DEFINITIONS OF TELEMEDICINE:
The World Health Organization defines
Telemedicine as, “The delivery of healthcare
services, where distance is a critical factor,
by all healthcare professionals using
information and communication
technologies for the exchange of valid
information for diagnosis, treatment and
prevention of disease and injuries,
research and evaluation, and for the
continuing education of healthcare providers,
all in the interests of advancing the health of
individuals and their communities”.
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DEFINITIONS OF TELEMEDICINE:

 The European Commission’s health care


telematics programme defines telemedicine
as: "rapid access to shared and remote
medical expertise by means of
telecommunications and information
technologies, no matter where the patient or
relevant information is located.”

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DEFINITIONS OF TELEMEDICINE:

 Telemedicine: The use of medical


information exchanged from one site to
another via electronic communications for
the health and education of the patient or
healthcare provider and for the purpose of
improving patient care. Telemedicine
includes consultative, diagnostic, and
treatment services.

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DEFINITIONS OF TELEMEDICINE:

 “Telemedicine is the transfer of electronic


data( i.e. high resolution images sounds, live
video, and patient record / from one location
to another).

 Telemedicine can be broadly defined as


“Health care services delivered through
tele communication”.

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HISTORY OF TELEMEDICINE
 1906: ECG Transmission Einthoven, the father of
electrocardiography, first ECG transmission
over  telephone lines 1920.

 1924: The first exposition of Telecare "Radio News"


magazine from April 1924.

 1955: Telepsychiatry - The Nebraska Psychiatric


Institute first closed-circuit T.V.

 1989: NASA -the first international telemedicine


program.
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Trends observed nationally

 Using telemedicine in correctional facilities


and home health care settings.

 Allocation of rural health care emergency


services.

 Permitting physicians doing clinical research.

 Improving medical education.


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SPECIALTIES

 Cardiology
 Radiology
 Psychiatry
 Telepharmacy
 Home Care, Emergency Care, Surgery,
Dermatology, Oncology, Pathology,
Ophthalmology, Hematology, ENT,
Nephrology, Diabetes & Pre hospital Care
etc.
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TYPES OF TELEMEDICINE

Telemedicine is practiced on the basis of two


concepts:

1) Real time (synchronous)


2) Store-and-forward (asynchronous).

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TYPES OF CONNECTIVITY

 Point to Point System

 Point to Multi Point System

 Multi Point to Multi Point System

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Major areas of Telemedicine Technology


Adopted…
 Tele-consultation, Tele-diagnosis &
Tele-treatment

 Tele-education & Tele-training

 Tele-monitoring

 Tele-support

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TECHNOLOGY OF TELEMEDICINE

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COMPONENTS OF TELEMEDICINE
 Imaging work station or specialized software for
imaging.

 Video conferencing equipment.

 Digital camera or scanner or digitizer for x-ray,


CT scan and MRI images.

 Communication media like ISDN


(Integrated Services Digital Network),
Internet and V-SAT.
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TELEMEDICINE APPLICATION

 Remote consultation and critical care


monitoring.
 Disease surveillance and programme tracking.
 Continuing Medical Education and public
awareness.
 Disaster management.
 Disease management.
 Home care and ambulatory monitoring.
 Robotics surgery.

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ADVANTAGES OF TELEMEDICINE

 Eliminate distance barriers and improve


quality health services.

 In emergency and critical care situations.

 Facilitate patients and rural practitioners.

 Lessen the inconvenience and/or cost of


patient transfers.
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ADVANTAGES OF TELEMEDICINE

 Reduce travel time for health professionals.

 Reduce isolation of rural practice through


tele-education or tele-CME.

 Teaching tool.

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BARRIERS

 Physician/Patient Acceptance
 Reasonable Cost
 Accessibility
 Reliability
 Funding/ Reimbursement Issues
 Lack of Trained Manpower  
 Legal & Ethical
 Privacy and Security Concerns
 Rural Telemedicine Network

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Telemedicine Standardization -NEED

 Growth of Telemedicine.
 Quality medical services.
 Appropriate to the Indian environment.
 Privacy & confidentiality of health data.
 Scientific practice of Telemedicine.
 International cooperation.
 Framework for interoperability and scalability
within the country and outside.

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Vision : Defining a National Telemedicine
Network

 To cover large population -


 A Primary Health Centre (PHC) / Community
Health Centre District level hospital.
 A District level Hospital State Level
Hospital / Selected Specialty Hospital State
Hospitals
 Selective District hospitals super
specialty hospital at the National level.

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Vision : Defining a National Telemedicine
Network

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National / International e-health Projects


under planning

Ministry of Health & FW Project, Govt. of India

 Integrated Disease Surveillance Project.


 Tele-opthalmology project.
 National onconet Project.
 National Medical College Network.
 National Digital Medical Library Consortium.
 Vaccination Schedule.

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National / International e-health Projects


under planning

 Maternity Care.
 Family Planning.
 Medicines.
 Ambulances Services and Transportation.
 Blood Bank, Life Saving Drugs.
 Doctor’s Database.
 Appointment with Doctors etc.

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THE EVOLUTION OF TELEMEDICINE IN


INDIA

 The Indian Space Research Organization


(ISRO).

 SGPGIMS in Lucknow( Sanjaygandhi


postgraduate institute of medical sciences).

 SRMC(Sri Ramachandra Medical College) in


Chennai.

 AIMS in Kochi (All India Medical Science).


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THE EVOLUTION OF TELEMEDICINE IN


INDIA

 Narayana Hrudayalaya in Bangalore.


 The Apollo Hospital Group.
 AIIMS New Delhi, and PGIMER((Post
Graduate Institute of Medical Education
Research) Chandigarh.
 The teledensity of India.
 E-governance project with 110,000
multipurpose internet kiosks in villages.
 HEALTHSAT.

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THANK YOU
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