Sunday, May 10, 2015

TELEMEDICINE – A FUTURE PERSPECTIVE OF HEALTH CARE



TELEMEDICINE – A FUTURE PERSPECTIVE OF HEALTH CARE
BY,
BELSY BOBAN, PHARM D, FIFTH YEAR.

Telemedicine is the use of medical information exchanged from one site to another via electronic communication technology to improve a patient’s clinical health status and standard of care. Telemedicine can create applications and services using two-way video, email, smart phones, wireless tools and other forms of telecommunication technology.
What Services Can Be Provided By Telemedicine?
Primary care and specialist referral services, this usually involves the use of live interactive video or the use of store and forward informations for later view.
Remote patient monitoring, includes a specific vital sign, such as blood glucose or heart ECG or a variety of indicators for homebound patients.
Consumer medical and health information includes the use of the Internet to obtain specialized health information and on-line discussion groups.
Medical education provides continuing medical education credits for health professionals and special medical education seminars for targeted groups in remote locations. 

Types of telemedicine

1. Real Time or Synchronous: It could be as simple as a telephone call or as complex as telemedical video conference and telerobotic 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. 

2. 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, and tele-dermatolgy.
What Are the Benefits of Telemedicine?
Telemedicine has been growing rapidly because it offers four fundamental benefits:
Improved Access – Telemedicine has a unique capacity to increase service to millions of new patients.
Cost Efficiencies – Reducing or containing the cost of healthcare is one of the most important reasons for funding and adopting telehealth technologies.
Improved Quality – Studies have consistently shown that the quality of healthcare services delivered via telemedicine is as good those given in traditional in-person consultations.
Patient Demand – Consumers want telemedicine. The greatest impact of telemedicine is on the patient, their family and their community. Using telemedicine technologies reduces travel time and related stresses for the patient.
IN INDIAN SCENARIO:    Telemedicine programs actively supported by:
• Dept. of Information Technology (DIT)
• Indian Space Research Organization
• NEC Telemedicine program for North-Eastern states
• Apollo Hospitals
• Asia Heart Foundation
• State governments
• Telemedicine technology also supported by some other private organizations

Telemedicine in Kerala

     The setting up of Telemedicine & Telehealth education facilities in Kerala was developed under DIT. The project will link three specialty medical hospitals at MCH, SCTIMST & the RCC, with 4 District/ Rural Hospital. The CancerNet is telemedicine system for Cancer Patients in Kerala, which is the establishment of an Oncology Network for providing advanced services in Oncology. Cancer detection, treatment, pain relief, patient follow-up and continuity are the roles of patient care in peripheral hospitals (nodal centres) of Regional Cancer Centre (RCC). It connects RCC, Trivandrum and five nodal outreach centres.
– More than 3000 patients treated/consulted at these nodal centres
– Major financial benefit to patients

REFERENCE

2. Debjit Bhowmik et al., Telemedicine - An Innovating Healthcare System in India: The pharma innovation journal; Vol. 2 (4) 2013:page  no. 1-20.

BY,
BELSY BOBAN, PHARM D, FIFTH YEAR.

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