Telemedicine Force Multiplier for Healthcare Delivery

InnoHEALTH Magazine — Mon, 13 Jan 2020 06:13:54 +0000

In any developing country, there is huge inequality in healthcare distribution due to various reasons such as poor infrastructure, poor communication, inadequate transport facilities, etc. Doctors find it difficult to stay in rural centers due to the above reasons.
It is also well known that 65% to 75% of the population resides in villages that are scattered and not well connected by roads. Hence, the rural population has to travel nearly 8-10 kilometers to access basic healthcare in nearby towns. They spend most of their out of pocket health expenses and at many times borrow money for these expenses.
Keeping this in the background, governments have been working on Sustainable Development Goals launched by the United Nations. Aim of these goals is to ensure healthy lives and promote well-being at all ages. Sustainable health is a huge challenge and it can only be achieved by adopting technology and innovations to improve healthcare delivery.
India now has a robust information technology manpower and the established communication technology is freely available at the village level, mobile phone applications in healthcare and wellness are being used in the rural bridge. Telemedicine is the combination of its communication network and healthcare promises to reach the rural-urban divide and it is also the cheapest and fastest way to reach the unreached population.

Government Initiatives in Telemedicine
Numerous telemedicine projects are now running in the country under the aegis of the National Health Mission. Rajasthan government has initiated a PPP model telemedicine project on BOOT (build own operate & transfer) concept. The Global Health System Kolkata is the vendor who has been operating the Telemedicine project for the past 3 years. Mahatma Gandhi Medical College and Hospital Sitapura Jaipur have signed MOU with the vendor for rendering telemedicine consultations to the periphery (100/ 150 nodes).
Mahatma Gandhi University of Medical Sciences & Technology (MGUMST) Experience
The experiences gained by providing healthcare through telemedicine is very interesting, it may be noted that the telemedicine consultations have grown with each passing year. It was interesting to note that the teledermatology was increasing on analysis, it was realized that dermatology revolves around photography and visible rules to make a diagnosis.
The numerous efforts made over the years can be analyzed based on the number of consultations: while dermatologists data showed 4011 consultations in 2017, it grew to 31436 in 2019. On the other hand, general medicine was ranging from 4759 consultations in 2017 and dropped down to 2889 consultations in 2019. Cardiologists/CVS/cardiac surgeon consultations were 324 in 2017 and dropped down to 238 in 2019. Obstetrician/gynecologist showed an increase from 854 consultations in 2017 to 1135 in 2019. Oncologist consultations were 33 in 2017 and dropped to 29 in 2019 while orthopedic was at 525 in 2017 and increased to 747
in 2019. Pediatrician/neonatologist was at 6260 in 2017 and drastically reduced to 585 in 2019. Overall consultations during the years 2017-2019 were 105,269.
Conclusion
Telemedicine is the future healthcare system as it reaches the unreached and it allows the remote health workers to avail consultation with territory care specialists in urban areas. The growing number seeking teleconsultations from the peripheral medical setup is proof that telemedicine delivery of healthcare is now being adopted by the rural population.

About the author

Major General Ashok Kumar Singh (retd) from the Indian Army has served all over India – Lucknow, Assam, Mizoram, Nagaland, Agartala, Delhi, Pune, Srinagar, Udhampur and many other places and been on official duties and attended conferences in Austria, Bhutan, Canada, and Sweden. His area of interest is rural health through telemedicine. He is currently serving as an Advisor in Health Informatics at Mahatma Gandhi University of Medical Sciences and Technology at Sitapura, Jaipur. He is also running a BSc course in Hospital and Health Information Administration.

The post Telemedicine Force Multiplier for Healthcare Delivery appeared first on InnoHEALTH magazine.

INTERNET OF THINGS IN HEALTHCARE

InnoHEALTH Magazine — Fri, 10 Nov 2017 10:08:05 +0000

According to the Medical Council of India, the doctor-patient ratio in India is around 1:1,674 against the WHO norm of 1:1,000. In such a scenario, IoT can actually be a great leveler.

As of now healthcare delivery in India happens when patients visit doctors for treatment. It is felt that IoT can bring the treatment to patients’ door step. Experts describe how the technology will benefit the sector. “The data of a patient can be captured via various wearables. A doctor can interface through a combination of consumer IoT (wearables) and other exponentials like Augmented Reality, which could change the way in which healthcare is delivered. Little wonder then that businesses are looking to explore this space. Here’s a look at a few startups in the healthcare IoT space in India.

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1. SPEACTRAL INSIGHTS

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Pathologists in India don’t lead an easy professional life. And since senior-level pathologists in India are way short in numbers to serve the 120,000+ pathology labs across the country, the work pressure on them is unexceptionally high. There are also several occupational hazards due to the laborious manual process of operating and viewing through the lenses on a microscope for such long time.

Startup firm Spectral Insights aims to come in rescue of pathologists by providing high quality digital copies of slides. The company insists that the technology they are using isn’t new as it’s available in the developed world but unaffordable by labs in India.

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So in this light the company has built an affordable automated microscope that makes digital images which are available to pathologists on a computer screen, either locally or over the Cloud. The company also builds various tools to help pathologists make rapid and informed diagnosis, thus increasing their productivity while raising the quality of the outcomes for the patient.

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2. CARDIAC DESIGN LABS

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It is estimated that India has a ratio of 64 million cardiac patients to 4000 cardiologists. Cardiac Design Labs designs and deploys intelligent devices which help in bringing advanced diagnostics beyond large hospitals. The company has developed a wearable device called MIRC aM (Mobile Intelligent Remote Cardiac Monitor) which is capable of providing real time advanced cardiac diagnosis and monitoring in remote settings. The company believes MIRCaM will bridge the doctor patient gap. Resting ECG which is the prevalent method for diagnostics at small hospitals is only good at detecting patients whose heart problems are acute. However, often many cases with early symptoms go undetected. MIRCaM is designed to solve this problem.

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3. FORUS HEALTH

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Forus Health is a medical technology startup founded by a group of engineers with the goal to eradicate avoidable blindness. According to data provided by the company, 80% of blindness in the world could be saved if screened and treated early. For this, Forus Health has built an imaging platform called 3nethra, a portable device for screening common eye problems.

Here, IoT helps in conducting remote diagnosis. The images are screened in remote locations and doctors in towns and cities grade them and the patient gets the report back in their respective locations wherein all this happens over the Cloud.

So far 3nethra has helped in more than 300,000 remote reading and reporting and has been able to touch around 150 locations. They aim to cover 3000 locations in coming years.

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The post INTERNET OF THINGS IN HEALTHCARE appeared first on InnoHEALTH magazine.

Cardiologists Archives - InnoHEALTH magazine

Telemedicine Force Multiplier for Healthcare Delivery

About the author

INTERNET OF THINGS IN HEALTHCARE

1. SPEACTRAL INSIGHTS

2. CARDIAC DESIGN LABS

3. FORUS HEALTH