TELEMEDICINE in Healthcare-_APPLICATION.pptx

It describes the telemedicine that is used in the healthcare and its uses and benefits, its advantages and disadvantages

1. TELEMEDICINE- APPLICATION IN HEALTHCARE Ashwin. R RA2022321010020 MHA- 2 nd year Department of Community Medicine

2. What is telemedicine ? According to WHO, telemedicine is the delivery of health care services by using information and communication technologies for the exchange of information for diagnosis, treatment and prevention of diseases.

3. Types of technology in telemedicine

4. Applications IN HEALTHCARE: Telemedicine application to medical consultations. Telemedicine application to patient monitoring and counselling. Telemedicine application to radiology. Telemedicine application to other services.

5. Telemedicine application to medical consultations: Application studied Effect size or outcome Patient consultancy in a general medical clinic among TV, hands-free telephone, face-to-face consultations. Interactive cable TV in pediatric primary care Cost of consultation via TV two-thirds that of a physician providing direct care Telemedicine in a prison system 95% of telemedicine consultations saved trips to clinics, at 30% of cost of transportation Consultations for ENT problems, primary care centre and university clinics. Cheapest options were patient travel for 56 and 325 patients per year.

6. Telemedicine application to patient monitoring and counselling Application studied Effect size or outcome Home exercise program, telephonic exercise monitoring NSD between groups before or after training Self-monitoring, dietetic education in diabetes management Dietetic knowledge and some biologic parameters improved. No significant decrease in HbA1c Trans telephonic arrhythmia monitoring Appeared more effective than ambulatory ECG Electronic information system diabetes management Diabetes-related crisis fell 3-fold. HbA1c fell 1.0%–1.3%

7. Telemedicine application to radiology Application studied Effect size or outcome Regional neuroradiology department, 6 referring hospitals Significant change in management in 81% of cases Image transmission in management of neurosurgical emergencies Significantly reduced inter hospital transfer of patients Tele radiologic case conference system for oncologists Changes in treatment planning and outcomes equivalent to in-person sessions Rural radiology services: teleradiology, examinations at remote and host sites The tele radiology option did not seem to be cost-saving

8. Telemedicine application to other services Application studied Effect size or outcome Emergency department: ECG transmission from an ambulance Pre-hospital ECG diagnosis took place 25 minutes before in-hospital diagnosis Psychiatry: Videoconferencing in rural psychiatric services Break-even point 396 consultations per year. Dermatology: Store-and-forward tele dermatology, in care of nursing home residents Real-time tele dermatology consultations Correct treatment plan seen in 70%, 87% and 90% of the patients given history alone, image alone, and both

9. ADVANTAGES Telemedicine Cost Effectiveness & Healthcare Savings Extended Specialist and Referring Physician Access Increased Patient Engagement Better Patient Care Quality Early detection of diseases

10. DISADVANTAGES Technical Training and equipment Reduced Care Continuity Tricky Policies and Reimbursement Rules Improper geo-graphical barriers in rural areas Lesser opportunity for clinical examinations. .

11. REFERENCES https://rxdx.in/advantages-and-disadvantages-of-telemedicine-in-rural-areas/ Managing a modern hospital, A.V Srinivasan, 2 nd edition response books:2008 Rangasamy M, Balasubramaniam AY, Krishnarajan DE, RAVITEJA A, KANTE NR, KUMAR NS. Role of telemedicine in health care system: a review. Int J Recent Adv Pharma Res. 2011 Apr;2:1-0.

12. THANK YOU