TELEMEDICINEA Great Challenge To Improve Health Problems At Rural Level

By

Captain Ayinun Nahar

Army Medical Corp (AMC)

Bangladesh Army

INTRODUCTION

AIM

To acquaint with the basics of telemedicine with it’s benefits and applications as a challenge to improve health problem at rural level.

SCOPE

Definition History Objectives Core Principles Infrastructure &

peripherals Benefits of telemedicine Applicable fields Challenges and risk Conclusion

DEFINITION Telemedicine can be broadly defined as

healthcare services delivered through telecommunication networks to a distance.

9

WHAT IT IS?

e.

HISTORY

1959Nebraska University College of medicine,US.

2001Telemedicine Reference Center ,Dhaka.

OBJECTIVES

To provide specialized Healthcare consultation to patients in remote location.

To provide opportunities for continuing education of health care personnel.

CORE PRINCIPLES

Medical tool Physician directed Established clinical

operations and routines

Physician-patient relationship

PERIPHERALS & DEVICES

Telemedicine : The Model Patient under treatment Physician treating the patient A remote telemedicine console having

audio visual and data conferencing facilitiesNodal HospitalNodal HospitalNodal HospitalNodal Hospital

Referral HospitalReferral HospitalReferral HospitalReferral Hospital

POTS / ISDN / LEASED LINE / VSAT

POTS / ISDN / LEASED LINE / VSAT

An expert / specialised doctor A central telemedicine server having

audio visual and data conferencing facility

DRAWING CONSULTING CENTRE

Site where patient is present

DRAWING SPECIALITY CENTRE

Site Where Expert is present

Digital camera

Doctor / Pat ient

Scanner

Printer

ElectronicsMicroscope

ECG Machine

ElectronicsStethoscop

e

PSTN / Leased Line

/ ISDN / VSAT

Specialist Doctor

Digital Camera

Scanner

Printer

Web Cam

Web Cam

Nodal CenterNodal Center

Referral Referral CenterCenter

Schematic System

BENEFITS

PATIENT Saves time and money Reduces the stress Rapid access Close to home Coordinate preparation

and transfer of patient

HEALTH CARE PROFESSIONALS

Real-time specialty consultations

Raintaining primary provider skill

Education opportunities Professional networking and

collegeal support Up to date to the latest

information.

APPLICABLE FIELDS

TELEMEDICINE & BANGLADESH

TELEMEDICINE IN ARMED FORCES

Specially it can be used at hill tracts and remote areas where transportation of patient is difficult.

CHALLENGE & RISKS

mental satisfaction Confidentiality Uncomfortable Illiteracy & ignorance Cost effectiveness Power Supply Internet service Local doctors

RECOMMENDATION

Conduction of telemedicine audit

Exploration of financial issues

Development of telemedicine plan

Building of training initiative

Systematic implementation of a plan

CONCLUSION

THANK YOU…