role of telemedicine in RUM

[Guest guest]

It means telemedicine is not a single device but an applied interdisciplinary science and interplay of three separate systems- information technology, telecommunication and healthcare.

NetRUM can also play an important role in telemedicine and can discuss the role of telemedicine in RUM in a better way. But at the same time, there is also a need to discuss the potentials, limitations and present status of telemedicine in India including SOPs and ways of telemedicine through telemedicine network.

Regards,

S. Ziaur Rahman

Role of telemedicine in RUM

HiAs per the definition provided by moderator "....where distance is a critical factor, by all healthcare professionals using information and communication technologies for the exchange of valid information for....research and evaluation, and for the continuing education of healthcare providers, all in the interest of advancing the health..." NetRUM qualifies to be a medium for telemedicine.The very fact that NetRUM exists for RUM, fulfills the criterion. Appropriate discussion topic for the NetRUM.Members are requested to utilize the holidays in discussion.Happy 60th Independence Day to India.Vijay

[Guest guest]

Sir! You are rightly doubting ITS potentials. May i request u to

please go thru following:-

Telemedicine has been defined as the use of telecommunications to

provide medical information and services.It may be as simple as two

health professionals discussing a case over the telephone, or as

sophisticated as using satellite technology to broadcast a

consultation between providers at facilities in two countries, using

videoconferencing equipment or robotic technology.

Types of Technology

Two different kinds of technology make up most of the telemedicine

applications in use today. The first, called store and forward, is

used for transferring digital images from one location to another. A

digital image is taken using a digital camera, ('stored') and then

sent ('forwarded') by computer to another location. This is

typically used for non-emergent situations, when a diagnosis or

consultation may be made in the next 24 - 48 hours and sent back.

The image may be transferred within a building, between two

buildings in the same city, or from one location to another anywhere

in the world. Teleradiology, the sending of x-rays, CT scans, or

MRIs (store-and-forward images) is the most common application of

telemedicine in use today. There are hundreds of medical centers,

clinics, and individual physicians who use some form of

teleradiology. Many radiologists are installing appropriate computer

technology in their homes, so they can have images sent directly to

them for diagnosis, instead of making an off-hours trip to a

hospital or clinic.

Telepathology is another common use of this technology. Images of

pathology slides may be sent from one location to another for

diagnostic consultation. Dermatology is also a natural for store and

forward technology (although practitioners are increasingly using

interactive technology for dermatological exams). Digital images may

be taken of skin conditions, and sent to a dermatologist for

diagnosis.

So why cant clinicians communicate all aspects related to drug-

regimen for a particular disease using this system?

Further,

The other widely used technology, two-way interactive television

(IATV), is used when a 'face-to-face' consultation is necessary. The

patient and sometimes their provider, or more commonly a nurse

practitioner or telemedicine coordinator (or any combination of the

three), are at the originating site. The specialist is at the

referral site, most often at an urban medical center.

Videoconferencing equipment at both locations allow a 'real-time'

consultation to take place. The technology has decreased in price

and complexity over the past five years, and many programs now use

desktop videoconferencing systems. There are many configurations of

an interactive consultation, but most typically it is from an urban-

to-rural location. It means that the patient does not have to travel

to an urban area to see a specialist, and in many cases, provides

access to specialty care when none has been available previously.

Almost all specialties of medicine have been found to be conducive

to this kind of consultation, including psychiatry, internal

medicine, rehabilitation, cardiology, pediatrics, obstetrics and

gynecology and neurology. There are also many peripheral devices

which can be attached to computers which can aid in an interactive

examination. For instance, an otoscope allows a physician to 'see'

inside a patient's ear; a stethoscope allows the consulting

physician to hear the patient's heartbeat.

Many health care professionals involved in telemedicine are becoming

increasingly creative with available technology. For instance, it's

not unusual to use store-and-forward, interactive, audio, and video

still images in a variety of combinations and applications. Use of

the Web to transfer clinical information and data is also becoming

more prevalent. Wireless technology is being used for instance, in

ambulances providing mobile telemedicine services.

Advantages of Telemedicine

Providing healthcare services via telemedicine offers many

advantages. It can make specialty care more accessible to

underserved rural and urban populations. Video consultations from a

rural clinic to a specialist can alleviate prohibitive travel and

associated costs for patients. Videoconferencing also opens up new

possibilities for continuing education or training for isolated or

rural health practitioners, who may not be able to leave a rural

practice to take part in professional meetings or educational

opportunities. While studies have yet to confirm this, it appears

that the use of telemedicine can also cut costs of medical care for

those in rural areas.

Barriers to Telemedicine

There are still several barriers to the practice of telemedicine.

Many states will not allow out-of-state physicians to practice

unless licensed in their state. The Centers for Medicare and

Medicaid (CMS) still has several restrictions for Medicare

telemedicine reimbursement.

Many potential telemedicine projects have been hampered by the lack

of appropriate telecommunications technology. Regular telephone

lines do not supply adequate bandwidth for most telemedical

applications.

Many rural areas still do not have cable wiring or other kinds of

high bandwidth telecommunications access required for more

sophisticated uses, so those who could most benefit from

telemedicine may not have access to it.

However,Technology manufacturers and telecommunications companies

are tying with each other to produce the low-cost equipment and

bandwidth needed.

Telemedicine or Telehealth?

The term 'telehealth' was originally used to describe administrative

or educational functions related to telemedicine. Now that

physicians use email to communicate with patients, and drug

prescriptions and other health services are being offered on the

Web, 'telehealth' is generally used as an umbrella term to describe

all the possible variations of healthcare services using

telecommunications. The term 'telemedicine' more appropriately

describes the direct provision of clinical care via

telecommunications--diagnosing, treating or following up with a

patient at a distance.

Dr.(Mrs.)Kiran V.Barar

Moderator.

>

> It means telemedicine is not a single device but an applied

interdisciplinary science and interplay of three separate systems-

information technology, telecommunication and healthcare.

>

> NetRUM can also play an important role in telemedicine and can

discuss the role of telemedicine in RUM in a better way. But at the

same time, there is also a need to discuss the potentials,

limitations and present status of telemedicine in India including

SOPs and ways of telemedicine through telemedicine network.

>

> Regards,

> S. Ziaur Rahman

>

> Role of telemedicine in RUM

>

>

> Hi

>

> As per the definition provided by moderator " ....where distance

is a

> critical factor, by all healthcare professionals using

information and

> communication technologies for the exchange of valid information

> for....research and evaluation, and for the continuing education

of

> healthcare providers, all in the interest of advancing the

health... "

> NetRUM qualifies to be a medium for telemedicine.

>

> The very fact that NetRUM exists for RUM, fulfills the

criterion.

>

> Appropriate discussion topic for the NetRUM.

>

> Members are requested to utilize the holidays in discussion.

>

> Happy 60th Independence Day to India.

>

> Vijay

>

[Guest guest]

Dr.Rahman! please read my reply with ref. to your message,(replied

at 9.33pm, just now).

Dr.Kiran v Barar,Moderator

>

> It means telemedicine is not a single device but an applied

interdisciplinary science and interplay of three separate systems-

information technology, telecommunication and healthcare.

>

> NetRUM can also play an important role in telemedicine and can

discuss the role of telemedicine in RUM in a better way. But at the

same time, there is also a need to discuss the potentials,

limitations and present status of telemedicine in India including

SOPs and ways of telemedicine through telemedicine network.

>

> Regards,

> S. Ziaur Rahman

>

> Role of telemedicine in RUM

>

>

> Hi

>

> As per the definition provided by moderator " ....where distance

is a

> critical factor, by all healthcare professionals using

information and

> communication technologies for the exchange of valid information

> for....research and evaluation, and for the continuing education

of

> healthcare providers, all in the interest of advancing the

health... "

> NetRUM qualifies to be a medium for telemedicine.

>

> The very fact that NetRUM exists for RUM, fulfills the

criterion.

>

> Appropriate discussion topic for the NetRUM.

>

> Members are requested to utilize the holidays in discussion.

>

> Happy 60th Independence Day to India.

>

> Vijay

>

[Guest guest]

Dear Dr. Kiran V Barar

Thanks for sharing so much information related to pros and cons of telemedicine. I also appreciate your prompt reply in answering questions. But how the telemedicine will improve RUM particularly in reference to India? I think with this technology, we can clear misconceptions, doubts, misapprehensions and eventually placing the medical science on a firm foundation.

S. Ziaur Rahman

Role of telemedicine in RUM> > > Hi> > As per the definition provided by moderator "....where distance is a > critical factor, by all healthcare professionals using information and > communication technologies for the exchange of valid information > for....research and evaluation, and for the continuing education of > healthcare providers, all in the interest of advancing the health..." > NetRUM qualifies to be a medium for telemedicine.> > The very fact that NetRUM exists for RUM, fulfills the criterion. > > Appropriate discussion topic for the NetRUM.> > Members are requested to utilize the holidays in discussion.> > Happy 60th Independence Day to India.> > Vijay>

[Guest guest]

Hi

That is lot of new information in this post from th moderator.

I wish, I should have been atleast 10 years younger (if not more) to

pick up the new information !

Vijay

> >

> > It means telemedicine is not a single device but an applied

> interdisciplinary science and interplay of three separate systems-

> information technology, telecommunication and healthcare.

> >

> > NetRUM can also play an important role in telemedicine and can

> discuss the role of telemedicine in RUM in a better way. But at

the

> same time, there is also a need to discuss the potentials,

> limitations and present status of telemedicine in India including

> SOPs and ways of telemedicine through telemedicine network.

> >

> > Regards,

> > S. Ziaur Rahman

> >

> > Role of telemedicine in RUM

> >

> >

> > Hi

> >

> > As per the definition provided by moderator " ....where

distance

> is a

> > critical factor, by all healthcare professionals using

> information and

> > communication technologies for the exchange of valid

information

> > for....research and evaluation, and for the continuing

education

> of

> > healthcare providers, all in the interest of advancing the

> health... "

> > NetRUM qualifies to be a medium for telemedicine.

> >

> > The very fact that NetRUM exists for RUM, fulfills the

> criterion.

> >

> > Appropriate discussion topic for the NetRUM.

> >

> > Members are requested to utilize the holidays in discussion.

> >

> > Happy 60th Independence Day to India.

> >

> > Vijay

> >

>

[Guest guest]

Dear Kiran that was a most informative post on telemedicine . you have touched upon all aspects of telemedicine. I have still one doubt. what would you call sale /buy of medicines on line? tele health ?or is it in our discussion topic? what are your views on such purchase? kunda

5, 50, 500, 5000 - Store unlimited mails in your inbox. Click here.

[Guest guest]

Dear Dr. Rahman! One very imp.apprehension is Delivery of medicines

on the basis of said-drugs...? The definition of prescription fails

here... etc.

Sir i request you to please read my reply to Dr.Bharat Gajjar.

Thank You.

Dr.Kiran v. Barar.

Moderator.

> >

> > It means telemedicine is not a single device but an applied

> interdisciplinary science and interplay of three separate

systems-

> information technology, telecommunication and healthcare.

> >

> > NetRUM can also play an important role in telemedicine and can

> discuss the role of telemedicine in RUM in a better way. But at

the

> same time, there is also a need to discuss the potentials,

> limitations and present status of telemedicine in India

including

> SOPs and ways of telemedicine through telemedicine network.

> >

> > Regards,

> > S. Ziaur Rahman

> >

> > Role of telemedicine in RUM

> >

> >

> > Hi

> >

> > As per the definition provided by moderator " ....where

distance

> is a

> > critical factor, by all healthcare professionals using

> information and

> > communication technologies for the exchange of valid

information

> > for....research and evaluation, and for the continuing

education

> of

> > healthcare providers, all in the interest of advancing the

> health... "

> > NetRUM qualifies to be a medium for telemedicine.

> >

> > The very fact that NetRUM exists for RUM, fulfills the

> criterion.

> >

> > Appropriate discussion topic for the NetRUM.

> >

> > Members are requested to utilize the holidays in discussion.

> >

> > Happy 60th Independence Day to India.

> >

> > Vijay

> >

>

[Guest guest]

Hi, Newer technologies keep coming (we can take expert help for this, if problems arise), older one go obselete- but one technolgy is evergreen and that is clinical examination by a physician. There is a patient-physician bonding and also, a moral satisfaction that the patient gets even with a simple pulse examination by a doctor. There are various advantages and very few disadvantages of learning by telemedicine. Dr Kiran, You have so beautifully explained the uses of telemedicine and congrats to the state govt for linking all hospitals and medical colleges by telemedicine. The only disadvantages are that the installation is expensive and it requires a skilled person for maintainance. If the rural areas are linked with TM, the distance, time and cost factor to reach city hospitals-both for the doctor and patient can be brought down. In institutes, the students can

learn and the same time address their queries directly- no long appointments needed.Highly skilled surgeries at AIIMS or Apollo can be viewed live in our e-libraries. The concept of RUM can reach the far flung areas(if linked by TM), and also where it was never heard of. Anupama. Vijay <drvijaythawani@...> wrote: HiThat is lot of new information in this post from th

moderator.I wish, I should have been atleast 10 years younger (if not more) to pick up the new information !Vijay> >> > It means telemedicine is not a single device but an applied > interdisciplinary science and interplay of three separate systems- > information technology, telecommunication and healthcare. > > > > NetRUM can also play an important role in telemedicine and can > discuss the role of telemedicine in RUM in a better way. But at the > same time, there is also a need to discuss the potentials, > limitations and present status of telemedicine in India including > SOPs and ways of telemedicine through telemedicine network.> > > > Regards,> > S. Ziaur Rahman> > > > Role of telemedicine in RUM> >

> > > > Hi> > > > As per the definition provided by moderator "....where distance > is a > > critical factor, by all healthcare professionals using > information and > > communication technologies for the exchange of valid information > > for....research and evaluation, and for the continuing education > of > > healthcare providers, all in the interest of advancing the > health..." > > NetRUM qualifies to be a medium for telemedicine.> > > > The very fact that NetRUM exists for RUM, fulfills the > criterion. > > > > Appropriate discussion topic for the NetRUM.> > > > Members are requested to utilize the holidays in discussion.> > > > Happy 60th Independence Day to India.> > > > Vijay>

>>

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