TELEMEDICINE PROJECTS
in
West Bengal
A Presentation by
KUNAL YADAV
Outline of Presentation
• Objectives & Relevance
• Benefits
• Model
• Telemedicine Projects
• Telemedicine & PPP
• Challenges & Way Forward
Objectives of Telemedicine
Use of information and communication
technologies:
i) To provide specialized health care
consultation to patients in remote
locations,
ii) To facilitate video-conferencing among
health care experts for better treatment
& care,
iii) To provide opportunities for continuing
education of health care personnel.
Relevance of Telemedicine
Inadequate infrastructure in rural/district
hospitals
Large number of indoor/outdoor patients
requiring referral for specialized care
Low-availability of Health Experts in
district/remote hospitals
Dearth of adequate opportunities for training or
continuing Medical Education for Doctors in
Rural/Remote Health facilities.
Benefits of Telemedicine (I)
Benefits to Patients:
Access to specialized health care services to
under-served rural, semi-urban and remote
areas,
Access to expertise of Medical Specialists to a
larger population without physical referral,
Reduced visits to specialty hospitals for long
term follow-up care for the aged and terminally
ill patients.
Benefits of Telemedicine (II)
Benefits to Physicians:
Improved diagnosis and better treatment
management
Access to computerized, comprehensive data
(text, voice, images etc.) of patients – offline
as well as real time
Quick and timely follow-up of patients
discharged after palliative care
Continuing education or training through
video conferencing periodically
Telemedicine : The Model
Patient under treatment
Physician treating the patient
A remote telemedicine console
having audio visual and data
Nodal Hospital conferencing facilities
PO
TS
/ IS
DN
/L
EA
SE
D
LIN
E/
VS
AT
Referral Hospital
An expert / specialised doctor
A central telemedicine server
having audio visual and data
conferencing facility
Health Infrastructure(Government)
Medical College Hospitals 9
Dental College Hospitals 2
School of Tropical Medicine 1
District Hospitals 15
Sub-Divisional & State General Hospitals 70
Rural Hospitals 95
Block Primary Health Centres 251
Primary Health Centres 922
Sub-Centres 10,356
Discipline wise Patient Consultation
Pediatrics 75
Orthopedics 96
Neurology 34
Cardiovascular Medicine 27
Psychiatry 12
ENT 31
Urosurgery 11
Hematology, Dermatology, General Medicine, 3300
OBG, Leprosy, etc
Services Provided
Treatment of Acute Heart Attack cases as
evidenced by history and ECG,
Treatment by “Thrombolysis”
Referral & Tele-consultation & video
conferencing with RN Tagore International
Institute of Cardiac Sciences, Kolkata
Challenges in Implementing Telemedicine
1. Identification of a Suitable site and preparation of site
for Telemedicine facility.
2. Synchronization of civil, electrical and equipment
related works.
3. Identification of a nodal officer (Other than
Superintendent) for coordinating Telemedicine
activities in the hospital.
4. Sensitization and repeated hands-on training of
concerned Doctors, Technicians and Nurses.
5. Coordinating with referral centers to fix mutually
convenient tele-consultation sessions on a regular
basis.
6. Ensuring trouble free & smooth connectivity through
WAN (ISDN/Leased Line)