ASIA-PACIFIC ADVANCED NETWORK 31 st MEETING 21 25 FEB 2011 21-25.FEB.2011 HONG KONG HONG KONG Telemedical activity in India Telemedical activity in India SGI 2010 and more SGI 2010 and more U Satyanarayana Asian Institute of Gastroenterology Hyderabad, India .
“ India lives in its villages ” villages Mahatma Gandhi
Health Health Scenario Health Health Scenario Scenario in Scenario in in India in India India India � 620 million live in rural India (NCAER) � Bed-Population ratio 1:1333 (1991) Vs. ideal of 1:500 Bed Population ratio 1:1333 (1991) Vs. ideal of 1:500 � 2 million beds are required as against 0.7 million available. � 700 hospitals of 250 beds each are required every year. � only 9% of 1 billion people are covered health schemes. � 5% of annual family income spent towards curative health care care.
Need for Telemedicine in India Need for Telemedicine in India Need for Telemedicine in India Need for Telemedicine in India A recent survey by the Indian Medical society has found � 75 75% % of of qualified qualified consulting consulting doctors doctors practice practice in in urban urban areas areas and and � � 23 23 23% i 23% in in semi semi urban i urban areas b areas � This leaves just 2 percent of the qualified doctors, who are attached to about 23,000 primary health and 3000 community health centers, t to attend to 70 percent of the population living in villages. tt d t 70 t f th l ti li i i ill
N N Need for Telemedicine in India Need for Telemedicine in India d f d f T l T l di i di i i I di i I di This This calls calls for for innovative innovative method method of of utilising utilising science science and and technology technology for for the the benefit benefit of of Rural Rural population population in in India India. . Adaptation Adaptation of ofTelemedicine Telemedicine technology technology offers offers one one of of the the best best options options for for delivering delivering healthcare healthcare for for rural rural & & geographically geographically distant distant population population spread p p p p spread across p across India India. .
Telemedicine Telemedicine Telemedicine Telemedicine Telemedicine Telemedicine is is practiced practiced on on the the basis basis of of two two concepts concepts: : (asynchronous) and Store Store ‐ and and ‐ forward forward (asynchronous) and Real Real time time (synchronous) (synchronous) ( y ( y ) )
Where Where do Where Where do do we do we we use Telemedicine? we use Telemedicine? use Telemedicine? use Telemedicine? � Radiology Radiology � � Cardiology Cardiology Cardiology Cardiology � Orthopedics Orthopedics � Dermatology Dermatology � Psychiatry Psychiatry � Pathology Pathology � Training of doctors & paramedics Training of doctors & paramedics � Continuing Medical Education (CME) between Medical Continuing Medical Education (CME) between Medical Colleges & Post Graduate Medical Institutions/Hospitals. Colleges & Post Graduate Medical Institutions/Hospitals.
Indian Space Research Organisation Indian Space Research Organisation ISRO ISRO The telemedicine facility from ISRO connects the remote rural District Hospitals/Health Centre's with Super Specialty Hospitals in cities, through the INSAT Satellites for providing expert consultation to the needy and underserved population. About 1.5 Lakh patients are getting the benefits of Telemedicine every year.
1 MBPS 2 MBPS
Mobile Rural Health Care Mobile Rural Health Care Telemedicine Programme from from Asian Institute of Gastroenterology
Fully Equipped Mobile Hospital Upper GI endoscopy • Ultra sound • Emergency resuscitation unit Emergency resuscitation unit • •
Village Panchayat Office Edurum ondi Village, Krishna Dist
Details of Telemedicine camps Details of Telemedicine camps No of Telemedicine Camps No of Telemedicine Camps 529 529 No of Villages covered 4,837 No of Patients benefited 1,02,739 No of Endoscopy done No of Endoscopy done 4,435 4,435 No of Ultrasound scans done 3,134
What Did We Learn What Did We Learn Marked variation in Urban / Rural Incidence of Disease Rural Rural Urban Urban Diabetes 15% <4% H.Pylori Bacteria 20% 80% Nutrition 20% 70% Worms GI Cancers Same Incidence GI Cancers Same Incidence
“ Gastrointestinal Map of Andhra Pradesh” Using Telemedicine as a tool Using Telemedicine as a tool
October 2010 October 2010 October 2010 October 2010 Asian Institute of Gastroenterology is supposed to transmit Live NOTES supposed to transmit Live NOTES procedure to Seoul as part of SGI 2010 and we were asked to transmit these procedures using DVTS technology ?
Dr Shuji Shimizu Dr Shuji Shimizu
What we did What we did What we did What we did � DVTS software downloaded from the official website and DVTS software downloaded from the official website and checked it through our internal network. checked it through our internal network. � Got the required Bandwidth from the private operator Got the required Bandwidth from the private operator � Connected OT & other videos to the DVTS system using � Connected OT & other videos to the DVTS system using Connected OT & other videos to the DVTS system using Connected OT & other videos to the DVTS system using IEEE 1394 port
The Digital Video Transport System (DVTS) is a simple and inexpensive method of transmitting high-quality video and inexpensive method of transmitting high quality video and audio over the Internet. Simple to operate Inexpensive (equipment)
End Endoscopy End Endoscopy OT - OT - 1 OT - OT - 2 Equi Equipment Audio Mix Aud Mixer wit r with Am Ampl plifier Equipment Equi Microphone Microph Microphone ophone Speaker Speaker Speaker Speaker Return Ret Return Ret rn rn Return Ret rn Audio Aud Audio Aud Video Cam Vid Camcord order Video Cam Vid Camcord order Receiving iving DVT DVTS PC PC (Trans (Transmit and and Receiv Receive ) e ) Aud Audio Aud Audio (IEEE 1394) (IEEE 1394) Aud Audio and and Vid Video Trans Transmit Son Sony DV DV Recorder Recorder Transmission smission 30Mbps 30Mb 30Mb 30Mb ps Vid Video and and Audi Audio Pr Presentation entation Panas Panasonic Panas Panasonic MX70 nic MX70 MX70 Vid X70 Vid Video Mix Video Mix Mixer Mixer Receiving Receiving iving iving Video Vid S-Video S-Vi deo Transmission smission Video deo Transmission smission Video deo
Consultation Treatment Treatment C M E Live Operative Workshop’s
Medicine W W EDS EDS Technology High quality High-quality moving image on a broadband on a broadband Internet
The Future has Just begun!! J g What next ??? What next ???
Thank you Thank you
Recommend
More recommend
