Breaking Barriers to Reach Farther: A Call for Urgent Action on Tele-ICU Services

Ramakrishnan, Nagarajan; Vijayaraghavan, Bharath Kumar Tirupakuzhi; Venkataraman, Ramesh

doi:10.5005/jp-journals-10071-23447

Cited by 18 publications

(11 citation statements)

References 20 publications

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“…Most telemedicine applications require a reliable internet connection for real-time teleconsultations. Due to the unavailability of high-speed internet connectivity in rural and remote locations, the likelihood of utilising telemedicine-based consultations was lower 29 . Also, many state-of-the-art telemedicine equipments become obsolete as telemedicine advances, and the stakeholders cannot afford to replace the outdated technologies 58 .…”

Section: Barriersmentioning

confidence: 99%

“…Studies with video teleconferencing and mobile consultation interventions stated that telemedicine saves time, travel, and effort 22,27,31,53,55,58,64 in secondary 11,19,22,59,60,63 and tertiary care 29,37,53,64 and reduces the hospital visits where an in-person consultation is not warranted.…”

Section: Facilitatorsmentioning

confidence: 99%

“…Patients' preconceived doubts regarding the quality and efficacy of the virtual consultations provided by telemedicine and their suitability as an alternate mode of healthcare delivery were identified as one of the most critical barriers at the socio-cultural level [29][30][31]36,47,56,58,63 . This was a significant barrier to the adoption of telemedicine in secondary care 16,22,36,45,54,59,60,63 .…”

Section: Barriersmentioning

confidence: 99%

“…Additionally, doctors also fear legal issues from the unintentional sharing of patient data. Thus, another significant barrier reported by the stakeholders is the fear of legal liability from malpractice due to the lack of detailed information concerning malpractice liability in the telemedicine guidelines 11,[29][30][31]48,57,60,62 . The articles dealing with teleconsultations and video teleconferencing interventions indicate these ambiguities concerning the regulations in the Indian telemedicine framework and the consequent legal liabilities as critical barriers.…”

Section: Barriersmentioning

confidence: 99%

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Facilitators and Barriers for Telemedicine Systems in India from Multiple Stakeholder Perspectives and Settings

Venkataraman

Fatma

Edirippulige

et al. 2023

Preprint

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Telemedicine is viewed as a crucial tool for addressing the challenges of limited medical resources at healthcare facilities. However, its adoption in healthcare is not entirely realised due to perceived barriers. This systematic review outlines the critical facilitators and barriers that influence the implementation of telemedicine in the Indian healthcare system, observed at the infrastructural, socio-cultural, regulatory and financial levels, from the perspectives of healthcare providers, patients, patient caregivers, society, health organisations and the government. This review complies with the current PRISMA-P protocol. 1200 peer-reviewed studies published from December 2016 to December 2021 in the PubMed, Cochrane, Scopus, Web of Science, CINAHL, MEDLINE and PsycInfo databases were considered for the title and abstract screening, after which 157 articles were chosen for the full-text review. In the end, 26 studies were selected for data synthesis. Data privacy and security concerns, doctor and patient resistance to information and communications technology (ICT), poor infrastructure, and lack of ICT training were considered significant barriers to implementing telemedicine. However, reduced healthcare delivery costs, improved patient access to healthcare in remote areas, and reduced patient waiting times all helped promote telemedicine implementation. The review outcomes also revealed that the barriers and facilitators at the regulatory and financial level largely influenced the adoption of telemedicine systems in India, with 59% (n=20) articles citing a reduction in healthcare delivery costs as the critical facilitator and 59% citing fear of violation of patient privacy and security as the significant barrier.

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Section: Barriersmentioning

confidence: 99%

Section: Facilitatorsmentioning

confidence: 99%

Section: Barriersmentioning

confidence: 99%

Section: Barriersmentioning

confidence: 99%

See 2 more Smart Citations

Facilitators and Barriers for Telemedicine Systems in India from Multiple Stakeholder Perspectives and Settings

Venkataraman

Fatma

Edirippulige

et al. 2023

Preprint

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“…The enhanced efficiency of care provided by a central tele-critical care unit in managing several HDUs/ICUs is of particular relevance to resource-constrained settings. 43 However, technological challenges such as lack of bandwidth in remote locations are a barrier to widespread adoption. Affordable healthcare innovations are being attempted for patients without the requirement for mechanical ventilation, but still needing oxygen therapy.…”

Section: Potential Innovations In Delivery Of Pandemic Critical Carementioning

confidence: 99%

Challenges in the delivery of critical care in India during the COVID-19 pandemic

Vijayaraghavan

Myatra

Mathew

et al. 2020

Journal of the Intensive Care Society

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Coronavirus disease 2019 cases in India continue to increase and are expected to peak over the next few weeks. Based on some projection models, India is expected to have more than 10 million cases by September 2020. The spectrum of disease can vary from mild upper respiratory tract symptoms to life-threatening acute respiratory distress syndrome and multi-organ failure requiring intensive care. Even if less than 5% of patients require critical care services, this will still rapidly overwhelm the healthcare system in a country, where intensive care services and resources are scarce and unevenly distributed. In this perspective article, we highlight the critical care preparedness of India for the pandemic and the associated challenges.

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Empowering Medical Diagnosis: A Machine Learning Approach for Symptom-Based Health Checker

Aissaoui Ferhi,

Ben Amar,

Choubani

et al. 2024

Mobile Netw Appl

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Breaking Barriers to Reach Farther: A Call for Urgent Action on Tele-ICU Services

Abstract: How to cite this article: Ramakrishnan N, Vijayaraghavan BKT, Venkataraman R. Breaking Barriers to Reach Farther: A Call for Urgent Action on Tele-ICU Services. Indian J Crit Care Med 2020;24(6):393–397.

Cited by 18 publications

References 20 publications

Facilitators and Barriers for Telemedicine Systems in India from Multiple Stakeholder Perspectives and Settings

Facilitators and Barriers for Telemedicine Systems in India from Multiple Stakeholder Perspectives and Settings

Challenges in the delivery of critical care in India during the COVID-19 pandemic

Empowering Medical Diagnosis: A Machine Learning Approach for Symptom-Based Health Checker

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