Current scenario, future possibilities and applicability of telemedicine in hilly and remote areas in India

Kaeley, Nidhi; Choudhary, Suman; Mahala, Prakash; Vempalli, Nagasubramanyam

doi:10.4103/jfmpc.jfmpc_1085_20

Cited by 9 publications

(3 citation statements)

References 12 publications

(18 reference statements)

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“…Overall, the adoption of telemedicine in LMICs holds great potential for addressing healthcare challenges, reducing costs, and improving access to quality care. It can serve as a valuable tool in mitigating the impact of the COVID-19 pandemic and strengthening healthcare systems in these countries (33).…”

Section: Discussionmentioning

confidence: 99%

COVID-19 patient satisfaction and associated factors in telemedicine and hybrid system

Gashaw,

Alemu,

Constanzo

et al. 2024

Front. Public Health

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BackgroundThe quality assessment of the home-based isolation and care program (HBIC) relies heavily on patient satisfaction and length of stay. COVID-19 patients who were isolated and received HBIC were monitored through telephone consultations (TC), in-person TC visits, and a self-reporting application. By evaluating patient satisfaction and length of stay in HBIC, healthcare providers could gauge the effectiveness and efficiency of the HBIC program.MethodsA cross-sectional study design enrolled 444 HBIC patients who answered a structured questionnaire. A binary logistic regression model assessed the association between independent variables and patient satisfaction. The length of stay in HBIC was analyzed using Cox regression analysis. The data collection started on April (1–30), 2022, in Addis Ababa, Ethiopia.ResultsThe median age was 34, and 247 (55.6%) were females. A greater proportion (313, 70.5%) of the participants had high satisfaction. Higher frequency of calls (>3 calls) (AOR = 2.827, 95% CI = 1.798, 4.443, p = 0.000) and those who were symptomatic (AOR = 2.001, 95% CI = 1.289, 3.106, p = 0.002) were found to be significant factors for high user satisfaction. Higher frequency of calls (>3 calls) (AHR = 0.537, 95% CI = 0.415, 0.696, p = 0.000) and more in-person visits (>1 visit) (AHR = 0.495, 95% CI = 0.322, 0.762, p = 0.001) had greater chances to reduce the length of stay in the COVID-19 HBIC.Conclusion70.5% of the participants had high satisfaction with the system, and frequent phone call follow-ups on patients’ clinical status can significantly improve their satisfaction and length of recovery. An in-person visit is also an invaluable factor in a patient’s recovery.

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Section: Discussionmentioning

confidence: 99%

COVID-19 patient satisfaction and associated factors in telemedicine and hybrid system

Gashaw,

Alemu,

Constanzo

et al. 2024

Front. Public Health

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“…They serve as the first point of contact for medical treatment, diagnosing and treating a broad spectrum of illnesses and injuries, managing chronic diseases, and promoting preventive health practices. While research on the effectiveness of telemedicine interventions in India, especially in rural and remote locations, remains sparse, 3 , 4 the COVID-19 pandemic has underscored telemedicine’s capacity to deliver primary care services effectively while enforcing social distancing and minimizing the risk of infection. 5 What is lacking is a bird’s eye overview of how telemedicine has been used in primary care research in India.…”

Section: Introductionmentioning

confidence: 99%

Exploring the potential of telemedicine for improved primary healthcare in India: a comprehensive review

Parthasarathi,

George,

Kalimuth

et al. 2024

The Lancet Regional Health - Southeast Asia

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“…It may deliver both cost-effective and high-quality sustainable care. [ 4 ] A scoping review’s findings imply that telemedicine implementation in Asia may be a beneficial strategy since it might improve the efficacy of health care by reducing time and travel expenses. Additionally, it can raise the patient’s quality of life, lower total care costs, and increase access to critical medical services.…”

Section: Introductionmentioning

confidence: 99%

Provider’s satisfaction with telemedicine services for tribals of Western Rajasthan: A qualitative analysis

Dwivedi,

Bohra,

Bhardwaj

et al. 2024

Journal of Family Medicine and Primary Care

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Background: There are significant barriers to healthcare access in tribal areas, even though for every 834 people, there is one public physician (registered allopathic and AYUSH doctors). More than 86% of hospital visits occur in rural areas. Furthermore, the bulk of them travel long distances to reach hospitals. A telemedicine center was established in the aspirational tribal district of Sirohi, Rajasthan, to provide accessible quality health care. Objective: To understand providers’ attitudes and satisfaction with telemedicine services for tribal populations. Materials and Methods: This cross-sectional, mixed-method study enrolled consultants from various clinical departments of AIIMS Jodhpur (n = 23) who provide teleconsultations to the tribal population. Result: The mean score of the satisfactory index was 54.7 ± 22.04. The higher score is 87.4 regarding the ability to use the technology platform during teleconsultation. The lower score was 34.7 for video quality during teleconsultation at STHR. 91.3% found this a beneficial model for the tribal population. Consultants providing teleconsultations expressed that this model is a boon for tribal patients as a screening tool and will save time and money for improved accessibility. Conclusion: Positive indications of teleconsultation with a provider’s utility, acceptability, and satisfaction. Most marginalized people can efficiently access all levels of (primary, secondary, or tertiary) health care from experts through telemedicine, which will broaden outreach in hard-to-reach or inaccessible tribal or rural areas.

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Current scenario, future possibilities and applicability of telemedicine in hilly and remote areas in India

Cited by 9 publications

References 12 publications

COVID-19 patient satisfaction and associated factors in telemedicine and hybrid system

COVID-19 patient satisfaction and associated factors in telemedicine and hybrid system

Exploring the potential of telemedicine for improved primary healthcare in India: a comprehensive review

Provider’s satisfaction with telemedicine services for tribals of Western Rajasthan: A qualitative analysis

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