Tele-Emergency Services in the Himalayas

Ganapathy, Krishnan; Alagappan, Dhavapalani; Rajakumar, Hubert; Dhanapal, Baskar; Subbu, Ganesh Rama; Nukala, Lovakanth; Premanand, Satgunam; Veerla, Krishna Murthy; Kumar, Saroj; Thaploo, Vikram

doi:10.1089/tmj.2018.0027

Cited by 23 publications

(25 citation statements)

References 24 publications

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“…Ganapathy et al, 2016 [ 50 ] Range of specialist services → remote hospitals VC, S&F Kaza/Keylong, India 7 S 17. Ganapathy et al, 2019 [ 51 ] Tele-emergency services → remote hospitals VC, S&F Kaza/Keylong, Northern India 3 S 18. Ganapathy et al, 2020 (online in 2019) [ 52 ] Teleconsultations, screening services for noncommunicable diseases → regional areas VC, S&F Six regions in India 5 S 19.…”

Section: Methodsmentioning

confidence: 99%

“…Twenty studies identified the importance of coordinators for facilitating telemedicine services. Coordinators played an important role in preparing the organization for change [43,51], scheduling and integrating telemedicine activities into clinical workflow patterns [56], liaising with participating stakeholders [49], troubleshooting technical issues [18,56] and overseeing quality control of the service [56]. Frequent communication with telemedicine coordinators was shown to be vital in sustaining a telemedicine program, with one study reporting that telemedicine services ceased when the coordinator left [37].…”

Section: Phase 1 Preparing For Change -Operational Practicesmentioning

confidence: 99%

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A systematic scoping review of change management practices used for telemedicine service implementations

Kho

Gillespie

Martin‐Khan

2020

BMC Health Serv Res

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Background: Telemedicine improves access to health care services enabling remote care diagnosis and treatment of patients at a distance. However, the implementation of telemedicine services often pose challenges stemming from the lack of attention to change management (CM). Health care practitioners and researchers agree that successful telemedicine services require significant organizational and practice change. Despite recognizing the importance of the "people-side" of implementation, research on what constitutes best practice CM strategies for telemedicine implementations remains fragmented, offering little cohesive insight into the specific practices involved in the change process. We conducted a systematic scoping review of the literature to examine what and how CM practices have been applied to telemedicine service implementation, spanning a variety of health care areas and countries. Methods: Three bibliographic databases (CINAHL, PubMed, and ISI Web of Science) and four specialist telehealth journals were searched. To keep the review manageable and relevant to contemporary telemedicine technologies and contexts, the search was limited to articles published from 2008 to 2019. Forty-eight articles were selected for inclusion. Results: From the 48 articles, 16 CM practices were identified relating to either strategic or operational aspects of telemedicine implementations. We identify the key CM practices that are recognized in the broader CM literature as essential for successful and sustained change but are not commonly reported in telemedicine implementation studies. We draw on the CM literature to provide a comprehensive process-based, researched-informed, organizing framework to guide future telemedicine service implementations and research. Conclusions: Our findings suggest that the slow rate of adoption of telemedicine may be due to a piecemeal approach to the change process, and a lack of understanding of how to plan, manage and reinforce change when implementing telemedicine services.

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Section: Methodsmentioning

confidence: 99%

Section: Phase 1 Preparing For Change -Operational Practicesmentioning

confidence: 99%

A systematic scoping review of change management practices used for telemedicine service implementations

Kho

Gillespie

Martin‐Khan

2020

BMC Health Serv Res

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“…It is evident that city and urban areas in both countries have more reliable ICT infrastructure and connectivity than those found in rural and remote regions. Given that one of the aims of telehealth is to diagnose and treat patients who live in these regions and who are not able to travel to cities and large towns, the unreliability of ICT inhibits both the transmission of quality images to telehealth centers [8,10,25,27] and the transfer of images between healthcare professionals. Finally, the improvement in hand-held devices can be seen as a major driver in improving the image quality sent by the patients to the doctors [60], however, lack of patient knowledge of how to use the inbuilt camera and different apps for transferring digital images greatly decreases the quality of the images when compared with those taken by health care professionals.…”

Section: Resultsmentioning

confidence: 99%

“…There have been a range of studies, conducted in India and Pakistan regarding the adoption of ICT within the healthcare domain [25][26][27][28][29][30][31][32][33][34][35][36]. Chandwani, Dwivedi [37] suggested challenges in the adoption of telemedicine can be classified across policy, societal, institutional and medical infrastructural levels.…”

Section: Literature Reviewmentioning

confidence: 99%

Image quality in telehealth: challenges in developing countries

Chowdhury¹,

Hafeez‐Baig²,

Gururajan³

et al. 2019

Preprint

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The purpose of this paper is to explore the underlying challenges in the telehealth environment in India and Pakistan that impede the delivery of high-quality images between a patient and health care professional. An exploratory study was conducted among healthcare professionals in India and Pakistan to assess their perceptions regarding image quality, which is used for the diagnosis and treatment. This cross-sectional qualitative study used semi-structured interviews with healthcare professionals in both India and Pakistan. The interviews were analyzed using a thematic analysis, which revealed three major themes. These themes being: ICT infrastructure and connectivity, high-quality images were produced by trained technicians in an organized telemedicine set-up; and image quality can be degraded by multiple transmissions. Findings indicate that in both countries the main underlying challenge is the lack of consistency in the network infrastructure between urban, rural and remote areas. Additionally, training patients to use hand-held devices to take high-quality images future could hold the key to improving the reliability and consequently the quality of images transmitted between patients and health care professionals.

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“…2019). Telemedicine services in PPP have been effective and successful under diverse geographic and socio-economic settings in the country including inaccessible and remote areas of Himachal Pradesh (Ganapathy et al, 2016;Ganapathy, 2014;Ganapathy et al, 2018;CSC Annual Report 2015-16). Apollo Telehealth Services (ATHS), Medanta Hospital are the leading stakeholders in providing telemedicine services in PPP mode (Ganapathy et al, 2016;Ganapathy, 2014;Ganapathy et al, 2018;CSC Annual Report 2015-16).…”

Section: Challenges and Barriersmentioning

confidence: 99%

eHealth and Telemedicine in India: An Overview on the Health Care Need of the People

Kustwar

Ray

2020

JMRH

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We have reached far ahead today when it comes to the telemedicine technology which was first installed in Boston in 1967 that made a regular interaction between physicians and patients at distant locations. Being a developing and lower-middle income country, currently India faces shortage of doctors, nurses & midwives, and healthcare infrastructure. Around 70% of Indian population lives in remote and rural villages lacking access to basic healthcare facilities. In such situations telemedicine plays a great role in providing quality and affordable healthcare to India’s poorest people, and is expected to bridge the rural-urban health divide. Whether telemedicine technology meets its objective to provide adequate healthcare services to the poor remote and rural population is matter of great concern. This article aims to provide an overview on this issue.

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Tele-Emergency Services in the Himalayas

Abstract: Preliminary analysis confirms that delivering TES in inhospitable terrains in a Public Private Partnership mode is doable and is welcomed by the community.

Cited by 23 publications

References 24 publications

A systematic scoping review of change management practices used for telemedicine service implementations

A systematic scoping review of change management practices used for telemedicine service implementations

Image quality in telehealth: challenges in developing countries

eHealth and Telemedicine in India: An Overview on the Health Care Need of the People

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