Telemedicine in India: current state, challenges and opportunities

Chandwani, Rajesh; Dwivedi, Yogesh K.

doi:10.1108/tg-07-2015-0029

Cited by 46 publications

(54 citation statements)

References 15 publications

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“…Telemedicine has been deployed or of interest in many regions including developed countries 4 and developing countries. 5,6 A wide range of medical services is currently provided via telemedicine such as telelaboratory service, telehealth education and ambulance. 7 The elderly normally experience several common health issues such as chronic health conditions, cognitive health and mental health which make ability to move or travel to hospital become more difficult, impractical or sometimes impossible.…”

Section: Current State Of Telemedicinementioning

confidence: 99%

Telemedicine – Meaning, Challenges and Opportunities

2019

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Medical service is one of the crucial policies and decent medical service is required by the population in every country. There are three main obstacles which prevent people from obtaining proper medical cares and treatments. First, the deficiency of medical staffs especially physicians which occur even in the developed countries. Second, regarding an important demographic issue, an increase in the number of the elderly makes the medical services more demanding. Finally, geographical aspect also plays a major role in healthcare inequality. The population dwelling in rural or remote areas struggle from accessing proper medical services. Information and communication technologies have become an important infrastructure upon which several domains can build in order to achieve more effective solutions. Integrating such technologies into the medical discipline results in telemedicine which is currently available across the globe. This article describes telemedicine in three key aspects including current state, challenges and opportunities based upon existing studies and implementations.

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Section: Current State Of Telemedicinementioning

confidence: 99%

Telemedicine – Meaning, Challenges and Opportunities

2019

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“…This often leads to varying standards and coverage offered by service providers, including the dangers of a decrease in quality of handling ethical and legal concerns to be ahead of the competition. 5,6 The cost of telemedicine services is practically the same as that of services performed in face-to-face interactions. There is no assurance of pay equality among in-person health care and telemedicine providers.…”

Section: Introductionmentioning

confidence: 99%

“…On the other hand, liability and potential issues such as negligence and malpractice will also have an impact on telemedicine. [5][6][7] Telemedicine provides several benefits such as improving access and quick patient engagement at a cheaper cost, but ethical and legal challenges need to be taken into account while implementing telemedicine programs. 8 For example, some countries have described prerequisites for getting an educated permission, especially for telemedicine, to make sure patients follow the privacy risks and essential techniques of telemedicine.…”

Section: Introductionmentioning

confidence: 99%

Telemedicine Practice: Review of the Current Ethical and Legal Challenges

Nittari

Khuman

Baldoni

et al. 2020

Telemedicine and e-Health

306

207

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Background: Telemedicine involves medical practice and information and communications technology. It has been proven to be very effective for remote health care, especially in areas with poor provision of health facilities. However, implementation of these technologies is often hampered by various issues. Among these, ethical and legal concerns are some of the more complex and diverse ones. In this study, an analysis of scientific literature was carried out to identify the ethical and legal challenges of telemedicine. Materials and Methods: English literature, published between 2010 and 2019, was searched on PubMed, Scopus, and Web of Science by using keywords, including ''Telemedicine,'' ''Ethics,'' ''Malpractice,'' ''Telemedicine and Ethics,'' ''Telemedicine and Informed consent,'' and ''telemedicine and malpractice.'' Different types of articles were analyzed, including research articles, review articles, and qualitative studies. The abstracts were evaluated according to the selection criteria, using the Newcastle-Ottawa Scale criteria, and the final analysis led to the inclusion of 22 articles. Discussion: From the aforementioned sample, we analyzed elements that may be indicative of the efficacy of telemedicine in an adequate time frame. Ethical aspects such as informed consent, protection data, confidentiality, physician's malpractice, and liability and telemedicine regulations were considered. Conclusions: Our objective was to highlight the current status and identify what still needs to be implemented in tele-medicine with respect to ethical and legal standards. Gaps emerged between current legislation, legislators, service providers, different medical services, and most importantly patient interaction with his/her data and the use of that data.

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“…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. Elder, Clarke [38] identified that the specifics of the local environment had to be acknowledged when conducting research on the adoption of ICT within healthcare, as each environment has its own unique challenges.…”

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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Telemedicine in India: current state, challenges and opportunities

Cited by 46 publications

References 15 publications

Telemedicine – Meaning, Challenges and Opportunities

Telemedicine – Meaning, Challenges and Opportunities

Telemedicine Practice: Review of the Current Ethical and Legal Challenges

Image quality in telehealth: challenges in developing countries

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