Telemedicine in India: Where do we stand?

Chellaiyan, Vinoth Gnana; Nirupama, AY; Taneja, Neha

doi:10.4103/jfmpc.jfmpc_264_19

Cited by 162 publications

(146 citation statements)

References 9 publications

Supporting

Mentioning

138

Contrasting

Unclassified

Order By: Relevance

“…However, telemedicine has only been used focally in our country and its effectiveness in maintaining the follow-up of orthopedic patients in India has not been previously analyzed. 6 The Medical Council of India (MCI) has recently released the guidelines for practicing telemedicine. 7 While it is important to know whether the patients can adjust to the change in practice from physical consultation to telemedicine-based consultations, patient satisfaction is equally important.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of telemedicine in maintaining follow-up of orthopaedic patients and their satisfaction: A preliminary study

Kumar¹,

Kumar²,

Kumar³

et al. 2020

Journal of Clinical Orthopaedics and Trauma

View full text Add to dashboard Cite

Background: The current COVID-19 pandemic has implications on the morbidities of orthopedic patients due to lack of routine follow-ups, and inpatient and outpatient-based interventions. Telemedicine has recently emerged as an alternative for healthcare delivery to the patients and providing them with important information about orthopedic self-care and medications that can be followed without a hospital visit. However, due to lack of physical assessment, telemedicine is bound to have some limitations as well. The aim of this study is to analyze the effectiveness of proactive telemedicine in maintaining follow-up of orthopedic patients, and their satisfaction with telemedicine as an alternative mode of treatment delivery. Methods: This one-month cross-sectional study enrolled the follow-up patients that visited the orthopedic outpatient-department in February 2020. The patients were sequentially called according to the order of their registration, on a daily basis. Consenting patients were provided with telemedicine-based consultations, and those requiring physical evaluation were called for outpatient visits after documenting the valid reasons. The response-rates and the volume of patients requiring physical visits were measured for different diagnosis-based groups. Patients were asked to complete a questionnaire that included overall patient satisfaction with telemedicine, its effectiveness, and ease in following the telemedicinebased treatment. Results: The response rate to telemedicine was 88.67%. Among the patients availing telemedicine, 71.43% were managed without needing physical visits to the outpatient-department. The need for physical examination and failed patient-doctor communication were the most common reasons for advising physical outpatient visits. The overall satisfaction-rate to telemedicine was 92%, and only 7.2% of patients had difficulty in understanding or following telemedicine-based advice. Conclusions: Telemedicine can effectively reduce the need for physical visits to outpatient-departments for follow up of orthopedic patients. The response-rate and overall patient-satisfaction rates to telemedicine are high. Further efforts in expanding the use of telemedicine and addressing its limitations, especially those related to the failed communications, are needed to develop it as an alternative to physical orthopedic consultations in the current situation.

show abstract

Section: Introductionmentioning

confidence: 99%

Feasibility of telemedicine in maintaining follow-up of orthopaedic patients and their satisfaction: A preliminary study

Kumar¹,

Kumar²,

Kumar³

et al. 2020

Journal of Clinical Orthopaedics and Trauma

View full text Add to dashboard Cite

show abstract

“…In India, both synchronous (Agarwal et al, 2019;Das et al, 2020;Gowda et al, 2018) and asynchronous mode of video consultation (Balasinorwala et al, 2014) are in place since the last two decades (Chellaiyan et al, 2019). However, the utility has remained minimal as there were no guidelines and laws about the use of telemedicine in clinical practice.…”

Section: Letter To the Editormentioning

confidence: 99%

Response to: Rethinking online mental health services in China during the COVID-19 epidemic

Malathesh

Gowda

Kumar

et al. 2020

Asian Journal of Psychiatry

View full text Add to dashboard Cite

“…Weekly surveillance testing, paired with case isolation, would limit an outbreak even if the testing method was less sensitive than PCR, compared to surveillance testing done every 14 days by PCR, which would allow the total number of infections to climb almost as high as if there were no testing. 31 Reporting of results of all cases tested in public and private sector is essential for drawing scientific valid conclusions regarding the status of infection in the population.…”

Section: Testmentioning

confidence: 99%

India and COVID-19: the task ahead

Bhattacharya

Mukherjee

Shambhavi

2020

Int J Community Med Public Health

View full text Add to dashboard Cite

COVID-19 pandemic has impacted countries across the globe causing unprecedented morbidity and mortality and weakening the economic fiber of each country. India too has to face this challenge by its strengths and manage the weaknesses to get over this COVID-19 disease, which is recording an average of 30 to 40000 positive cases per day in july2020 .The factors in favor of India are the epidemiological parameters such as low case fatality rate of 2.43%, recovery rate of 66% , the young population (67 % between 15 to 64 years), and only 7% (65 years plus) population. The guidelines issued by government of India regarding ban on travel, quarantine, isolation, treatment protocols, containment zones and testing policies steering the country with low death rates. The supreme court directive to increase testing facilities is being implemented with all medical colleges and private sector given permission for testing. The “point of care test” at hot spots will unearth asymptomatic and pre-symptomatic cases and prevent transmission from them. However, lack of concept of insurance and prevention in the community, misconceptions about quarantine, economic crisis and insufficient health infrastructure are hindrances in managing the current pandemic. The dictum of prevent, test, track and treat given by Indian council of medical research chief is the path to be followed. Aided by the various digital apps for contact tracing, tele medicine for managing cases in remote areas and provision of hospital facilities for moderate and severe cases till the indigenous vaccine arrives, should be the strategy adopted by India to get over the COVID-19 pandemic.

show abstract

Telemedicine in India: Where do we stand?

Cited by 162 publications

References 9 publications

Feasibility of telemedicine in maintaining follow-up of orthopaedic patients and their satisfaction: A preliminary study

Feasibility of telemedicine in maintaining follow-up of orthopaedic patients and their satisfaction: A preliminary study

Response to: Rethinking online mental health services in China during the COVID-19 epidemic

India and COVID-19: the task ahead

Contact Info

Product

Resources

About