What is stopping primary health centers to go digital? Findings of a mixed-method study at a district level health system in Southern India

Barigela, Ravi; Kodali, Prakash Babu; Hense, Sibasis

doi:10.4103/ijcm.ijcm_304_20

Cited by 6 publications

(2 citation statements)

References 12 publications

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“…1. Articles not directly associated with patient health but with staff training, health education, medical administration, medical records, digital health, health information systems, and telemedicine framework 38 .…”

Section: Exclusion Criteriamentioning

confidence: 99%

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: Exclusion Criteriamentioning

confidence: 99%

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

Venkataraman

Fatma

Edirippulige

et al. 2023

Preprint

View full text Add to dashboard Cite

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“…Low usage of EMR or poor digital adoption makes it more challenging for developing countries like India. [ 20 ] However, a stopgap solution in the meantime can be developing generative algorithms to artificially create representative images using special techniques. [ 21 ]…”

Section: Introductionmentioning

confidence: 99%

Artificial Intelligence in Diagnostic Dermatology: Challenges and the Way Forward

Sengupta

2023

Indian Dermatology Online Journal

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Artificial Intelligence (AI) has emerged as a transformative force in the field of diagnostic dermatology, offering unprecedented capabilities in image recognition and data analysis. Despite its promise, the integration of AI into clinical practice faces multifaceted challenges that span technical, ethical, and regulatory domains. This article provides a narrative overview of the current state of AI in dermatology, tracing its historical evolution from early diagnostic tools to contemporary hybrid supervised models. We identify and categorize six critical challenges: data quality and quantity, algorithmic development and explainability, ethical considerations, clinical workflow integration, regulatory frameworks, and stakeholder collaboration. Each challenge is dissected from the perspectives of academia, industry, and healthcare providers, offering actionable recommendations for future research and implementation. We also highlight the paradigm shift in AI research, emphasizing the potential of transformer architectures in revolutionizing diagnostic methodologies. By addressing the challenges and harnessing the latest advancements, AI has the potential to significantly impact diagnostic accuracy and patient outcomes in dermatology.

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Facilitators and Barriers for Telemedicine Systems in India from Multiple Stakeholder Perspectives and Settings: A Systematic Review

Venkataraman,

Fatma,

Edirippulige

et al. 2024

Telemedicine and e-Health

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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 fulltext 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.

show abstract

What is stopping primary health centers to go digital? Findings of a mixed-method study at a district level health system in Southern India

Cited by 6 publications

References 12 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

Artificial Intelligence in Diagnostic Dermatology: Challenges and the Way Forward

Facilitators and Barriers for Telemedicine Systems in India from Multiple Stakeholder Perspectives and Settings: A Systematic Review

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