BACKGROUNDWith the fast moving pace of information technology and research, telemedicine solution has the potential to supplement/replace existing mode of face-to-face consultations and can become yet another way to see a healthcare professional in future. Telemedicine solutions uses smartphones, mobile applications, increasingly video conferencing and e-therapy solution for various diagnostic, therapeutic and counseling needs. Due to the improvements in information technology with availability of higher bandwidth and faster data transfers, this area is growing rapidly in healthcare services.The primary aim of this research is to analyse the perception and acceptance of telemedicine solution amongst the patients, the accessibility of technology by the masses, the enablers and barriers to successful implementation of telemedicine solution and its scope and future prospects in healthcare services in India.
MATERIALS AND METHODS150 patients >18 yrs. of age with no known physical/mental incapacities who visited the Medicine OPD were accessed using a structured questionnaire, the data was entered and coded into an MS Excel spreadsheet and the results were analysed.
RESULTSMajority of the respondents (97.33%) had access to technology with 91.33% used smartphones with apps. There was high acceptability for telemedicine-90.67% for consultancy purposes, 88% for health education purposes and 85.33% for counseling and therapy sessions and ongoing clinical support. Confidentiality (mostly amongst females 46.15%) and missed diagnosis (mostly amongst males 29.41%) were major concerns. Medicine (84.67%) and dermatology (80%) were the most preferred branches of medicine. 88.67% felt that telemedicine has a huge future prospects, though 70% felt that they preferred FTF mode of consultation. 50% (73.08% <40 yrs. of age) felt that telemedicine has the potential to replace existing mode of FTF consultation.
CONCLUSIONThe research shows a huge acceptability of telemedicine solution with most willing to try it in most situations. Though it is not perceived as a total replacement of face-to-face consultations, it is well identified as a viable addition to the existing health services. There were very few barriers related to patient's perception identified in this study that can preclude its successful implementation.
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BACKGROUNDUnsafe abortions are a major cause of maternal morbidity and mortality. Medical abortion, which is preferred over surgical abortion by most women may provide excellent alternative to unsafe abortion and their attendant risks. The primary aim of this research is to compare the efficacy and acceptability of two regimens with different time interval between mifepristone and misoprostol for first trimester MTP.
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