Telemedicine in the Himalayas: Operational Challenges—A Preliminary Report

Ganapathy, Krishnan; ChawdhryVineet,; PremanandSatgunam,; SarmaArunabh,; ChandralekhaJothivaithilingam,; Yogesh, KumarKotte; KumarSaroj,; GuleriRajesh,

doi:10.1089/tmj.2015.0249

Cited by 28 publications

(27 citation statements)

References 16 publications

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“…Providing training and education was identified as central to successful telemedicine adoption in the majority ( N = 33/48) of articles reviewed. Training was normally delivered during the implementation of telemedicine to ensure maximum utility [ 50 , 56 , 78 ]. Training included how to use and troubleshoot equipment [ 46 , 49 ] and how to perform consultations through the technology [ 52 , 80 ].…”

Section: Resultsmentioning

confidence: 99%

“…Doorenbos et al, 2011 [ 49 ] Medical education, case conferences and telepsychiatry consultations → rural communities VC Washington and Alaska, USA 10 S 16. 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.…”

Section: Methodsmentioning

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: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

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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“…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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“…Sometimes the doctor needs to analyze the patient by putting his/her hand on patient (or by observing patient physically), in such a situation telemedicine approach becomes limiting. Even if the doctors prescribe a particular medicine to the patients via tele-consultation, it becomes difficult to access the medicine in remote areas of the country due to their non-availability (Ganapathy et al, 2016). How do the patients help themselves in such a situation besides having telemedicine facilities in these remote areas?…”

Section: Telemedicine: Is It An Alternative Option For Conventional Face To Face Consultation?mentioning

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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Telemedicine in the Himalayas: Operational Challenges—A Preliminary Report

Abstract: Evaluation confirms that delivering remote healthcare in inhospitable terrains in a PPP mode is effective.

Cited by 28 publications

References 16 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

Telemedicine – Meaning, Challenges and Opportunities

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

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