Technology connects patients to tertiary care for non-COVID illnesses in pandemic times: A case study from India (original) (raw)
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International Journal of Research in Medical Sciences
Background: Telemedicine is a very useful tool of communication between the doctor and the patient. The aim of this study was to find out the utility of telemedicine during the lockdown period of COVID-19 pandemic in North East India.Methods: It is a cross sectional study among the cancer patients at our center on follow up or ongoing treatment and analysis of all the data acquired from telephonic conversation with our patients from 30th March, 2020 to 3rd May, 2020. Have contacted 4181 patients during this period over phone. All phone calls were done by respective department doctors.Results: From the demographic data, we get that 35.4% of patients were at good physical condition, 3.5% with poor general condition, 11.6% patients having ongoing treatment in our institute, 21.1% patients expired, 0.9% patients have nonmalignant diagnosis, 1.4% patients left the institute due to various reasons. Analyzed this data with brain storming sessions amongst the COVID-19 task force doctors and...
Telemedicine during COVID-19: India embracing the change
Indian Journal of Forensic and Community Medicine, 2021
Telemedicine has been around for decades but it has taken foreground in health services recently. When COVID-19 cases started to be reported in the country it brought with itself panic and chaos. At all India level, the adult literacy rate is 77.7%, this could also be linked to unawareness related to the disease in rural areas. The sudden countrywide lockdown imposed was of no help and further worsened the situation for economically weaker section of the society. During the struggle of our nation to overcome the COVID-19 Telemedicine has indeed played a vital role. People in fear of contacting the disease and due to nationwide lockdown were unable to reach their health care provider. People with pre-existing conditions that needs regular monitoring, pregnancy related queries, queries on new symptoms, psychological counselling and many more could not wait for the COVID-19 to be over before they get any help on the issues. Telemedicine shall continue developing and be used in a mult...
Use of telehealth during COVID-19 pandemic in India: literature review
International Journal of Public Health Science (IJPHS), 2023
COVID-19 has provided an unprecedented opportunity to expand access and coverage to the country's healthcare system via telehealth. Because of the growing need for telemedicine by healthcare providers, the Medical Council of India issued Practice Guidelines in March 2020. Medical specialties like ophthalmology, dermatology, and neurology offered telehealth services during pandemics. Low-middle-income countries like India are highly dependent on out-of-pocket expenses for health services. Thus, there is a need to understand telehealth's accessibility, feasibility and affordability. This review aims to understand trends regarding the access and patient response to telehealth in India during the COVID-19 pandemic. We reviewed published papers to understand better accessibility and patient response to the healthcare delivery systems via telehealth in India. The results of this review showed that patients were satisfied with the use of telehealth. Healthcare providers and patients believe telehealth can be suitable for various healthcare services, including follow-up visits in clinical disciplines and minor health problems. In conclusion, for Telehealth to understand further, quality evidence must be available, and its role in developing integrated parts of the healthcare system to be defined.
International Journal of Community Medicine and Public Health, 2021
Although the case fatality rate of severe acute respiratory syndrome (SARS) (CFRs of 9.6%) and middle East respiratory syndrome (MERS) (CFRs 34.4%) were much higher than current pandemic, yet COVID-19 pandemic leads to more death due to involvement of large number of populations. Human-to-human transmission of the SARS-CoV-2 (Severe acute respiratory syndrome corona virus 2) virus has become the primary transmission route of the disease.
Telemedicine as an unexpected catalyst during and beyond the COVID-19 Pandemic
Nepal Journal of Epidemiology, 2022
Telemedicine that also known as the practice of medicine at a distance whereby information technology is used to ensure the delivery of medical care services. Telemedicine is not a new concept in the world and India.Indian Space Research Organization (ISRO) started telemedicine in India during year 2001 as a pilot project and in year 2005 Ministry of Health and family welfare started full time program of telemedicine by connecting all major health institutions. Telemedicine is connecting people across border and culture. The need-based changes are coming in telemedicine sectors such as smart apps, involvement of private sector players and high intensity internet connections reaching to rural areas and difficult demographic locations. During Covid-19 pandemic telemedicine benefited people by supplying health information and consultation without breaching them without breeching physical contact restrictions. The ease of access to telemedicine applications, its low cost, and the lack ...
Telemedicine units for COVID-19: An experience from Madhya Pradesh
Indian Journal of Community Health
On 31st December 2019, the World Health Organization (WHO) China Country Office was informed of cases of pneumonia of unknown aetiology detected in Wuhan City, Hubei Province of China.(1) The first cases of COVID-19 outside of China were identified on January 30 in India and it has spread to 210 countries in all world regions by 10th April 2020, with more than 1.6 million confirmed and more than 0.1 million deaths worldwide.(2) Disasters and pandemics pose exceptional challenges to providing health care. Though telemedicine will not solve them all, it is well suited for scenarios in which medical practitioners can evaluate and manage patients. Previous work has specifically described the potential for using telemedicine in disasters and public health emergencies, wherein Patients prioritize convenient and inexpensive care, whether in-person visits becomes the last option for meeting patient needs.(3,4)
Telemedicine in India during COVID-19
2021
Travel has been limited due to corona virus disease (COVID-19), and social isolation has become the new standard. This pandemic outbreak has made telemedicine more critical than ever. This study aims to determine the factors that influence the rate of telemedicine adoption and the impact of the COVID-19 on these factors. The Medical Council of India issued practice guidelines in March 2020, anticipating an increase in the use of telemedicine by health-care providers. In this report, the literature on telemedicine and its implementations was reviewed and summarized in a historical and current sense, with a particular focus on recently published practice guidelines. Telemedicine would certainly broaden and become more commonly used.
Journal of Primary Care & Community Health
Introduction Access to health care and care delivery during the COVID-19 pandemic may be challenging for cancer patients. Several guidelines have been developed, which recommend treatment adjustments depending on the site of cancer, grade, and stage. However, few studies in India and across the globe have looked into the real challenges faced by cancer patients and assessed the effectiveness of the adopted interventions. This study was undertaken with the objective to study the challenges faced by cancer patients in India during the COVID-19 pandemic. Materials and Methods This was a cross-sectional study undertaken between May 1, 2020 and May 15, 2020. A link to a prestructured questionnaire was sent through email to 100 randomly selected cancer patients in different stages of treatment and follow-up. Data were decoded and entered in Microsoft Excel 2010 and analyzed using descriptive statistics. Results Slot availability for teleconsultation, network issues, deferral of radiothera...
The Promise of Teleconsultation in the Era of Pandemic: A Case from Bangladesh
Telemedicine and e-Health
Background: In 2016, the Government of Bangladesh (GoB) established a teleconsultation service called Shastho Batayon to increase access to physicians. During COVID-19 pandemic, health care access became limited due to movement restrictions. In response, GoB made Shastho Batayon toll free, publicized the number through media, increased the number of call center doctors, introduced automated messages on COVID-19 preventive measures, and developed a scoring system to classify risk groups for COVID-19. Objectives and Methods: In this case report, we describe how an existing national teleconsultation service can be utilized in a low-and middle-income country to address primary health care needs during a public health emergency. We conducted secondary analysis of Shastho Batayon service data from January to April 2020. Results: The total calls for doctor's consultation increased during the pandemic. Prepandemic, Shastho Batayon received less than 20,000 calls per month. In March 2020, when the first cases of COVID-19 were confirmed, Shastho Batayon services received 60,811 calls for doctor's consultation, which increased to 125,660 calls in April, 2020. The doctor's consultation for primary care has increased for all conditions. Shastho Batayon services screened 28,944 patients with the influenza-like illness or COVID-19-like symptoms in March and April, 2020, provided preventive measures, advice, and referral to designated hospitals based on a national guideline. Conclusions: In public health emergencies such as COVID-19 pandemic, teleconsultation services can help provide prevention guidelines, debunk misinformation, identify risk categories, and refer people to appropriate service and facilities in a timely manner.
Cureus
Background: Amidst the COVID-19 pandemic, cancer patients may have faced difficulty accessing health care. This study explored the challenges experienced by cancer patients in availing of healthcare during the pandemic, as well as the vaccination status and prevalence of COVID-19 infection among cancer patients in the year 2021. Method: A cross-sectional study was conducted in a tertiary care hospital in Jodhpur, Rajasthan, to interview 150 patients from the oncology department using convenience sampling. Face-to-face interviews lasted for 20-30 minutes. The first segment of the pretested semi-structured questionnaire was directed at obtaining the patient's socio-demographic characteristics, while the second segment focused on the problems that patients encountered during the pandemic in receiving cancer care. The data were analyzed using Statistical Packages for Social Sciences (SPSS) software (IBM Corp., Armonk, NY). Results: Several constraints, such as a lack of transportation services, difficulty in availing outpatient department (OPD) and teleconsultation services, long waiting times, and deferred surgeries and therapies, have hampered cancer care. COVID-19 mitigation measures further imposed additional stress and financial burden on cancer patients. Moreover, there was low vaccination coverage among cancer patients, which increases their probability of acquiring an infection. Conclusion: Policy reforms must prioritize cancer care in India to maintain a continuum of care by ensuring medication, teleconsultation, uninterrupted treatment, and complete vaccination to decrease the risk of COVID-19 infection and facilitate patient compliance with the healthcare delivery system.