NATIONAL HEALTH MISSION
Telemedicine Services Project in Rajasthan

Brief about Telemedicine Project

Telemedicine is the use of telecommunication and information technology to provide clinical health care from a distance. It has been used to overcome distance barriers and to improve access to medical services that would often not be consistently available in distant rural communities.

Telemedicine (also referred to as “telehealth” or “e-health”) allows health care professionals to evaluate, diagnose and treat patients in remote locations using telecommunications technology. Telemedicine allows patients in remote locations to access medical expertise quickly, efficiently and without travel. Telemedicine provides more efficient use of limited expert resources who can “see” patients in multiple locations wherever they are needed without leaving their facility.

National Health Mission, Rajasthan has implemented the Telemedicine Services at different type of health institutions (District Hospital/ Sub Division Hospital/ Community Health Centre). The initiative was envisioned mainly to improve a patient’s clinical health status where the availability of specialist doctors is limited via electronic communication and technology. The proposed intervention seeks to utilize specialist services of different medical specialties like General Physician/ General Medicine/ Orthopadician/ Obstetrician & Gynaecologist/ Gastrologist/ Endocrinologist/ Pediatrician/ Cardiologist/ Nephrologist/ Neurologist / Oncologist etc. The project includes video-conferencing between specialist at the centralized call centre (Central Site) and doctor at the health institution (Remote Site), transmission of still diagnostic images, remote monitoring of vital signs, continuing medical education/ capacity building etc using telemedicine and other pre-requisite software, computer hardware, printer, networking, network communication, medical equipments.

Objective

The main objectives of the project are to cross geographical barriers and provide specialist healthcare services to rural and remote areas, to make it beneficial for the population living in isolated communities. Besides this, other advantages of telemedicine are: -

  • Better delivery of specialists services to patients living in isolated or remote regions, where the availability of specialist’s doctors is limited. It facilitates patients and rural practitioners access to specialist health services and support.
  • During emergency situations and critical healthcare needs where moving a patient may be undesirable and/or not feasible.
  • Access to the quality health services and elimination of distance barriers. It provides more convenience to the patients due to reduction in transportation cost of patient and to health professionals due to reduction in unnecessary travel time
  • Helpful in medical education, share best practices and capacity building of doctors

In the project medical information of patient is transferred through telemedicine software using internet or other communication network/ channel and medical equipments for the purpose of counselling, remote medical procedures/ examinations. On which health specialist at centralized call centre and doctor at health institution would discuss the patient’s condition, symptoms, other critical observation via video-conferencing and other medical equipments with real time.

Locations: -

– Node 1: One Central Site:-

      • Centralized 10 seater Call Centre (5 doctors, 2+2 paramedic & counselor, 1 support staff) at Jaipur, Rajasthan

– Node 2 : 100 Remote Sites :-

      • District Hospital - 30
      • Sub-Division Hospital – 17
      • Satellite Hospital – 4
      • Community Health Center=49

Time Schedule for “Central Site”

Central Site is operational from 8:00 am to 08:00 pm on 6 week days, as per the schedule of specialist services.

S.N.
Medical Department
Functional Time
Days
1.
General Physician 08 am to 08 pm 6 days

2.

Obstetrician & Gynaecologist 08 am to 08 pm 6 days
3
Pediatrician 08 am to 08 pm 6 days
4.
Orthopadician 11 am to 04 pm Monday
5
Skin and VD 11 am to 04 pm Monday
6.
Gastroenterologist 11 am to 04 pm Tuesday
7.
Oncologist 11 am to 04 pm Tuesday
8.
Endocrinologist 11 am to 04 pm Wednesday
9.
Skin and VD 11 am to 04 pm Wednesday
10
Cardiologist 11 am to 04 pm Thursday
11
PMR (Physical Medicine and Rehabilitation) 11 am to 04 pm Thursday
12
Nephrologist 11 am to 04 pm Friday
13
Neurologist 11 am to 04 pm Friday
14
Cardiologist 11 am to 04 pm Saturday
15
Urologist 11 am to 04 pm Saturday

List of Remote Sites: -

Top performing Remote Sites:

Sr. No.
District
Type of Inst
Institute Name
Jun-17 Jul-17 Aug-17
Sep-17
Oct-17
Nov-17
Total
1.
Dausa DH District Hospital Dausa 4 55 148 265 307 289 1068
2.
Ajmer SDH Y N Hospital Kishangarh 0 74 185 286 235 269 1049
3.
Chittorgarh CHC Begun 0 9 4 42 78 276 409
4.
Bharatpur CHC Bhusawars 0 1 22 95 113 165 396
5.
Churu SDH Gov Hospital, Ratangarh 0 35 63 83 60 103 344
6
Ajmer DH A K Hospital Beawar Ajmer 2 33 9 58 147 85 334
7
Hanumangarh CHC Nohar 0 10 59 140 35 58 302
8
Ajmer DH Satellite Hospital Adarsh Nagar, Ajmer 0 11 1 39 103 140 294
9
Dausa CHC Bandikui 0 3 22 73 50 146 294
10
Karauli SDH Hindon 0 28 13 8 46 199 294
11
Alwar DH Rajeev Gandhi Govt Genaral Hospital Alwar 0 33 20 43 67 95 258
12
Ajmer SDH Kekri 2 65 86 60 63 6 255
13
Pali SDH Govt Hospital Sojat 0 38 52 88 28 19 225
14
Jaipur I SDH B D M govt satellite hospital 0 8 0 17 102 75 202

 

Photographs

 
 

 

For more information contact : Dr. O.P. Thankan, State Nodal Officer (Telemedicine) 8769575056