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Telemedicine challenges and opportunities



                   Telemedicine is the use of technology to offer medical services (to the people in which areas where is no medical facilities are present) from a distance. To make availability of healthcare in rural areas is the utmost task in all around the world. There are many issues that make complications to provide good quality of healthcare system in rural areas such as terrestrial confines, community and financial situations. To minimize such hitches, telemedicine is only action to cross such obstacles like shortage of doctors, earthly barriers and socioeconomics circumstances. Use of this method helps us to overcome these difficulties and it can provide expert physician, rise precaution supply, reduction of emergency room availability and cast saving.




Introduction:
       There is great potential to determine the challenges in healthcare of all around the world by using the techniques of IT in field of medicine. Today world has been progressing very fast in all field of science but this ratio of development may not play important role to serve the rural areas of both developing and developed countries .So, there is need to give all facilities which is part of urban areas to the people of countryside zone. It is due to some problems that we have faced to provide these facilities in rural sides like geographical issue, less facilities for doctors in these areas, social and economic condition. These issues can be solved by telemedicine. Telemedicine is a technology to provide medical facilities from a long distance. It is a broad field but, there are some limitations to use of this technology such as clinical deficiency and cost efficiency because there is incomplete data of application. There are following may be benefits of telemedicine.
·         Enhanced access to information about health issues by use of information technology;
·         Reduce cost heath;
·         To overcome the facility of emergency wards.
·         To minimize the hurdle of geographical issues
This is very important for developing countries and rural areas. The use of information and communication technology with digital ways helps to organizations with more competence. Information technology has become more advance by use of internet. More patient population can be served by an ample total of doctors in countryside regions.

 Main Factors of Telemedicine:
        There are many benefits of telemedicine but there also some disadvantages of this technology. There is no direct relation between patient and doctors. Main factor of this drawback is condition of patient mentality like patient may have reduce vision and he has may the problem of deafness. This will create main issues to a doctor to understand the condition of a patient. This problem can overcome by display the mark of message. Doctors have consult with only such patients whose have no disability like reduce vision and deafness. The picture that is seen on monitor make by tele consultation between patient and surgeons has indirect relation. For this technique we have needed some expert and skilled person to operate such equipment. A highly qualified doctor become unavailable and he will work as technician. According to a report of THE (US) Western Governors’ association Telemedicine Action Report 1994, there are major 6 issues are mentioned by them.1) the formation and progress frame problem 2) issue of telecommunication guideline 3) the problem of refunding of this technique facilities due an adequate rules 4) the contradictory interest use of these technologies and health rules 5) the complications with health misuse charge 6) the issue of privacy and misuse of patient’ data.

Aim or objectives of telemedicine:

The main objective of this proposal is to make ensure to provide all facilities of healthcare to rural people. By this technology we shall be able to offer all services to countryside zone from a long distance. The aim of this effort to determine the both quantitative and qualitative result by evaluation of all these result of costs and impact on telemedicine facilities. The main interrogations talked were primarily, how can defined be the term telemedicine facilities .how can we define the relationships relating to this technology like applicants, involvements, evaluations and consequences processes. Then effects of this technique are described in different reports. Next what are main methods are discussed in telemedicine. At last, what are the weak and strengthen aspects of these methods and how can us recommended best option of methods for future.

Significance of this technology:
 The simple practice of this technique is to produce more benefits to meet a community at long distance patient to nurse (Rajan and Sukanesh, 2013).Telemedicine is a vast subject in which information and communication methodology is used to facilitate the people of countryside areas or such areas which are situated in excess of huge and slight distance (Suman and Prathyusha, 2012). The use of wireless infrastructure is now common in medical centers like hospitals (Gao et al, 2008). Videoconference b/w patient and doctor very simple way during a journey like a cell phone or other things of electronics (Gaoet al, 2008).It helps the people to take benefits at low cast of different chronic diseases like heart disease, sugar patient, lung syndromes and cancer. It is also provide well worth of life to the people(Donoghue and Herbert, 2006). An expert doctor can be diagnosed the patient whose is not capable to meet this doctor become able by this technology (Qureshi et al, 2005). The people can be attained good health by use the applications of this technology. It is very important for mobile telemedicine by using Bluetooth and Global System for Mobileto permit wireless transmission to health care centers at little price (Kumekawa,2000).Telemedicine has reduced the cost of health issues at medical centers and house. Chronic illnesses have reduced by better management, skilled staff, minimize the travel period and stay period is also reduced at hospital (Xiao et al 2000).

 Methods of Telemedecine:
The early exploration organized reviews of this technique available from 1998. A regular review was well-defined as a synopsis with an exposed interrogation and a technique unit with a strong explanation of the exploration plan and the approaches used to make the systematic review. It would also report and examines practical records.
Inclusion criteria:

The population of a specific area:
Logical assessments on patients, clients, health in specialists and personal care are also including in this research without any condition or diagnosis.
Requirements for telemedicine
 We need all intervention of healthcare for treatment of diseases and technology equipment for communication. Public attention and cooperation of a patient is very important in telemedicine.
Comparisons of review of literature:
 It can be compared with ordinary precaution and other types of care. We can study all other types of health solution.
Outcomes:
There are following outcomes can be included by see the reviews such as outcomes of health(sickness, death, worth of life, contentment of patient), an outcome of process (worth of care, expert training, and satisfaction of specialized) and last one is use funds and cast.

Exclusion criteria
Design of research
 Such assessments measured not logical such as explanation sand writings were omitted. Logical reviews with foremost limitations as said by a reviewed list for logical reviews from EPOC which is stand for Cochrane Effective Practice and Organization of Care Group is also omitted.
Participants:
Such study that is not for use of telemedicine such as practice of ICT on people outside health and study of animal is omitted.
Interventions measured not relevant for the review:
Other eliminations were revisions on mediations supposed not related for the analysis such as use of internet for study, use of ICT media for getting information; to study the quality of gen on internet; to educate students and doctors  via internet.
References:


·         L. Cynthia, Monica J. Garfield and R. W. Collins, 2012. Telemedicine: Technology mediated service relationship, encounter, or something else? Int. J. of Medical Informatics8 1: 622–63
·         B. M.C, G.V.T, G.E.A, 2012. Mobile telemedicine for moving vehicle scenarios: Wireless technology options and challenges. Int. J. of Medical Informatics: 35 1140–1150.
·         Telemedicine: opportunities and developments in Member States .2009. Report on the second global survey one Health.
·         Hjelm N. M, 2005.Benefits and Drawbacks of Telemedicine. Journal of Telemedicine and Telecare : 11 60–70
·         E.Anne G. A. Bowesb and S.Flottorpc 2010.Effectiveness of telemedicine: A systematic review of reviews.international journal of medical informatics: 79 736–771.
·         G. Marlene, 1994.frame work for European services in telemedicine. Comp. Methods Programs Biomed. 45 71- 7V.Alexander PhD, G. B Brooks MD EE, R. Farr, and B. Raimer MD. University of Texas Medical Branch. Benefits of Telemedicine in Remote Communities & Use of Mobile and Wireless Platforms in Healthcare.
·         J. Richard. Holdenand B-T. Karsh, 2008. The Technology Acceptance Model: Its past and its future in health care. Journal of Biomedical Informatics:43 159–172 .

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