teleconsultation nimhans

Another telepsychiatry project in India by Thara et al. In the module for children between 10 and 15years of age, sun salutation practice was added (612 rounds), and the asanas were maintained for a longer time (1530s). (PDF) NIMHANS Telenursing Practice Guidelines 2020 Bengaluru- 560029, . (2020). A total of sixteen such activities were conducted. Aravind, G. P. Followup Patient Portal Prescription of list A drugs for the new consultation requires a video consultation. Telemedicine has also been used to deliver healthcare during mass religious gatherings like Maha Kumbh Mela. Role of telemedicine in follow-up care of children with respiratory illnesses at a tertiary care hospital - an ambispective observational study. This tele-nursing guidelines from NIMHANS will be play the catalyst role in taking the much-needed healthcare to the rural area through Health and Wellness centres The helpline addresses the psychosocial issues of disaster survivors and creates a tertiary level support system for them during emergencies caused by disasters. Fast and stable internet and broadband connections (ADSL, fiber optic, cable, 4G or similar; at least 1MB / 300kb) are recommended. Koppe G, Meyer-Lindenberg A, Durstewitz D. Deep learning for small and big data in psychiatry. Indian researchers in Arctic, Antarctic to do yoga Mittal A, Pareek P. Telephonic triage and telemedicine during the peak of COVID-19 pandemic - restricting exposure to healthcare professionals. , & Paediatric and adolescent telemental health services would be discussed in the next section. Tong, I. The Board of Governors Later a set of Frequently Asked Questions and their answers were released by the council (Board of Governors in supersession of the Medical Council of India,2020a). Most of the states in the USA, such as Arkansas, Alabama, Arizona, etc., have their insurance system, Medicaid, reimburse the cost paid for all telemedicine by the patients, while states like Idaho pay for certain services like telepsychiatry (Telemedicine laws and developments: A statebystate analysis,2014). Indian Psychiatric Society & Telemedicine Society of India, In collaboration with National Institute of Mental Health and Neuro Sciences In the initial few weeks of starting medication, children/adolescents need to be monitored for specific side effects that may become particularly problematic for sensitive individuals in this population. (Professional conduct, etiquette and ethics regulations), 2002, The National Medical Commission Act, 2019 Since March 28, 2020, (four days after the first 21-day national lockdown was imposed), Nimhans has provided more than six lakh tele mental health consultations on its toll free number 080 . Singh M, Das RR. teleconsultation | Deccan Herald The Department of Integrative Medicine, NIMHANS, Bengaluru, has been offering teleyoga services for managing stress levels of parents, children, and adolescents for over a year now. Received 2021 Jul 15; Revised 2022 Jan 10; Accepted 2022 Jan 19. Also, main steps of clinical teleconsultation (determination of necessity for teleconsultation, preparation of medical information, observance . This may be seen as a way to fasttrack the adoption of telemedicine by RMPs in India during the COVID19 emergency situation. COVID19 pandemic is the catalyst for the release of guidelines on teleconsultation in India. Recently, 45 rural health centres were connected to 15 specialized hospitals for eye, cardiac, and cancer care services via telemedicine. Telemedicine - National Institute of Mental Health & Neurosciences An explicit consent in words understood by the patient must be obtained if the RMP initiates the consultation, and the same must be mentioned in patient records (Board of Governors in supersession of the Medical Council of India,2021). Telemedicine practice guidelines in India: Global implications in the wake of the COVID19 pandemic. Cases of severe mental disorders like obsessive compulsive disorders, suicidal behaviour, substance use disorder, and schizophrenia were referred to the child and adolescent psychiatrist. Select Hospital AIIMS, New Delhi. , India is a large country with a population of 1.3 billion people and limited economic and human resources. The article is a review paper on the guidelines available in the public domain. This review would initiate the discussion on the features of the guidelines, their limitations, and their significance in times of the COVID19 pandemic. Teleconsultation | definition of teleconsultation by Medical dictionary Sood, S. Retrieved May 28, 2021, from. , However, during the interim period, any RMP can practice teleconsultation by adhering to the principles and norms mentioned in the guidelines (Board of Governors in supersession of the Medical Council of India,2021). [PMC free article] [PubMed] [CrossRef] [Google Scholar], [Correction added on 25 February 2022, after first online publication: The first author's name has been updated from Uthirapathy Venkatesh to U Venkatesh], National Library of Medicine Indian Telemedicine Market in 2022: A Complete Analysis - StartupTalky Though the teleconsult mode enabled the centre to deliver therapeutic and counselling services during the pandemic, it was challenging to ensure privacy and confidentiality for the individual sessions due to interference of parents and inability to arrange a secluded place for the session. In the adolescent group, significant improvements were reflected in the sub-domains of hyperactivity, emotional problems, and conduct issues [42]. Through telehealth, a community health worker can now legally seek help from specialists from any part of the country for treating patients in villages. It brought the specialty healthcare services to the doorsteps of rural and remote areas using technology. Apollo TeleHealth is one of the largest telemedicine networks in south Asia. Out Patient Services - St. John's Medical College Thus, only old patients or those who have previously consulted at least once in person were taken up for follow-up teleconsultations. All records of the patient consultation shall be maintained similar to the inperson consultation. Children showed significant improvements in hyperactivity, peer problems, and prosocial behaviour sub-domains. Hoots, B. Antall, P. Book Teleconsultation Appointment COVID-19 Helpline No. During the community sessions, it was difficult to interact freely with the audience. Board of Governors in supersession of the Medical Council of India and Dashboard of MoHFW || Advisory for patients planning to visit NIMHANS, Bengaluru All future online appointments through ORS of few Hospitals, on their request, are temporarily suspended in view of the COVID-19. Prakash, N. Following the telemedicine guidelines, e-prescriptions were issued and scanned and sent to families. , , The practice of telepsychiatry typically involves either a synchronous (real-time) or an asynchronous (forwarding medical records for expert opinion) format [33]. eSanjeevaniOPD. India has the second largest case load of COVID-19 cases in the world, with 32,512,366 cases until 25 August 2021 [1]. The digital platform of Indian Academy of Pediatrics conducted over a thousand webinars to train paediatricians regarding latest guidelines of various child and adolescent healthcare issues including COVID-19 protocols [11]. HosurRoad,NIMHANS, The possible mechanism to ensure and verify each other's identity has been spelled out in the guidelines (Board of Governors in supersession of the Medical Council of India,2021). Chugh, S. Federal government websites often end in .gov or .mil. The decision to manage the specific condition in teleconsultation or otherwise is left to the professional judgment of the RMP. Through this portal, a free telemedicine service called eSanjeevani can be accessed. Teleconsultation Market on a Boom. , & An official website of the United States government. Aljadah, M. The timing is of particular interest, as it was immediately a day after the nationwide lockdown to contain COVID19 was announced. In simple words, medical teleconsultation is the use of information technology to . Nimhans to head national tele-mental health programme Telemedicine practice guidelines and telepsychiatry operational guidelines, indiaA commentary, India's Mental Healthcare Act, 2017: Content, context, controversy, International Journal of Law and Psychiatry, Enabling Delivery of Essential Health Services during the COVID 19 Outbreak: Guidance note Background Tamil Nadu, Though the present guidelines released in India for telemedicine are not comprehensive, they could be taken as a starting point. Tl. . The .gov means its official. Teleconsultation was seen as a reasonable alternative to referral, as patients and caregivers felt that it integrated the GP's knowledge of the patient and the cardiologist's subject expertise. Hence, the guidelines' title could have been Teleconsultation Practice Guidelines as it aptly reflects the scope of the guideline rather than the Telemedicine Practice Guideline. It also specifies the jurisdiction of the guidelines as applicable only for services provided in India. Subsequently, over the last decade or so, the telemedicine setup at NIMHANS, Bengaluru has had tremendous coverage and penetration independently with various clinical, academic and training activities across the country which emerged to be named officially as the Telemedicine Centre, NIMHANS. Following these guidelines, the Board of Governors, CCH also amended and adopted the Telemedicine Practice Guidelines for homeopathic practitioners on April 10, 2020 (The Board of Governors, Central Council of Homeopathy,2021). Countries around the world have an informed consent obligation to conduct telemedicine services (Ministry of Health Singapore,2015; National Initiative for Telehealth Guidelines,2003; Province of BC Health Authorities,2014; Telemedicine laws and developments: A statebystate analysis,2014). (2021). Directly as a Walk-In Patient Telemedicine guidelines in South East AsiaA scoping review. Ateriya, N. Global strategy on digital health. Consult a doctor from home? (2020). Restricted scope, lack of training material on telemedicine principles, lack of a dedicated governance mechanism, and the haziness over the jurisdictional authority of state medical councils are the limitations. These participants also revealed strong support for teleconsultation on the grounds of interprofessional collaboration and avoidance of unnecessary . Also, the jurisdiction of state medical council on matters of professional misconduct and disciplinary action against the RMP in cases of interstate teleconsultation needs detailed clarifications. Por primera vez, el gobierno de India public pautas de prctica de telemedicina para mdicos registrados el 25 de marzo de 2020, en medio del brote de COVID19. Health is a state subject in India. The Personal Protection Bill, 2018, is yet to be made an Act, thus having gaps in privacy safeguards (Ministry of Health Singapore,2015). Elsevier Inc. 2018. Springer Nature - PMC COVID-19 Collection, https://iapindia.org/guidelines-for-parents/, https://covid19.who.int/region/searo/country/in, https://datareportal.com/reports/digital-2021-india, https://www.mohfw.gov.in/pdf/Telemedicine.pdf, https://indianpsychiatricsociety.org/e-book-Telepsychiatry-operational-guidelines-2020, https://www.indiacode.nic.in/bitstream/123456789/2249/1/a2017-10.pdf. South Africa's telemedicine guidelines have minimal scope allowing only a video consult and the presence of a consulting health provider in person with the patient for examination, while expert assistance or opinion is provided by service consultant remotely (Health Professions Council of South Africa,2020). Most adolescents seamlessly transitioned from in-person to online psychotherapy, especially as they already had established a rapport in person previously with their therapist. For example, among the antidepressants, escitalopram and fluoxetine may be prescribed during the initial consultation. This article is part of the Topical Collection on Technology and Pediatrics. The https:// ensures that you are connecting to the of India and thereby making clinical practice possible amidst the contagious disease spread. Tsang, C. A. ORS Patient Portal The results of this survey were used to design the contents of the adolescent education programs. Select State Delhi. Patients may feel that teleconsultation is inferior as it lacks physical human interaction. , (2020). Partnering with local doctors who were located near the patients houses was helpful in providing emergency treatment [, Pulmonology: Expert group recommendations for paediatric telepulmonology services emphasized on the need for triaging before physical consultation and facilitating investigations through telemedicine [, Neurology: For neurology cases, a video consultation was the preferred mode of teleconsultation [, Neurodevelopmental follow-up: General motor assessment of high-risk infants was conducted effectively by analysing videos and interventionswere planned [, Oncology: Email and telephone calls were used for non-intensive care and follow-up of paediatric oncology services. , McCabe, B. Dettloff, K. Even before the pandemic struck, it has been a challenge to deliver optimal healthcare to Indias large population, due to an overburdened healthcare system. India reported its first case of COVID on 31 January 2020, and a lockdown was declared on 24 March 2020. Further revisions and finetuning of the guidelines addressing the above concerns should be taken up as the next step in the telemedicine governance of India. Similar training and qualification are expected in Singapore to practice telemedicine (Ministry of Health Singapore,2015). Online Teleconsultation: Telehealth and Telemedicine - ACKO Unsere Kernkompetenz ist die Planung von Informations- und Kommunikationssystemen und deren Integration in bestehende Prozesse. Community outreach activities of the centre like imparting parenting training and school health education also continued over the online mode. Share This. (2007). (2018). . From April 2020 to August 2021, 250 adolescents were given therapeutic and follow-up telehealth services. India, 2 Teleconsultation involves the use of technology so that the medical professionals and patients can interact with each other bringing health to where ever it is needed. Subsequently, a centralized IVRS phone line was set up so that children and families could reach out and request a follow-up teleconsultation according to their convenience. Even before the onset of the pandemic, between 2017 and 2020, the Telepsychiatry after care Clinics at NIMHANS, India, had provided 780 teleconsultations for 232 clients with various psychiatric disorders [34]. Implicit or implied consent is taken if the patient initiates the teleconsultation. This article is being made freely available through PubMed Central as part of the COVID-19 public health emergency response. Inpatient Care Patients will be admitted for either for detailed evaluation in case of diagnostic uncertainty, or for drug optimization. 2021;12. Trends in the Use of Telehealth During the Emergence of the COVID19 PandemicUnited States, JanuaryMarch 2020, MMWR. teleConsult Kommunikationsberatung GmbH Telemedicine is the delivery of healthcare services from a distance, by use of information and communication technology. Telehealth was used by private and public health establishments, in urban, rural, and remote areas. A collection of 104 peerreviewed perspectives and theoretical underpinnings. Expert opinion on restoration of pediatric pulmonology services during the SARS-CoV-2 pandemic. On June 11, 2020, the Insurance Regulatory and Development Authority of India (IRDAI) issued guidelines advising insurers to allow telemedicine wherever consultation with a medical practitioner is allowed in the conditions of the policy contract. Ray A, Sharma S, Sadasivam B. Telephonic triage in times of COVID-19: experiences at a telemedicine center in India. (2018). , Connect Us. Availability and easy accessibility of health services, especially in remote and rural areas, Health education for individuals and the community, Collaborative specialty care with primary care physician and village health worker, Technological issues: poor internet bandwidth, digital illiteracy, Missed/error in diagnosis due to inability of doing physical examination, Ineffective counselling due to poor online recognition of non-verbal and verbal cues, Prescription errors: inability to understand prescription due to illiteracy, Privacy, confidentiality, and distraction challenges, Health data prone to hacking and misuse.

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