Authors: Vellaichamy Ponraj; K. Selvakumar
Addresses: Telemedicine Centre and Department of Neurosurgery, Sri Ramachandra Medical College and Research Institute (SRMC), Porur, Chennai, India ' Telemedicine Centre and Department of Neurosurgery, Sri Ramachandra Medical College and Research Institute (SRMC), Porur, Chennai, India
Abstract: Majority of the tele-medicine implementations are not effective in healthcare delivery hence slowly it loses its significance due to various factors, which ultimately defeat the purpose of tele-medicine intervention. Hence, this paper examines the existing tele-medicine implementation and understands its challenges, studies the efficacy of the system and suggests the alternative system with technological and process improvements to improve its efficacy, quality and sustainability. By reviewing the process involved in getting the expert opinion from super specialty hospital, it was found out that there are many bottlenecks in the system, process, technology and access in delivering the quality healthcare services on time. This study carried out between SRMC and NLC Clinic has further helped to suggest a software architecture involving the overall process of electronic medical record flow in association with tele-medicine, tele-radiology and hospital management information system connectivity to improve the efficiency of the tele-medicine.
Keywords: telemedicine; efficacy of telemedicine; hardware-based video conference; tele-health; DICOM; PACS; SIP; tele-radiology; information and communication technologies; ICT.
International Journal of Telemedicine and Clinical Practices, 2018 Vol.3 No.1, pp.62 - 77
Received: 11 Jan 2018
Accepted: 05 Mar 2018
Published online: 16 Jul 2018 *