On Redefining Telemedicine Paradigm: An Innovative Integrated Model for Efficient Implementation of Healthcare Delivery in Developing Countries

On Redefining Telemedicine Paradigm: An Innovative Integrated Model for Efficient Implementation .... 141 2.1 The facts on India's health care situation are as follows  620 million live in rural India (National Council for Applied Economic Research (NCAER))  Bed-Population ratio 1.85 per thousand (2005) Vs. ideal of 1:500 Central bereau of health intelligence CBHI)  Doctor-patient ratio in the country is one doctor for nearly 2,000 persons (in the US it is 1:400),  2 million beds are required as against 0.7 million available. 700 hospitals of 250 beds each are required every year. only 9% of 1 billion people are covered health schemes. only 0.9% of GDP for health (WHO recommends 5%) 5% of annual family income spent towards curative health care.The distribution of specialists in India is indeed lopsided.There are more neurologists and neurosurgeons in Chennai, than in all the states of North eastern India put together.Similarly tertiary care hospitals are also concentrated in pockets with large segments of the population having no access.India is short of 600,000 doctors, 1 million nurses, and 200,000 dental surgeons to achieve 1:10,000 doctor-patient ratio.A recent survey by the Indian Medical society has found 75% of qualified consulting doctors practice in urban centers and 23% in semi urban areas and only 2% from rural areas whereas majority of the patients come from rural areas. .Contagious, infectious and waterborne diseases such as diarrhoea, amoebiasis, typhoid, infectious hepatitis, worm infestations, measles, malaria, tuberculosis, whooping cough, respiratory infections, pneumonia and reproductive tract infections dominate the morbidity pattern, especially in rural areas.However, non-communicable diseases such as cancer, blindness, mental illness, hypertension, diabetes, HIV / AIDS, etc. are also on the rise.Health being a State of subject in every human life, the data in regard to Doctor-patient ratio (D:P)in various State Government Hospitals is not maintained centrally.The doctorpatient ratio, varies from case to case depending upon various factors like the type of disease, nature of specialization, type of patient-care required i.e. indoor/outdoor.According to the Medical Council of india, the present allopathic doctor-population ratio at present works out to 1:1722.The health of a nation is the product of many factors and forces that combine and interact.Economic growth, per capita income, literacy, education, age at marriage, birth rates, information on health care and nutrition, access to safe drinking water, public and private health care infrastructure, access to preventive health and medical care and the health insurance are among the contributing factors.Given that many conditions are preventable, every health care interaction should include prevention support.When patients are systematically provided with information and skills to reduce health risks, substance use, stop using tobacco products, practice safe sex, eat healthy foods, and engage in physical activity can dramatically reduce the long-term burden and health care demands of chronic conditions.To promote prevention in health care: awareness rising, change in thinking, stimulate the commitment of patients and families, health care teams, communities and policy-makers is crucial.A collaborative management approach at the primary health care level with patients, their families and other health care actors is a must to effectively prevent many major contributors to the burden of disease.Given that many conditions are preventable, every health care interaction should be recorded. How to referenceIn order to correctly reference this scholarly work, feel free to copy and paste the following: K.V.

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