On Redefining Telemedicine Paradigm: An Innovative Integrated Model for Efficient Implementation of Healthcare Delivery in Developing Countries
Notice bibliographique
Résumé
nomenclature in this field. This chapter makes a special effort to place telemedicine development in its proper context, not simply as a technological innovation but as an effective solution to persistent problems in healthcare delivery including inequitable access t o c a r e i n t h e p o p u l a t i o n a t l a r g e , u n e v e n d i s t r i b u t i o n o f q u a l i t y , a n d u n a b a t e d c o s t inflation. Indeed, the persistence of these problems has provided the strongest rationale for the development and growth of telemedicine. The search for telemedicine's roots revealed the enduring need for connectivity in medical care in ancient times and the failure of repeated initiatives and national programs to address problems of inequity of access to healthcare in the population, discrepancies in quality of care between areas and regions, and unabated cost inflation in modern times. There is a great difference between the developing and the developed world on issues of health and healthcare services. The emphasis of the developing world is on basic survival (such as providing better access to healthcare and increasing the quality of health) whilst in the developed world, the emphasis is on reducing public funding for healthcare. Indeed, the rapid increases in healthcare costs and finding ways to control them have become the most important health policy issues for the developed world in the past few decades (Industry Canada, 2006). The case for telemedicine rests on its promise to address some aspects of all of these problems in one form or another. Whereas the importance of these problems is universally acknowledged, for many observers, the efficacy of telemedicine remains a promise. For others, it has already been demonstrated at a reasonable level of confidence. In response to this discrepancy in perspective regarding the true merit of telemedicine, we have tried to highlight the scientific evidence available to date, in order to achieve as much closure on the question as possible. Also, since evaluative research will continue to occupy centre stage, we have attempted to identify the methodological requirements for this research as we pursue the search for more conclusive evidence regarding the true merit of telemedicine. www.intechopen.com 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%)
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,001 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».