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Telemedicine in India might be just what the doctor ordered
Medanta, the multi-specialty hospital where he works, started its free telemedicine service about a year ago as an outreach service for patients who cannot visit the hospital.
“In-person consultation is obviously the gold standard,” Parakh told India Insight. “But if we have a doctor at the patient’s end, especially somebody who he trusts and who he knows, we can be reasonably comfortable about prescribing treatment.”
Medanta is one of several e-health providers that say they want to change how healthcare is delivered in India, and address the industry’s two biggest problems: accessibility and lack of manpower.
India has 0.7 physicians per 1,000 people — BRIC peers Russia (5), Brazil (1.5) and China (1.5) have better ratios — and most Indians travel about 20 kilometres to reach a hospital, according to a 2012 report by accounting firm PricewaterhouseCoopers (PwC).
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Ethics and HIT
Challenges...
http://jamia.bmj.com/site/icons/amiajnl8946.pdf
http://jamia.bmj.com/site/icons/amiajnl8946.pdf
- patient safety should trump all other values; corporate concerns about liability and intellectual property ownership may be valid but should not over-ride all other considerations;
- transparency and a commitment to patient safety should govern vendor contracts;
- institutions are duty-bound to provide ethics education to purchasers and users, and should commit publicly to standards of corporate conduct; and
- vendors, system purchasers, and users should encourage and assist in each others’ efforts to adopt best practices.