The Indian healthcare system turns to digital health: eSanjeevaniOPD as a national telemedicine service

2021 ◽  
pp. 204388692110615
Author(s):  
Charu Naithani ◽  
Sanjay P Sood ◽  
Amit Agrahari

Healthcare infrastructure in the emerging economies is largely concentrated in their urban areas, and the burgeoning rural population is usually deprived of quality medical care. Telemedicine systems are expected to bridge this gap. This case study documents telemedicine’s significance and allows students to examine India’s national patient-to-doctor telemedicine service, eSanjeevaniOPD. The portal provides free and contactless consultation by a government doctor using video calls. COVID-19 hastened the adoption of eSanjeevaniOPD in the country, but its post-covid future would largely depend on feature innovation, architecture development, and digital strategies. With a total of three million teleconsultations in one year, eSanjeevaniOPD is one of the world’s largest digital healthcare delivery systems. This case provides insight into Indian health infrastructure, summarizes the journey of eSanjeevaniOPD, and raises questions on the digital transformation of the Indian healthcare delivery system.

Author(s):  
Absar Husain ◽  
Ajoke Akinola ◽  
S. M. Akhtar

This case study investigates the experiences of planning and strategies to respond to a medical emergency and healthcare delivery during the COVID-19 pandemic, the local health practitioners from rural and urban areas of northern India; we included the experiences of telemedicine among the practitioners of Allopathic medicine System, Indian medicine System, and Allied health services. The case study recorded descriptive telephonic interviews about the situation, task, and action towards telehealth. The 35 respondents from Uttar Pradesh, Madhya Pradesh, Delhi, and Rajasthan. Find the results approximately 10-90% of telehealth services increase in clinical and non-clinical facilities. Approximately 95% of healthcare providers adapted telehealth delivery in the pandemic situation. The observation of preparedness in telehealth services and continued effort to address the situation by local health care providers. The status of real-time response to the prevention and control of new incidents. The role of telehealth setting in COVID-19, situation disembarrass through Voice call, text message, picture/video message, and all other possible measures were employed to accumulate maximum clinical information in real-time.


2021 ◽  
Vol 25 (4) ◽  
pp. 250-259
Author(s):  
Jong Yun Hwang

The Korean healthcare delivery system has been operating for over 30 years since 1989. Despite a positive performance—providing quality medical services to the people by distributing medical resources—there are limitations to the maternity healthcare delivery system. If the maternity healthcare delivery system was operating successfully, there should have been sufficient delivery hospitals so that pregnant women can access the appropriate maternity medical services whenever needed. Unfortunately, according to the National Health Insurance Service, the number of maternity health facilities in Korea reduced from 1,371 in 2003 to 541 in 2019. Regrettably, a larger number of obstetric hospitals and clinics have closed in medically vulnerable areas, such as farming and fishing areas, than urban areas with sufficient medical infrastructure, creating obstetrically underserved areas. In 2020, 65 out of a total of 250 cities, counties, and districts had no obstetric hospitals or clinics. To improve the collapsing maternity healthcare delivery system, a different approach is required; one in which policy support to stop the closure of delivery hospitals is emphasized. New maternity-related medical insurance payments, such as delivery labor management fees, fetal heart monitoring reading fees, and newborn care in delivery rooms fees, and active support policies are needed to prevent the closure of delivery hospitals. In this era of low fertility, because the maternity healthcare system is essential to maintain the nation, a healthcare delivery system different from the existing one must be established.


Author(s):  
Isaac Akuamoah-Boateng Adueni ◽  
James Ben Hayfron-Acquah ◽  
Joseph Kobina Panford

Cloud computing integration into healthcare services can bring about significant benefits economically, and increase the formation and effective organization of integrated healthcare delivery systems. The second section contains data from different sources, takes a gander at cloud applications in healthcare from the perspective of governmental offices, researchers and computer specialists. This work sorts to create a common cloud platform that can be used to manage Ghana’s healthcare delivery system. The application of innovative information technology driven services in healthcare systems has the potential to enhance operational efficiency, provide collaboration and improve patient outcomes. Available information indicates that healthcare services are in dire need of attention with respect to providing efficient, cost effective and timely delivery of healthcare services. It details different shades of opinion, experience, applicability the development, use and integration of cloud technology into healthcare systems.


2015 ◽  
Vol 2 (2) ◽  
pp. 49-54
Author(s):  
Christian Ugwuda ◽  
Adegbite A Ayoade

Objective: The objective of the study was to assess the management of dental laboratory as it significantly affects effective handling of dental problems among dental patients visiting Dental Hospitals/Centres and consequently for effective dental healthcare delivery system in Lagos State as a case study. Methodology: One hundred (100) dental professionals working in the selected twenty (20) dental hospital/centres across the study area were selected surveyed through a purposive sampling technique. The research instruments used for study were self-opinionated questionnaires and Strength, Weakness, Opportunities and Threat SWOT analysis. Finding: The results showed that state of the laboratories need to be improved in order to meet current global standards of digital state of equipments, then management of the laboratory with the perception of the staff influence the quality of dental care services given to the patients. The SWOT analysis indicated that opportunities within the profession is the adequacy of training and professionalism, while danger of quack workers, obsolete equipment, erratic power supply to run the equipment and lack of government enabling environment are threat and weakness that affect the dental laboratory activities. The study concluded that state of dental laboratory still need more improvement with the use of modern and digital equipments, and the workers re-training are the strengths and opportunities .Therefore, there is need for workshop, conferences and to educate the professional on the latest equipment in the markets on a global level. Then, the Government should embark on infrastructural development of the existing governmental dental facilities and encourage the private ones.  


Author(s):  
M. Yeasin Arafat ◽  
Abhijeet Roy

The coronavirus disease 2019 (COVID-19) is a disease caused by the outbreak of a new virus, known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). On 11 March 2020, the World Health Organization (WHO) declared the COVID-19 as a global pandemic.1 The first confirmed cases were recorded in Bangladesh on 08 March 2020 and continued to spread.2 Since then, the new realities of work from home, temporary unemployment, home-schooling of children, and lack of physical contact with other family members, friends, and colleagues are taking time to habitual with it. The aftermath of such an outbreak is not only harming physical health but also mental health.3 Therefore it is necessary to identify mental health contexts of COVID-19 and effective therapies to tackle the situations.4 The COVID‐19 pandemic has made a significant change in the healthcare delivery system worldwide, physicians are offering digital health solutions at record, and putting the telemedicine services (i.e. telehealth) at center stage.5 With telemedicine’s help, the burden of mental health can be reduced conveniently during this pandemic.6 Like other countries, Bangladesh has also started telemedicine health services to help the patient psychologically, though there are several barriers to get advantages of this approach.7 This article aims to provide an overview of the importance and necessity of telemedicine in addressing mental health conditions during the COVID-19 pandemic, particularly in Bangladesh.


Author(s):  
Tue Nguyen Dang

This research examines the factors affecting the financial literacy of Vietnamese adults. Using a sample of 266 observations of adults in 2 big cities in Vietnam (Hanoi and Vinh in Nghe An Province), the author evaluates the literacy level of adults in these urban areas. The financial literacy of the interviewed people is low. The multiple regression results show that lower financial literacy levels associate with higher age and married status and higher financial literacy levels associate with higher education, more family members, the person making financial decisions and the person attending a useful financial course. This research also explores the association between financial literacy and financial behaviors of individuals employing logistic models. It is found that higher financial literacy associates with less probability of overspending and higher probability of saving money and careful spending. Higher financial literacy is also found to associate with higher probability of opening a savings account and making various investments. 


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