scholarly journals HOW TELEMEDICINE HAS CHANGED SURGICAL PRACTICE IN COVID PANDEMIC

2020 ◽  
pp. 7-10
Author(s):  
Praveen Kumar ◽  
Farhanul Huda ◽  
Somprakas Basu
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Information And Communication Technologies ◽  
Delivery System ◽  
Healthcare Delivery ◽  
National Health System ◽  
Current Status ◽  
Free Text ◽  
Healthcare Delivery System ◽  
History Of

Background—The history of telemedicine parallels the history of communication and information technologies. With the advancement in information and communication technologies, telemedicine has also progressed. Still, it could not gain a respectable place in the healthcare delivery system due to lack of clear guidelines, lack of multidisciplinary approach to patient management, onerous privacy regulations, lack of reimbursement, lack of human touch in teleconsultations, and lack of integration with the national health system. There is a need to promote telemedicine services by looking into the current framework and bringing necessary changes to ease the delivery of services. Also, proper training of health care professionals about digital communication to improve patient outcome, and the introduction of telemedicine in medical education so that medical students do not suffer in the present scenario of COVID-19. Methods- We searched MEDLINE, Embase, PubMed, and PubMed Central. We used free-text terms and MeSH terms such as telemedicine, telemedicine, and COVID 19 pandemic, telemedicine and medical education, telemedicine pitfalls. Data regarding the guidelines of telemedicine and waivers during the pandemic, the current status of telemedicine in the healthcare delivery system, and its promotion during the epidemic were extracted. Finally,43 articles were found suitable to be considered for writing this evidence-based review. Results—Telemedicine has proven to be an important tool to reduce the risk of transmission of COVID 19 without hampering patient care,medical education and research. With relaxation of existing guidelines in most of the countries and training of healthcare professionals to introduce digital empathy it can be closer to a usual patient-provider encounter. Conclusion—Telemedicine cannot replace regular face to face patient-provider encounters, but it can be helpful, especially during the times of pandemics as happening during current circumstances. It should be included in the health care delivery infrastructure with all guidelines and legality to help the existing system during normal conditions and take over in need of time.

A Multidisciplinary Remote Healthcare Delivery System to Increase Health Care Access, Pathology Screening, and Treatment in Developing Countries

2019 ◽  
pp. 1376-1409
Author(s):  
Thierry Oscar Edoh ◽  
Pravin Amrut Pawar ◽  
Bernd Brügge ◽  
Gunnar Teege
Keyword(s):  
Health Care ◽  
Delivery System ◽  
Health Care Access ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Access To Healthcare ◽  
Healthcare Delivery System ◽  
Care Access ◽  
Traditional Practitioners ◽  
Remote Care

In this paper, the authors describe a case study of the poor access to healthcare in developing world, case of Benin, a West African developing country. The authors identify problems and the existing obstacles for applying standard Telemedicine and eHealth solutions. The authors particularly describe an adapted multidisciplinary remote care delivery system approach for improving and increasing the use of existing health services as well as the access to healthcare by overcoming some cultural, social, financial, and at least linguistic barriers. The multidisciplinary remote care delivery system integrates traditional practitioners, because most people are more confident with the traditional medicine. The authors further present a practical test which has shown that their approach has the potential to improve the quality and effectiveness of health care in rural and other concerned regions and also increase the accessibility to health care system.

Health Care from a Systems Thinking Perspective

2017 ◽  
Vol 2 (2) ◽  
Keyword(s):  
Health Care ◽  
Systems Thinking ◽  
Delivery System ◽  
Healthcare Delivery ◽  
Healthcare Delivery System ◽  
Quality Health Care ◽  
Healthcare Design ◽  
Design Structure ◽  
Quality Health

Highlight the systems thinking perspective inensuring quality health care. Transforming the healthcare delivery system, changing healthcare DESIGN, STRUCTURE AND processes to correct inherent structural deficiencies.

A Multidisciplinary Remote Healthcare Delivery System to Increase Health Care Access, Pathology Screening, and Treatment in Developing Countries

2017 ◽  
pp. 269-302
Author(s):  
Thierry Oscar Edoh ◽  
Pravin Amrut Pawar ◽  
Bernd Brügge ◽  
Gunnar Teege
Keyword(s):  
Health Care ◽  
Delivery System ◽  
Health Care Access ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Access To Healthcare ◽  
Healthcare Delivery System ◽  
Care Access ◽  
Traditional Practitioners ◽  
Remote Care

In this paper, the authors describe a case study of the poor access to healthcare in developing world, case of Benin, a West African developing country. The authors identify problems and the existing obstacles for applying standard Telemedicine and eHealth solutions. The authors particularly describe an adapted multidisciplinary remote care delivery system approach for improving and increasing the use of existing health services as well as the access to healthcare by overcoming some cultural, social, financial, and at least linguistic barriers. The multidisciplinary remote care delivery system integrates traditional practitioners, because most people are more confident with the traditional medicine. The authors further present a practical test which has shown that their approach has the potential to improve the quality and effectiveness of health care in rural and other concerned regions and also increase the accessibility to health care system.

A Multidisciplinary Remote Healthcare Delivery System to Increase Health Care Access, Pathology Screening, and Treatment in Developing Countries

2016 ◽  
Vol 11 (4) ◽  
pp. 1-31 ◽  
Author(s):  
Thierry Oscar Edoh ◽  
Pravin Amrut Pawar ◽  
Bernd Brügge ◽  
Gunnar Teege
Keyword(s):  
Health Care ◽  
Delivery System ◽  
Health Care Access ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Access To Healthcare ◽  
Healthcare Delivery System ◽  
Remote Healthcare ◽  
Traditional Practitioners ◽  
Remote Care

In this paper, the authors describe a case study of the poor access to healthcare in developing world, case of Benin, a West African developing country. The authors identify problems and the existing obstacles for applying standard Telemedicine and eHealth solutions. The authors particularly describe an adapted multidisciplinary remote care delivery system approach for improving and increasing the use of existing health services as well as the access to healthcare by overcoming some cultural, social, financial, and at least linguistic barriers. The multidisciplinary remote care delivery system integrates traditional practitioners, because most people are more confident with the traditional medicine. The authors further present a practical test which has shown that their approach has the potential to improve the quality and effectiveness of health care in rural and other concerned regions and also increase the accessibility to health care system.

scholarly journals Quantifying Recent Upsurge in Covid-19 Incidence and Related Fatalities: An Implication of Delayed Response or State of Delivery Health Care System?

2020 ◽  
Vol 16 ◽  
pp. 47-61
Author(s):  
Taofik Olatunji Bankole ◽  
Glory Urhere
Keyword(s):  
Health Care ◽  
Delivery System ◽  
Growth Rates ◽  
Healthcare Delivery ◽  
Data Bank ◽  
Delayed Response ◽  
Series Method ◽  
Healthcare Delivery System ◽  
Cross Sectional ◽  
Times Series

Study Aim: To validate the recent upsurge in COVID-19 incidence and related fatalities in a retrospective to the state of the healthcare delivery system and delayed in response to the pandemic in Nigeria. Methods: The quantitative cross-sectional times series method was adopted. COVID-19 Data for Nigeria were extracted for reported cases and fatalities arising from COVID-19 complications from the WHO COVID-19 situational data bank between March 15 and July 15, 2020. The incidence and fatality growth rates were generated at intervals for four months. Data were analyzed with the Stata version 15. Results: Findings showed that the recent upsurge in COVID-19 accounted for 99.2%, 98.9%, 98.5%, 99.8%, 99.2%, 99.8%, and 97.3% complications that led to the death of infected patients in the Northcentral, Northeast, Northwest, Southeast, Southsouth. Southwest and the FCT. The results showed that there was a strong uphill linear (r = 0.991) and a significant association between COVID-19 incidence and fatalities arising from COVID-19 complications in Nigeria (ß = 0.022; t = 30.2; p<0.001).

The healthcare delivery system: an overview

2017 ◽  
Author(s):  
Jan Abel Olsen
Keyword(s):  
Delivery System ◽  
Chronic Care ◽  
Tertiary Care ◽  
Healthcare Delivery ◽  
Healthcare Delivery System ◽  
Care Level ◽  
Primary Care Level ◽  
Internal Markets ◽  
System A ◽  
Policy Challenge

This chapter provides an overview of the healthcare delivery system. A figure illustrates how six different parts of the system relate to each other. The primary care level plays a key role in many countries by representing the gate, in which referrals to secondary care are being made. Tertiary care is principally of two types depending on patients’ prognosis: chronic care or rehabilitation. In addition to the three care levels, there are two parts with quite different roles: pharmacies provide pharmaceuticals, and sickness benefit schemes compensate the sick for their income losses. A recurrent policy challenge is to make each provider level take into account the resource implications of their isolated decisions outside of their own budgets. A brief discussion is included on the scope for ‘internal markets’.

scholarly journals Canada’s history of failing to provide medical care for Indigenous children

2020 ◽  
Author(s):  
Rakhshan Kamran
Keyword(s):  
Health Care ◽  
Human Rights ◽  
First Nations ◽  
Social Services ◽  
Current Status ◽  
House Of Commons ◽  
Canadian Government ◽  
Indigenous Children ◽  
History Of ◽  
Services And Supports

Abstract In December 2007, the House of Commons unanimously supported Jordan’s Principle, a commitment that all First Nations children would receive the health care products, social services, and supports, and education they need, in memory of Jordan River Anderson. However, the process of applying for Jordan’s Principle was convoluted and not transparent, leaving several cases not being responded to. The Canadian Human Rights Tribunal found the definition and implementation of Jordan’s Principle to be racist and discriminatory in 2016, ordering the Canadian government to make immediate changes. Failing to make changes to Jordan’s Principle, the Canadian government was found to be noncompliant with the Canadian Human Rights Tribunal orders in 2018. This article provides one case example of Jordan’s Principle that was not responded to, details on the current status of Jordan’s Principle, and information on the recent implementation of the Act respecting First Nations, Inuit and Métis children, youth and families.

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