The person eligible to do the teleconsultation has been mentioned as RMPs, as defined under the IMC Act (Board of Governors in supersession of the Medical Council of India,2020b; The National Medical Commission Act 2019,2019; The Indian Medical Council,2002). For older children and adolescents, especially those above the age of 10years, individual psychotherapy online sessions were attempted as and when deemed feasible. The Role of Telemedicine in Child and Adolescent Healthcare in India Select State Delhi. This article is part of the Topical Collection on Technology and Pediatrics. ISRO has been spearheading telemedicine in India and has paved the way for its operationalization from just being a technology demonstration. Book Teleconsultation Appointment COVID-19 Helpline No. Telehealth has literally brought health services to the doorstep of all citizens of India. In 2002, there was a report of triaging neonatal cases in rural areas via email [6]. (2021). 2021;hcab199. Singapore has comprehensive guidelines encompassing the details of organizational structure and equipment required to provide telemedicine, including instruments like the stethoscope, and technological support required while providing telemedicine services, which has not been included in Indian guidelines (Ministry of Health Singapore,2015). ATA is a nonprofit organization with complete focus only on advancing telehealth and has been in action since 1999. WHO has acknowledged 15 Crossborder legalities involved in the Telemedicine service provisions (Ryu,2012). During the lockdowns, the focus of healthcare establishments was on the care of COVID-affected patients. In order to assist you in the best possible way during your time abroad, MSH International has partnered with 2 specialists in medical teleconsultations to provide you with a quality service: Eutelmed and MdecinDirect.. Esta revisin iniciara la discusin sobre las caractersticas de las guas, sus limitaciones y su importancia en tiempos de la pandemia de COVID19. Setia, P. This model of paediatric and adolescent telehealth in India can be replicated by other LMIC. (2020). Harnessing mobile technology to deliver evidence-based maternal-infant care. 4th Floor,Tele Medicine Centre, Lahiri D, Mitra S. COVID-19 is accelerating the acceptance of telemedicine in India. ORS Patient Portal Ateriya, N. Parents of the adolescents were also counselled online regarding positive parenting techniques, handling their stress, and monitoring the behaviour of their wards. , Department of Community Medicine, Telemedicine in India: Where do we stand? , Aims: This study aimed to understand the perceived advantages and disadvantages of telepsychiatry practices in India. It outlays the broad principles and the seven elements essential to have teleconsultation (Board of Governors in supersession of the Medical Council of India,2020b). The infrastructure of the teleconsultation room should create an environment that a llows nursing professionals to use technology in offering care to patients in remote areas. After releasing the guidelines, the telescreening of the public for COVID19 symptoms is being advocated by the government of India. pris en charge. (2018). From April 2020 to August 2021, 250 adolescents were given therapeutic and follow-up telehealth services. Another telepsychiatry project in India by Thara et al. It has many advantages and disadvantages. The government of India has also launched its telemedicine service, eSanjeevani (National TeleConsultation Service, Ministry of Health and Family Welfare,2020). This breaks the boundaries by enabling doctors to provide services and patients to avail themselves of services in states other than their residential ones. Restricted scope, lack of training material on telemedicine principles, lack of a dedicated governance mechanism, and the haziness over the jurisdictional authority of state medical councils are the limitations. , & All communications between psychiatrist and patient shall be documented and filed in the patients medical record, similar to traditional record-keeping policies and procedures. Telemedicine practice guidelines and telepsychiatry operational guidelines, indiaA commentary, India's Mental Healthcare Act, 2017: Content, context, controversy, International Journal of Law and Psychiatry, Enabling Delivery of Essential Health Services during the COVID 19 Outbreak: Guidance note Background , Further revisions and finetuning of the guidelines addressing the above concerns should be taken up as the next step in the telemedicine governance of India. PSSMHS Helpline - NIMHANS , The guidelines clearly state that telemedicine should not be used for invasive or surgical procedures or for treating patients outside the jurisdiction of India. World Med. La telemedicina es la prestacin de servicios de salud a distancia, mediante el uso de las TIC. List A: These medications are those which can be prescribed during the first consult which is a video consultation and are being represcribed for refill, in case of followup. This was incidentally a complaint that their parents would also endorse that during online classes, these youngsters would be engaged with another online game or application at the same time. Bengaluru Adolescent Care and Counselling Centre is a private establishment providing comprehensive healthcare services to adolescents and young adults for 16 years. This is not possible over telemedicine; thus, a liaison with an accessible medical setup must be ensured for timely monitoring. In case of the presence of new symptoms which are not in the same health condition, it is not considered a followup. . Through this portal, a free telemedicine service called eSanjeevani can be accessed. Reaching the unreached: providing quality care to HIV-infected children through telemedicine-an innovative pilot initiative from Maharashtra. . National Initiative for Telehealth Guidelines All reported studies/experiments with human or animal subjects performed by the authors have been previously published and complied with all applicable ethical standards. Around three forth participant (75.45%) received proper and needful treatment for health problems and 83.53% participants were satisfied with telemedicine consultation process. Retrieved May 29, 2021, from. (2020). 1Bengaluru Adolescent Care and Counselling Centre, No. FOIA The current doctor/patient ratio in India is 0.62:1000 compared to that recommended by the WHO as 1:1000. The .gov means its official. Safe & structured video based clinical consultations between a doctor in a hospital and a patient in the confines of his home are being enabled. A physiologist in the Netherlands, Willem Einthoven, made recordings of electrical cardiac signals of a patient more than a kilometer away with a string galvanometer by using the telephonic transmission (Barold,2003). Methods: A randomized open-label, parallel arms, controlled trial was conducted in two diabetes centers in Italy. NIMHANS - National Institute of Mental Health and Neurosciences Telemedicine is the delivery of healthcare services from a distance, by use of information and communication technology. However, it is prudent to obtain permission from the parent for anyone below 18years, given the existing definition of minor in the Mental Health Care Act, 2017 [38]. Aravind, G. P. Las pautas han detallado la elegibilidad para practicar Telemedicina en India, los modos y tipos de teleconsultas, profundizado en la relacin mdicopaciente, consentimiento y protocolos de gestin, y tocado los aspectos de seguridad y privacidad de datos de Teleconsulta. and transmitted securely. This chapter introduces usage of telemedicine consultations in daily clinical practice. Thus, it provides for shared decision making between the patient and the healthcare provider in terms of utilizing the services. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Observations of activity and behaviour were difficult, and hyperactive toddlers would often go out of the frame. Me connecter. Ointments/lotion for skin ailments: ointments clotrimazole, mupirocin, calamine lotion, benzyl benzoate lotion, etc. Geneva: WHO. In particular, the side effects such as behavioural activation with selective serotonin reuptake inhibitors, extrapyramidal side effects with antipsychotics, and blood pressure changes with clonidine should be watched. 2021;12. According to the guidelines, parental consent is not essential for an individual above 16years [12]. Inpatient Care Patients will be admitted for either for detailed evaluation in case of diagnostic uncertainty, or for drug optimization. However, there have been no dedicated statutory regulations or guidelines of any sort, specific for telemedicine practice and allied matters, in India. Tele MANAS Toll Free Number -14416 IVRS Based Telephone Outpatient Services Overall-NIRF-2022-NIMHANS NIMHANS Psychosocial support and mental health services helpline Video Link: DO'S & DON'T'S OF WEARING MASK Video Link: Adherence to safety precautions post COVID 19 Vaccination National Epilepsy Day - 8th Feb 2021 "Attention" Ex. The prescription can be shared online with the patient. Board of Governors in supersession of the Medical Council of India Online Appointment for Patients - NIMHANS Currently, 45% of the population has internet connection, and 79% has a mobile phone connection [3]. (Professional conduct, etiquette and ethics regulations), 2002, The National Medical Commission Act, 2019 Saraf, A. the contents by NLM or the National Institutes of Health. The State of Maharashtra on 25 July, 2018 For psychotherapy, the ethical and legal responsibilities and requirements laid down by the Indian telemedicine guidelines are similar to those for face-to-face therapy. Injectable medicines cannot be prescribed to the patients, The medical records should be kept confidential, RMP is not legally liable for the breach of online data due to technical errors, All RMP should undergo a specialised training in telemedicine. Journal of Family Medicine and Primary Care, COVID19 National Teleconsultation Center According to the IT Act, the patient's consent must be taken before collecting data from him/her (Ateriya et al.,2018). However, it is also clearly stated that these guidelines are not applicable for using digital technology to conduct surgical or invasive procedures remotely. Telemedicine was initiated in India in 2001. The prescription of psychiatric medicines is also an area of concern. The Indian Medical Council code (Professional Conduct, Etiquette and Ethics Regulation,2002) was amended by introducing clause 3.8 in 2020 by permitting telemedicine consultations by RMPs under the telemedicine practice 2020 guidelines in Appendix 5. Kichloo, A. Connect Us. , Unsere Kernkompetenz ist die Planung von Informations- und Kommunikationssystemen und deren Integration in bestehende Prozesse. sharing sensitive information, make sure youre on a federal Several children and adolescents require psychotropic medication alongside psychosocial interventions to manage their behavioural and emotional problems adequately. The objective was to test the feasibility and the efficacy in the improvement of the glycemic control of the teleconsultation for patients with type 1 diabetes mellitus. government site. 10.1016/b978-0-12-815310-9.00011-3. Recently, 45 rural health centres were connected to 15 specialized hospitals for eye, cardiac, and cancer care services via telemedicine. The National Institute of Mental Health and Neurosciences (NIMHANS) has also issued guidelines for tele-psychotherapy, telepsychiatry social work practice, in addition to telepsychiatry. Interventions that were successfully delivered included functional behavioural analysis for management of behavioural problems and training parents to coach their children to develop new skills in different developmental domains. Specialized projects such as National rural telemedicine network, National medical college network, among the medical colleges across the country, and National Cancer Network (ONCONET) are being implemented in India (Chellaiyan et al.,2019). Triage of COVID patients: Teleconsultation was used to triage patients of COVID and for management and follow-up of patients in home isolation [, Ophthalmology: In the pre pandemic era, telemedicine was used to screen and triage high-risk babies for retinopathy of prematurity in rural areas [, HIV care: Through a paediatric HIV telemedicine initiative, high-quality care was effectively provided to a rural population of children with HIV [, Paediatric surgery follow-up: Telephonic calls were found to be effective in follow-up of patients who had undergone surgery just before the lockdown. The module for children from 5 to 10years of age was 30min in duration and focused more on asanas, mantra chanting, and yogic games with a small component of pranayama such as right and left nostril breathing and humming breath. 2021;15. As clients were initially unaware that teleconsultations were now possible, we had proactively reached out to families who were due for routine follow-up, obtained consent for a teleconsultation, and conducted the same. In 2014, India launched the national health portal. , It has also designed and released the Operational Guidelines for practicing Psychiatry, Psychotherapy, Social work consultations and Nursing in collaboration with respective Departments at the Institute. Koppe G, Meyer-Lindenberg A, Durstewitz D. Deep learning for small and big data in psychiatry. The timing is of particular interest, as it was immediately a day after the nationwide lockdown to contain COVID19 was announced. The project COVID19 National Teleconsultation Centre (CoNTeC) has been conceptualized by the Indian Ministry of Health and Family Welfare and has been implemented by the All India Institute of Medical Sciences (AIIMS), New Delhi (COVID19 National Teleconsultation Center & AIIMS New Delhi,2021). Tlconsultation Malakoff Humanis . Tlconsultation est un service de consultation par tlephone ou video avec des professionnels de la sant. Subsequently, a centralized IVRS phone line was set up so that children and families could reach out and request a follow-up teleconsultation according to their convenience. They should have also qualified in an online course on telemedicine within 3 years of the notification of the guidelines for legally practicing telemedicine. Kumari J, Jat KR, Kabra SK. HosurRoad,NIMHANS, The Gazette of India: Extraordinary COVID19 National Teleconsultation Centre (CoNTeC) has been initiated, which connects the doctors across India to All India Institute of Medical Sciences (AIIMS) in realtime for accessing expert guidance on the treatment of the COVID19 patients. HHS Vulnerability Disclosure, Help Neuro Science Faculty Buiding, Tele-yoga for stress management: Need of the hour during the COVID-19 pandemic and beyond? , Chellaiyan, V. G. The teleconsultation market in March 2020 was $26 million which grew to $163 million in March 2021.. During the first wave of COVID 19 pandemic, it has contributed in designing the Telemedicine Practice Guidelines 2020 along with the Ministry of Health and Family Welfare, Govt. Raposo, V. L. Singh, J. Furthermore, these services are also being used for providing psychiatric care to people in quarantine and those infected with COVID-19. Leroy, Z. List O and A drugs can be prescribed during the first consultation through video consultation only. A shared care model was followed by paediatric oncologists by partnering with local healthcare facilities and guiding them regarding chemotherapy, blood product infusion, and management of complications [, Nephrology: Telehealth services via video and audio consultation were used successfully to follow up children with chronic kidney disease, and a few new cases were diagnosed with high caregiver satisfaction [, Diabetes care: Telemedicine services were used for triaging, follow-up, parent education, and health education of children with diabetes mellitus [, Human and Animal Rights and Informed Consent, Telemedicine, Telepsychiatry, Teleyoga, India, Pandemic, Children and adolescents. The State of Maharashtra on 25 July 2018,2018). Online Teleconsultation: Telehealth and Telemedicine - ACKO It also allows for asynchronous consultation, wherein the availability of patients and RMPs for a realtime teleconsultation may not coincide. . Se ha iniciado el Centro Nacional de Teleconsulta COVID19 (CoNTeC), que conecta a los mdicos de toda la India con el Instituto de Ciencias Mdicas de toda la India (AIIMS) en tiempo real para acceder a la orientacin de expertos sobre el tratamiento de los pacientes con COVID19. Thara R, John S, Rao K. Telepsychiatry in Chennai, India: the SCARF experience. Teleconsultation services with MSH International. New Delhi. The term Telemedicine coined in the 1970s means Healing at a distance literally (Strehle & Shabde,2006). (2014). Doarn, C. R. Abraham SE, Jasti N, Bhargav H, Galagali PM, Varambally S. Design, validation and feasibility of a tele yoga module for adolescents well-being. Select Hospital AIIMS, New Delhi. Department of Community Medicine & Family Medicine, NIMHANS is the first institute in India to start a helpline inclusively for Psychosocial support and mental health services during disasters. Teleconsultation was seen as a reasonable alternative to referral, as patients and caregivers felt that it integrated the GP's knowledge of the patient and the cardiologist's subject expertise. Trends in the Use of Telehealth During the Emergence of the COVID19 PandemicUnited States, JanuaryMarch 2020, MMWR. In general terms, for a teleconsultation, it is necessary to have an internet connection, a suitable computer with audio and video capabilities, and transmission devices. Medical education, triaging, referrals, health promotion, and follow-up of paediatric and adolescent medical and mental disorders can be successfully conducted through the tele-mode by trained health professionals. PDF Preparing for Teleconsultation: Guidance for Filipino Clinicians and This is especially so while evaluating children with developmental disabilities such as intellectual disability and autism spectrum disorder. , The digital platform of Indian Academy of Pediatrics conducted over a thousand webinars to train paediatricians regarding latest guidelines of various child and adolescent healthcare issues including COVID-19 protocols [11]. The consultation has also been categorized as the first consult and follow up consult. In the module for children between 10 and 15years of age, sun salutation practice was added (612 rounds), and the asanas were maintained for a longer time (1530s). , The Henry J. Kaiser Family Foundation However, during the interim period, any RMP can practice teleconsultation by adhering to the principles and norms mentioned in the guidelines (Board of Governors in supersession of the Medical Council of India,2021). The links of IAP parenting handouts and webinars were shared with them (https://iapindia.org/guidelines-for-parents/). (2020, May 12). Gulati S, Sengar A. The guidelines have elaborated on the eligibility for practicing Telemedicine in India, the modes and types of teleconsultations, delved into the doctorpatient relationship, consent, and management protocols, and touched upon the data security and privacy aspects of Teleconsultation. Mbarika, V. , Telemedicine practice guidelines in India: Global implications in the wake of the COVID19 pandemic. 80% of surveyed doctors are being consulted using informal means of consultation such as audio, video, texts on various messaging apps. Through telemedicine, health professionals were able to reach the population living in remote areas of the country. Retrieved May 3, 2021, from. Retrieved May 28, 2021, from, Deepa Sanjeev Pawaskar And Anr vs. The Personal Protection Bill, 2018, is yet to be made an Act, thus having gaps in privacy safeguards (Ministry of Health Singapore,2015). Telemedicine practice guidelines in India: Global implications in the wake of the COVID19 pandemic. Global strategy on digital health. The identification details of the patient and the RMP must be established and verified before initiating the medical consultation. The results of this survey were used to design the contents of the adolescent education programs.