in some situations we have to use telemedicine as in that pandemic but we need infrastructures and good tools for that , some cases remain in strong need for conventional medicine
1. Telemedicine does not require a physical class room, but all those involved need to have a high speed net for streaming
2. Telemedicine can be scheduled on a convenient time at short notice but the speaker does not get a 'satisfactory' feedback like in a conventional face to face class
3. Telemedicine is good to gather experts across the country, even international, but limited by problems of access / connections / miscellaneous issues
4. Telemedicine can be used for contacting patients in remote areas, guiding management in limited resources situation
As situation changes it is difficult to choose one over the other. Best to be guided by what the situation demands.
There is a difference between a consultation on a mental health issue or a dermatological issue, for example. And even within these two example categories there are big extremes. A tele-medicine mental health consultation may be all a patient needs (or better than nothing because they can't travel). A skin complain my need a detailed image not available on a remote device.
The three axes to consider are
- the different types consultation
- the severity of the condition (and it's context in some care pathway - it might be a catch up consultation to check progress rather than an initial consultation for example)
- the technical capabilities needed (imaging, samples, point-of-care tests). This could be supported at setting where the patient is supported by clinical staff while the consultant is remote.
Hi Indrajit - nice slides. They are "healthcare imaging" focused. Having working in healthcare imaging for over 30 years I am pretty expert in the imaging technologies, and a big fan of the IHE (DCIOM) framework and imaging paradigms. Your slides show this put to good use (though I didn't see a bit discussion on image compression). But I think the original question is wider than imaging. In fact it seems wider than diagnostic services - it asks about "tele-consulting". A medical consultation can be many things and not simply about a diagnostic test/result or interpretation. I notice also the slides take a copy of imaging from the source locations to present through the solution shown - so while this uses opens standards, it is effectively an aggregation approach and not really federating the data in its origina sources. This could become a federated solution if you could get the PACS providers to play ball.