The Technical groups worked, and the process involved in developing telemedicine guidelines has been a part of the guidelines in other countries (Intan Sabrina & Defi,2021; Ministry of Health Singapore,2015; National Initiative for Telehealth Guidelines,2003; Province of BC Health Authorities,2014) National initiative for telehealth guidelines was established in Canada to have a more comprehensive consultation and participative process to arrive on the recommendations for telehealth (National Initiative for Telehealth Guidelines,2003). Morbidity and Mortality Weekly Report. We review the growth of telemedicine and psychiatry in India, focus on its role during the pandemic in child and adolescent medical and mental healthcare, and discuss a way forward for its integration in routine medical care in future. Telemedicine has been given legal status in India (The gazette of india: extraordinary,2020). Leroy, Z. Telemedicine: The legal framework (or the lack of it) in Europe. During the lockdowns, the focus of healthcare establishments was on the care of COVID-affected patients. (2021). (2020a). Consult a doctor from home? National Institute of Mental Health and Neurosciences Hosur Road, Near Bangalore Milk Dairy, Bengluru, Karnataka - 5600029 Phone: 080 - 26995000 In the adolescent group, significant improvements were reflected in the sub-domains of hyperactivity, emotional problems, and conduct issues [42]. Telemedicine uses electronic communication and information technology (IT) to support the delivery of healthcare services and medical education to people at a distant site, i.e., to those who are not able to reach the healthcare provider in person (Sood et al.,2007). Disaster Med Public Health Prep. Thus, for preschoolers and children with developmental disabilities, we worked extensively with parents instead of direct behavioural or play therapy with children. Muthukrishnan J, Venugopal N, Basavaraj AP, Bagga G, Jayakrishnan VY, Bharadwaj K, Thoke SV. (2021). The issue came to the forefront when the Bombay High Court delivered a verdict against a doctor couple in a case of criminal negligence, wherein the physician made a prescription without a diagnosis over the telephone (Deepa Sanjeev Pawaskar And Anr vs. , Government of India. , Zelis, C. B. R. , Methods: A randomized open-label, parallel arms, controlled trial was conducted in two diabetes centers in Italy. . (2020, May 12). These guidelines have enabled patients living in rural and remote areas of the country to access healthcare by a registered medical practitioner. 10.1007/s001040050549 Abstract Teleconsultation is a consultation between two or more physicians about the diagnostic work-up and therapeutic strategy in the treatment of an individual case by means of modern telematics. However, there have been no dedicated statutory regulations or guidelines of any sort, specific for telemedicine practice and allied matters, in India. Antall, P. The prescription can be shared online with the patient. Ministry of Health and Family welfare, Government of India. Expert opinion on restoration of pediatric pulmonology services during the SARS-CoV-2 pandemic. It also allows for asynchronous consultation, wherein the availability of patients and RMPs for a realtime teleconsultation may not coincide. 15%-20% of healthcare is expected to shift to virtual care, across triaging, consults, remote monitoring and home health. Even though the guidelines prohibit the advertisement of RMP's about their telemedicine services, the telemedicine platforms invariably tend to advertise or promote them indirectly about their consulting hours, fees, mode of payment etc. Flexibility to alter the list by the competent authority is provided within the document. Disease management, health promotion, research, and medical education fall under the purview of telemedicine. Por primera vez, el gobierno de India public pautas de prctica de telemedicina para mdicos registrados el 25 de marzo de 2020, en medio del brote de COVID19. The term Telemedicine coined in the 1970s means Healing at a distance literally (Strehle & Shabde,2006). Consequently, to consider the uncertainty and preferences in the evaluation process, a method based on Multi-Granularity Linguistic Information (MGLI) for . This is not possible over telemedicine; thus, a liaison with an accessible medical setup must be ensured for timely monitoring. Telepsychiatry Operational Guidelines2020. The technology platforms are supposed to appoint a grievance officer, as mentioned under the IT Act (Ateriya et al.,2018). All patients were asked to visit the clinic for one brief physical consultation to facilitate rapport building and screening for medical disorders. Login for Appointment/ Health Record. ElAmir, Z. The identification details of the patient and the RMP must be established and verified before initiating the medical consultation. 8600 Rockville Pike Bethesda, MD 20894, Web Policies J Glob Health. In addition, due to travel restrictions, routine healthcare services and follow-up care of patients with chronic medical, mental, and neurodevelopment disorders were compromised [4]. Department of Community Medicine & School of Public Health PGIMER, , & Eligibility to deliver Telemedicine, types and channels through which Telemedicine are to be delivered have been elaborated. (2018). 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]. Vous avez dj un compte. Nimhans to head national tele-mental health programme. A total of sixteen such activities were conducted. , & The model was built using some constructs of the technology acceptance model UTAUT2, Personal traits, Availability, and Perceived Risks. On June 11, 2020, the Insurance Regulatory and Development Authority of India (IRDAI) issued guidelines advising insurers to allow telemedicine wherever consultation with a medical practitioner is allowed in the conditions of the policy contract. (2020). The Centre has been a pioneer in the field of mental health since its inception in 2007. , , & This article is part of the Topical Collection on Technology and Pediatrics. Manjunatha N, Kumar CN, Math SB. , Telemedicine has been very effective in providing non-emergency medical healthcare and counselling services and for referring child and adolescent patients to appropriate healthcare establishments during the pandemic. While it can be taken as a start, giving such a leeway to practice without an appropriate channel for instilling the principles of telemedicine, especially when issues of data security and personal data protection are there, may raise legal questions in a court of law. This information could revolutionize the practice of telepsychiatry in providing precise and personalized psychiatric care to clients [40]. NIMHANS Digital Academy has created huge synergies between academicians from tertiary medical institutions and remote health care practitioners in implementing "best practices in addiction and mental health. Aims: This study aimed to understand the perceived advantages and disadvantages of telepsychiatry practices in India. PDF NIMHANS Telenu rsing Practice Guidelines 2020 Explicit mention about CPA is missing in the guidelines. Tl. Retrieved May 28, 2021, from. Following the telemedicine guidelines, e-prescriptions were issued and scanned and sent to families. Chandrasekaran S, Chandrashekar VS, Dalvie S, Sinha A. McCabe, B. It has many advantages and disadvantages. Pataki C, Singhal P, Dastidar AG. Inclusion in an NLM database does not imply endorsement of, or agreement with, 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. The State of Maharashtra on 25 July 2018,2018). Received 2021 Jul 15; Revised 2022 Jan 10; Accepted 2022 Jan 19. Patients may feel that teleconsultation is inferior as it lacks physical human interaction. According to the 'Outpatient Healthcare Market in India' study by Praxis Global Alliance, the total number of consultations in India in FY2021 crossed 4 billion. Matrix of the permissible drug lists based on the type and mode of consultation. 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. However, the limitations in terms of the restricted scope, lack of training material on telemedicine principles for RMPs, lack of a dedicated governance mechanism such as the National telemedicine agency, and the haziness over the jurisdictional authority of state medical councils over professional misconduct remain to be worked out. . , & NIMHANS also developed teleyoga programs for the well-being of children and adolescents. La telemedicina es la prestacin de servicios de salud a distancia, mediante el uso de las TIC. Synchronous and asynchronous telemedicine. But still I-care: tele-ophthalmology during COVID-19 era. Setia, P. It is similar to that of telecollaboration (Ministry of Health Singapore,2015). Due to the pandemic, the services were shifted to the online mode. the contents by NLM or the National Institutes of Health. All records of the patient consultation shall be maintained similar to the inperson consultation. 1Bengaluru Adolescent Care and Counselling Centre, No. [Teleconsultation] - PubMed Most patients and their caregivers expressed satisfaction with telehealth services. What's Brewing. Federal government websites often end in .gov or .mil. 64% of surveyed consumers are willing adopt teleconsultation post COVID-19. Bhaskaran K, Sharma P. Distancing? The results of this survey were used to design the contents of the adolescent education programs. Accessibility QJM. , (2021). Bengaluru: NIMHANS, 2020. The article is a review paper on the guidelines available in the public domain. FOIA Chawla D, Thukral A, Kumar P, Deorari A. Federal government websites often end in .gov or .mil. He has been identified as a National trainer in Induction Module for Community Health Officers to deliver Comprehensive Primary Health Care at Health & Wellness Centres under Ayushman Bharat. The areas and the context where it can be used have been spelled out (Ryu,2012). , All communications between psychiatrist and patient shall be documented and filed in the patients medical record, similar to traditional record-keeping policies and procedures. Tamil Nadu, Apollo Telemedicine Networking Foundation (ATNF) is one among the pioneers of telemedicine globally. He is currently pursuing research cum academic career in the Department of Community Medicine & School of Public Health at Postgraduate Institute of Medical Education & Research, Chandigarh, since July 2019. 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. NIMHANS is the first institute in India to start a helpline inclusively for Psychosocial support and mental health services during disasters. , This article is being made freely available through PubMed Central as part of the COVID-19 public health emergency response. Telemedicine is likely to become an integral part of healthcare services in the post pandemic era. 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. Research on Teleconsultation service quality based on multi-granularity and transmitted securely. Google survey among attendees revealed that morning slot of 7:00 AM to 7:45 AM was the most feasible time to impart these sessions. Similarly, in case of failure of RMP to recall the previous consultation context and treatment, it is not considered a followup consultation (Board of Governors in supersession of the Medical Council of India,2020a,2020b; Dinakaran et al.,2020). These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. 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. The guidelines clearly state that telemedicine should not be used for invasive or surgical procedures or for treating patients outside the jurisdiction of India. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. Manjunatha, N. What is Teleconsultation (Telemedicine, Remote Consultation)