Benefits of Telemedicine

Economical development
Development of local economy Employment Introducing telemedicine business

Benefits for the patients

Quick solution of problems and treatment Save times, travel and other expenses Remote monitoring of patient Improved quality of care Reduction of medical errors

Challenges to telemedicine implementation

Policy development Investment opportunities Availability of resources Reliability and costing Apprehension towards telemedicine Lack of satisfactory services

Global picture of telemedicine application

Asian continent European continent American continent African continent

Present status of Telemedicine in Bangladesh

Time Line of Telemedicine in Bangladesh

Present healthcare condition of Bangladesh and the need of telemedicine in Bangladesh

Health Statistics of Bangladesh
Population and Healthcare Statistics for Bangladesh
Items Total Density Urban Rural Dhaka division Dhaka City Corp. Hospitals Hospital Beds Clinics/Nursing homes (private) Pathological laboratories (private) Physicians Nurses Values 144.5 millions 979/sq. km. 36.7 millions 107.8 millions 12.8 millions 7 millions 1683 51044 1474 2174 > 44,632 (> 1 physician per 3125 persons) 30,800

Population

Healthcare facilities

3.3 Drawback of present health system 3.4 Survey on health issues and telemedicine acceptance

Questions

Response (Charhogla,Barisal) 40 Average 04-10 persons/family. Average elementary-graduate. Average 5000-15000 BDT Gastric, fever, cold, blood pressure, physical weakness, cardiac etc. Observe for sudden time.

Response (Palabandha,Jamalpur) 25 Average persons/family. Average graduate. Average BDT 04-09 primary2700-12000

Response around Pabna) 25

(villages Bhangura,

No of participants in the survey Family size Education level Monthly income Major diseases

Average persons/family

3-6

Average primary-H.S.C 3000-15000 BDT Fever, cold, asthma, heart diseases, diabetes, injuries from traffic accidents Normally wait then go to doctor.

Fever, cold, pain, eye. Asthma, skin diseases, diabetics. Go to local pharmacy

What they do when they feel sick

What sort of treatment in initial stage Preferable place for taking treatment

Go to local pharmacy or quack.

Local quack and homeopathic doctor. Local hospital.

Take medication form nearby pharmacy. For serious case go to Rajshahi and Dhaka otherwise visit local doctors Any amount within 500-5000 without any big operation They will prefer it if it is reliable and the cost lies within their means.

Govt. hospital, Private doctor, private clinic.

Ability of spending money for treatment Comments telemedicine on

Depends on diseases.

50-500 BDT

May be an effective service if offered at lower cost than other heath service.

People are not familiar about this service but think that it may be a better system for healthcare service.

Reason for need of telemedicine in Bangladesh Methodology of data transfer

4.3.1 Email and chatting 4.3.2 File sharing 4.3.3 Video conferencing and Screen sharing

Existing mobile network coverage area in Bangladesh

Figure 5.1(a): Network coverage area of Banglalink.

Figure 5.1(b): Network coverage area of Grameen Phone.

5.2 Network capabilities and assessment of telecom link

Figure 5.2: Communication Setup

5.3 Practical experiment on ECG transmission

5.4 Details of the proposed framework

Assessment Survey of Selection analysis Overview ofof and of suitableof Actual construction of Pre-deployment studies A continuous reviewofof target population for Classificationquality ofdeployment plan Outcome: Site-specific Identification available communication individuals to center devices localdemographics, existing telemedicine existing telemedicine the healthcare e-healthcare devices networks identify facilities the medical system of healthcare, telecom needs Bangladesh

Figure 5.5: Flowchart description of the proposed framework.

Figure 5.6: Layout of a complete e-healthcare system for infrastructure and mobile deployments

Proposed System Details and Deployment Scenarios

6.1.1 Patient Telemedicine Unit Doctor unit

6.2 Proposed system and deployment for Bangladesh

6.2.1 Urban area 6.2.2 Rural area 6.2.3 Mobile deployment