Professor K Ganapathy – President Apollo telemedicine networking Foundation, President Telemedicine Society of India.
Every 6th person in the world lives in India.
Want to provide Equitable, Sustainable Healthcare for all – thats over 1Billion people…(Personal note – I’ve just returned from India and well I think this is incredibly ambitious, particularly with a multi language, multi religion community that still has a very strong Caste based view on the world. In one of the newspapers while I was there the government said that those living on 20rupees or more a day (thats less than 50c SUD) are not under the poverty line.)
Every 10th patient admitted to hospital is for a preventable issue often with medication mismanagement – WHO report.
Geography has become history. Now where you are is more and more irrelevant.
Angonda – first wii satellite hospital opened by Bill Clinton in 2000.
Apollo centre – oldest, largest telemedicine in south east asia – 115centres, 9 overseas. Over 69,000 consultations.
Child in north India had a serious brain issue – skull deformed, video call was had with the family at their local centre and three specialists who got together in Madras, (thousands of k’s away) and enabled a diagnosis and treatment advice – saved family thousands of rupees and days of travel.
80% of follow up from surgeries are now done via telemedicine.
Resource is relatively inexpensive in India so they have people who go to a patients home to enable evisits, so they set up a laptop and wireless connection on behalf of the patients and this links up to the doctor.
Now providing funding for an African help initiative, so that free telehealth consultations available for 52 countries in Africa to be able to access a cardiac or neurosurgeon and other health professionals – only able to give advice and diagnosis support at present.
Big success has been in being able to link up different students and doctors in areas where access to further education is sometimes not possible.
Big success with hospital on wheels, initial issue with the Wiisat being too big to fit on the roof and getting hit by tree’s as it travelled remotely – not smaller and not too much of an issue.
After a random call from a friend on a train who’s little baby was sick, they realised a tele-consultation can even happen on a train, given 23million indians go by train every day is there a way to put a clinic on the train? Currently in discussions with government to try and make this happen.
This could not have happened without the support of the Indian government and full task force support to create terms of reference and governance.
Professor Ganapathy finished his impressive presentation with these words “In Telemedicine we don’t’ talk about achieving world class, the world talks about achieving Indian class.”
Personal note – Health needs to address more than fixing a problem after it’s happened, e.g I broke my leg, it needs to look to preventative measures and ensuring people have clean drinking water and reasonable sanitation should be part of this too, what I saw in India is that this still has a long way to go, particularly with an ever increasing population that is causing infrastructure to struggle to cope – it would be great if this could be addressed as part of improving healthcare.