Insight guru • 9m
Coming to this Digital Medical Records: This idea is extensively followed in abroad but the issue with the India is the large population and lack of prior information about the medical history of individuals and surprisingly relaxed cyber privacy rules. This is a workable model but only and only with the help of Govt. There's no other way to do this and if needed to make big it should has the scale similar to the UPI or the software so big to handle similar to the likes of banking system and the major issue, govt should be willing to pay the software for eternity or buy the software and maintain on it own. Both are not possible for the obvious reasons everyone know . However, I'll give the model I think which may work . It should start with govt providing a special number like aadhar to those people who majorly visit govt hospitals and PHCs. Let's take a small village X with 1 lakh population and 2 PHCs . Every individual's medical history should be updated in the digitized record whenever they visit the hospital. Because the doctor won't have the required time at hand always , there should be a person who can read and understand the medical terminology and be able to summarize things, medications,investigations and reports and other medical related history. All the govt hospitals and PHCs have a Medical record department but they are only qualified only to manage the paperwork and not qualified to understand the medical summary and save it on the digital record. If at all the patient comes to hospital anytime, the hospital should enquire the number open it and print a summary to hand over to the doctor who could have a glance and get an idea of what kind of issues patient have, on what medications he was and what investigations were done recently. We often see people do it regularly , carrying large files to the doctor for review. Digitizing records would actually replace that and save the history for eternity .This model is easy to understand if we compare it with banks. They bloody have every transaction record and can give you info about 2Rs transaction we did 5 yrs back. Digitizing medical records is same too but the costs involved are humangous . Also, other issues are tendency of patients to change hospitals frequently , equipping an installation that every hospital is willing to integrate , keeping dedicated records team member who could be trained in summarizing the data and feed the info.Now coming back to our example of Village X with 1 lakh population. See , how difficult it would be to educate the people to know about the specific number and utilize it for the sake of providing this info to hospital. I'm currently working in UK where this concept is working seamlessly just because the govt is willing to spend, every medical personnel was trained to update and a backup team working 24*7 just to work on trouble shoots if there are any.They are integrating AI it so well that I can type the condition and get the relevant medication, tests info on the screen. Not just in developed countries, this is being done by large Indian corporate hospitals too. But as per my information they are using tech in requesting for tests and managing inventory of disposables but no in the medical records yet. Bringing all the corporate hospitals on to the board and creating a common medical record for patients visiting them can be an opportunity because these hospitals has deep pockets to spend and majority of people approaching these hospitals are decently educated . Also, it would be easy for them to employ people required to fill up the records. Idea is workable. Companies are doing it with hospitals and govts who are willing to spend . Also in India , the model is followed by institutions like banks . But for rural population, it would be a wild goose chase
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