Apollo TeleHealth Services, Chennai, India.
Landmark Group, Bengaluru, India.
Telemed J E Health. 2020 Jan;26(1):42-50. doi: 10.1089/tmj.2018.0300. Epub 2019 Mar 22.
Noncommunicable diseases (NCDs) are a major cause of disease burden. NCDs are a global epidemic and India is no exception. Risk factors contributing to NCDs can be detected before symptoms occur. Screening is an effective tool. Real-time teleconsultation during screening is a value-added service. This preliminary report documents the process and observations during teleconsultations provided in NCD screening camps, across multiple locations in India. That real-time teleconsultations in camp mode make a difference and are relevant in India is discussed. To provide awareness about risk factors of common NCDs such as diabetes, cardiovascular diseases, and anemia, screening camps were conducted. A 22-member field team organizes internet-enabled camps using point-of-care diagnostics. Software was developed to capture participant details and provide decision support to the field team. This resulted in identification of participants eligible for teleconsultations. Participants with risk factors of the targeted NCDs (hyperglycemia and dyslipidemia) were offered teleconsultations during screening. Currently, the program is active across six locations (Bengaluru, Coimbatore, Delhi National Capital Region, Kolkata, Pune, and Vijayawada) in India. Since program inception from August 27, 2015 to October 31, 2018, a total of 757,325 participants have been screened. Twenty-seven thousand three hundred fifty-three participants were eligible for teleconsultations. Thirteen thousand six hundred fifteen availed onsite teleconsultations; 99.8% of the 1409 teleconsultation beneficiaries surveyed were "extremely satisfied and very happy." Providing real-time teleconsultations to 13,615 individuals "at risk" of specific NCDs from six centers across India is doable and well received by beneficiaries.
非传染性疾病（NCDs）是疾病负担的主要原因。NCDs 是一种全球性的流行病，印度也不例外。导致 NCDs 的风险因素可以在症状出现之前检测到。筛查是一种有效的工具。筛查过程中的实时远程咨询是一项增值服务。本初步报告记录了在印度多个地点的 NCD 筛查活动中提供远程咨询的过程和观察结果。讨论了在营地模式下实时远程咨询在印度的重要性和相关性。为了提高对常见 NCD （如糖尿病、心血管疾病和贫血）风险因素的认识，开展了筛查活动。一个由 22 名成员组成的现场团队使用即时诊断工具组织互联网营地。开发了软件来捕获参与者的详细信息，并为现场团队提供决策支持。这导致确定了符合远程咨询条件的参与者。在筛查过程中，对有目标 NCD （高血糖和血脂异常）风险因素的参与者提供远程咨询。目前，该计划在印度六个地点（班加罗尔、哥印拜陀、德里国家首都地区、加尔各答、浦那和维杰亚瓦达）开展。自 2015 年 8 月 27 日计划启动至 2018 年 10 月 31 日，共有 757325 名参与者接受了筛查。27353 名参与者有资格接受远程咨询。13615 名参与者在现场接受了远程咨询；接受调查的 1409 名远程咨询受益人中有 99.8%的人“非常满意和非常高兴”。从印度六个中心向 13615 名“有特定 NCD 风险”的个人提供实时远程咨询是可行的，并且深受受益人的欢迎。
