The elements of the National Digital Health Mission because of the phasing because of the outcomes and goals that India is looking to achieve, says Dr Julian Sham, Head of Health Business – Asia Pacific & Japan, Amazon Web Services (AWS).
India is progressing in terms of developing a health platform. The important thing to recognize is whilst IT maybe the enabler to delivering care for both providers and patients we have to remember the IT has to serve users and the recipients of care. The top-down plan of the National Digital Health Blueprint and Mission and kind of domain principle that is contained within the things like Think Big, Start small scale fast, The Interoperability, the ability to have open APIS those are different approaches that I have seen these sorts of platforms been developed in the UK on the NHS many years past in Singapore and in Australia in other countries around a lot of times people don’t hold those principles, to begin with, and what is the immediate solution I am giving for which are the big name brands in this.
There is nothing wrong with some of these healthcare IT systems but it is where you are going to use it, how you are going to use it, and what are the recipients and providers, the doctors and the nurses on the ground how are they going to use it. The information you capture what will you use that for because within the hospital environment the depth of the information for particular disease conditions and some others elements of the data that you collect around diagnosis and medication and as lab results very important for other clinicians not in that hospital care environment so if you are in a primary care environment is you are in a community care environment knowing things that have been done in hospital, medication and treatments and operations have been done in the hospital will affect and will impact on the hospital management decisions you make when you look at what other countries done in the past The management of data in the past has prevented the care continuity to be delivered because when we were still on the paper-based system maybe many year ago a patient’s file will be in a locked cupboard somewhere which means that you have to start from the scratch and if the patient is not reliable witness for whatever reason maybe they are confused because of the condition you are not able to get decent medical history so you are relying on imperfect information to do a medical management now to the aims and the goals of National Digital Health Mission not only from the data perspective but all the different components you start small and build fast you don’t let yourself be scared by the enormity of delivery because you can start in some areas and get confidence and the confidence and stakeholder engagement allows you to then ride a wave of enthusiasm and people wanting to do this because they can see the outcome what I mean by that is the ability to share medication information prevents the medication errors and allows you to measure compliance but also potentially you look at the data to look at the efficacy.
Medications that are produced in the countries are the effects for the population that we have here in the Asia Pacific potentially or potentially not so that allows to then look at what else you need to do. The elements of the National Digital Health Mission because of the phasing because of the outcomes and goals that India is looking to achieve It’s going to have a lot more success based on the learning that other countries have had the ability for both public and private partners to come in and provide inputs but also more importantly because there is a patient element, a citizen element, and understanding what the end consumer wants from the health delivery systems that are being put in place.