Telemedicine in Urology Practice in India During the COVID-19 Pandemic
DOI:
https://doi.org/10.30953/thmt.v10.580Keywords:
Barriers, COVID-19, India, urinary tract infection, urologistAbstract
Objective:
To assess the patterns of usage, perceptions, and barriers related to telemedicine among urologists in India during the COVID-19 pandemic, and to explore the level of awareness and need for training regarding telemedicine among practising urologists.
Design:
Cross-sectional descriptive study.
Methodology:
An online structured questionnaire was developed and distributed electronically to a cohort of urologists across India. The questionnaire collected information on demographics, telemedicine utilisation, awareness of national guidelines, barriers to adoption, and preferred training formats.
Setting:
Nationwide survey conducted through professional mailing lists and urological societies in India.
Participants:
A total of 132 practising urologists responded out of approximately 2,000 invited participants.
Interventions:
No clinical interventions were involved. Data were collected through a voluntary, anonymous online survey. Main outcome measures were rates of telemedicine adoption, levels of awareness regarding telemedicine guidelines, perceived barriers to telemedicine adoption, and preferences regarding training methods for telemedicine practice
Results:
Among the respondents, 53 percent reported not currently using telemedicine in their practice. The principal barriers to adoption were fear of medico-legal liability, uncertainty regarding remuneration, and increased time commitment. Approximately 74 percent of respondents were aware of the Government of India’s telemedicine guidelines. Telemedicine was perceived as most suitable for counselling and patient education, as well as for post-treatment follow-up, but not for management of post-treatment complications. A significant proportion of urologists indicated a lack of formal training in telemedicine and expressed a preference for structured learning platforms and live online sessions with experts.
Conclusions:
There is good awareness among Indian urologists regarding the benefits of telemedicine. However, adoption remains limited due to medico-legal concerns and financial uncertainties. Addressing these barriers through appropriate legal frameworks, structured training programmes, and financial models could facilitate wider integration of telemedicine into routine urology practice in India.
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References
N, Cornell M, Wheatley B, Munley N, Seeley M. Looking Through a Different Lens: Patient Satisfaction With Telemedicine in Delivering Pediatric Fracture Care. JAAOS: Global Research and Reviews. 2019 Sep;3(9):e100.
Snoswell CL, Taylor ML, Comans TA, Smith AC, Gray LC, Caffery LJ. Determining if Telehealth Can Reduce Health System Costs: Scoping Review. Journal of Medical Internet Research [Internet]. 2020 Oct 19;22(10). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC7605980/
Reinventing Healthcare Delivery With Telemedicine A report by Telemedicine Society of India (TSI) and Practo [Internet]. 2020. Available from: https://www.practo.com/company/insights/practo_tsi_telemedicine_report.pdf
Medindia - Trusted Information on Health & Wellness [Internet]. www.medindia.net. Available from: https://www.medindia.net
eSanjeevani [Internet]. esanjeevani.mohfw.gov.in. Available from: https://esanjeevani.mohfw.gov.in/
Ganapathy K. Telehealth in India: The Apollo contribution and an overview. Apollo Medicine. 2014 Sep;11(3):201–7.
Tele-Ophthalmology [Internet]. Aravind Eye Care System. Available from: https://aravind.org/tele-opthalmology/
Agarwal N, Biswas B. Doctor Consultation through Mobile Applications in India: An Overview, Challenges and the Way Forward. Healthcare Informatics Research [Internet]. 2020 Apr 1;26(2):153–8. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7278514/
Telemedicine Society of India [Internet]. tsi.org.in. Available from: https://tsi.org.in/
Waseh S, Dicker AP. Telemedicine Training in Undergraduate Medical Education: Mixed-Methods Review. JMIR Medical Education. 2019 Apr 8;5(1):e12515.
Roberts MJ, Perera M, Lawrentschuk N, Romanic D, Papa N, Bolton D. Globalization of continuing professional development by journal clubs via microblogging: a systematic review. Journal of Medical Internet Research [Internet]. 2015 Apr 23 [cited 2022 Mar 7];17(4):e103. Available from: https://pubmed.ncbi.nlm.nih.gov/25908092/
Zhang X, Saltman R. Impact of Electronic Health Records interoperability on Telehealth service outcomes . JMIR Medical Informatics [Internet]. 2021 Jul 6;10(1):e31837. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8790688/
Dubin JM, Wyant WA, Balaji NC, Ong WL, Kettache RH, Haffaf M, et al. Telemedicine Usage Among Urologists During the COVID-19 Pandemic: Cross-Sectional Study. Journal of Medical Internet Research [Internet]. 2020 Nov 5;22(11):e21875. Available from: https://pubmed.ncbi.nlm.nih.gov/33031047/
Novara G, Checcucci E, Crestani A, Abrate A, Esperto F, Pavan N, et al. Telehealth in Urology: A Systematic Review of the Literature. How Much Can Telemedicine Be Useful During and After the COVID-19 Pandemic? European Urology [Internet]. 2020 Jun 18;78(6). Available from: https://www.sciencedirect.com/science/article/pii/S0302283820304541
Asklund I, Nyström E, Sjöström M, Umefjord G, Stenlund H, Samuelsson E. Mobile app for treatment of stress urinary incontinence: A randomized controlled trial. Neurourology and Urodynamics. 2016 Sep 9;36(5):1369–76.
Schaffert R, Dahinden U, Hess T, Bänziger A, Kuntschik P, Odoni F, et al. Evaluation of a prostate cancer E health tutorial : Development and testing of the website prostata-information.ch. Der Urologe Ausg A [Internet]. 2018 Feb;57(2):164–71. Available from: https://pubmed.ncbi.nlm.nih.gov/29209755/
Viers BR, Lightner DJ, Rivera ME, Tollefson MK, Boorjian SA, Karnes RJ, et al. Efficiency, Satisfaction, and Costs for Remote Video Visits Following Radical Prostatectomy: A Randomized Controlled Trial. European Urology. 2015 Oct;68(4):729–35.
Segura-Sampedro JJ, Rivero-Belenchón I, Pino-Díaz V, Rodríguez Sánchez MC, Pareja-Ciuró F, Padillo-Ruiz J, et al. Feasibility and safety of surgical wound remote follow-up by smart phone in appendectomy: A pilot study. Annals of Medicine and Surgery. 2017 Sep;21:58–62.
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Copyright (c) 2025 Anbumathi Suriyamoorthy, MBBS, Sunil Shroff, MS, FRCS (UK) D UROL (LONDON), Ciba Vaitheeshwari Baskaran, MBBS, Sanaa Bhadwal, BDS, MBA

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