Chandigarh: About 20 per cent of the sick babies out of 78 cases, which would have been managed at a secondary care level and were referred to the PGI, had been referred back to the GMSH-16 in the past five months. This has been possible with the tele-paediatric intensive care unit (PICU) model, which was started last year during COVID-19.
As a hub and spoke model, the PGI provides teleconsultation through an online platform and virtually helps doctors to manage most of the paediatric cases without sending them to the PGI.
“Out of 78 documented consults in about five months, 22 children were referred to the PGI. About 16 children were back referred from PGI to GMSH-16,” said Prof Arun Bansal, advanced paediatric centre, PGI.
Using this model, the PGI helps the GMSH-16 to run their five-bedded PICU. The PGI has 16-bedded PICU at a given point of time and is 300per cent occupied. “This system has helped us manage cases well which need tertiary care-level treatment. We are thinking of upscaling this model to other hospitals in the city,” said Prof Jayashree Muralidharan, emergency in-charge, Advanced Paediatric Centre, PGI.
The system uses ‘e-sanjeevani’ online portal developed by CDAC that enables connecting with GMSH-16 doctors. Also, it makes bed availability easy for the patients as the doctors prior to referring the patients, discuss the case that needs immediate treatment. “It saves our time as we know the case that is seldom known in most cases referred unnecessarily,” said a faculty t the PGI.
The PGI has been trying to handle cases that come from adjoining states of Punjab, Haryana and HP. However, despite asking the periphery to strengthen their infrastructure and send only complicated cases to the PGI, the institute has been seeing all kinds of patients. “If this model can be applied to the city, the same may be emulated for the neighbouring states. Use of technology can reduce the unnecessary referrals,” said Prof Bansal.