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आरोग्यसेवा प्रवेश, गुणवत्ता आणि रुग्णांचे परिणाम वाढविण्यात डिजिटल आरोग्य आणि टेलिमेडिसिनची भूमिका: २१ व्या शतकातील आव्हाने आणि संधी

परशुरामकर, नामदेव शीवा

Abstract

सारांश: २१व्या शतकात डिजिटल आरोग्य तंत्रज्ञान व टेलिमेडिसिनच्या अवलंबामुळे आरोग्यसेवा पुरवठ्यात मोठ्या प्रमाणावर परिवर्तन घडले आहे. या नवकल्पनांमुळे आरोग्यसेवेचा प्रवेश वाढवणे, गुणवत्ता सुधारणे आणि रुग्णांचे परिणाम अधिक प्रभावी बनवणे शक्य झाले आहे, विशेषतः दुर्गम व वंचित भागांतील लोकांसाठी. टेलिकॉन्सल्टेशन, मोबाइल आरोग्य अनुप्रयोग, परिधान करता येणारी उपकरणे आणि इलेक्ट्रॉनिक आरोग्य नोंदी यांसारखी साधने वेळेवर निदान, सातत्यपूर्ण देखरेख आणि वैयक्तिकृत काळजीसाठी उपयुक्त ठरतात. तरीदेखील पायाभूत सुविधांची कमतरता, नियामक अडथळे, डेटा गोपनीयतेबाबतची चिंता आणि डिजिटल साक्षरतेतील असमानता या आव्हानांमुळे त्यांचा व्यापक अवलंब कठीण बनतो. त्यामुळे या क्षेत्रातील विद्यमान भूमिकेचे मूल्यमापन करून आणि तांत्रिक प्रगतीचा योग्य लाभ घेत अडथळ्यांवर मात करण्याची संधी उपलब्ध आहे. यामुळे आरोग्यसेवा प्रदाते अधिक समावेशक, कार्यक्षम व रुग्ण-केंद्रित काळजी प्रतिमान तयार करू शकतात, ज्यामुळे अखेरीस जागतिक स्तरावर आरोग्य परिणाम व समानता सुधारता येऊ शकते.

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Journal of Research and Development Peer Reviewed International, Open Access Journal. ISSN : 2230-9578 | Website: https://jrdrvb.org Volume-17, Issue-10(I)| October2025 52 󰫰 󰭈, 󰰌  󰰈󰫰 󰲐 󰫼  󰫰   :  󰱿  󰬋   .    󰬇 󰭈󰬀 (  ) . 󰭅  󰱳, 󰲆. 󰰣 󰱳,  (.) [email protected] Manuscript ID: JRD -2025-171010 ISSN: 2230-9578 Volume 17 Issue 10(I) Pp. 52-58 October 2025 Submitted: 12 Sept. 2025 Revised: 22 Sept. 2025 Accepted: 06 Oct. 2025 Published: 31 Oct. 2025 : 󰱿   󰫰 󰭃󰫥  󰫳  󰫰 󰱚 󰱚 󰭈 󰲐󰫦  .  󰬉 󰫰 󰭈 , 󰰌   󰰈󰫰 󰲐  󰭈  󰫮  ,  󰫦    . 󰬁󰬉,  󰫰 󰭈, 󰲐     󰫮󰬾 󰫰 󰰣    , 󰫽󰫦   󰱇  󰱇 .    ,  ,   󰲓   󰫤   󰬋 󰫽 󰱿   . 󰫽  󰫤󰭃 󰱳  󰬉 󰰉  󰭃 󰭈 󰫰   󰬊  󰫼  󰬄 .  󰫰 󰭈  , 󰫦󰫤  󰰈󰫰-󰰗󰲑󰭅  󰭈  󰰉 , 󰫵   󰬎 󰫰 󰲐     . 󰫯 󰬄:  󰫰, , 󰫰 󰭈, 󰰈󰫰 󰲐, 󰫰 󰰌, 󰫰 󰭃󰫥 󰲐: 󰱿  󰭃󰫥󰫳 󰱘 󰬉 󰫽󰬴 󰫰 󰫳 󰬎󰰉 󰬶   . ,  󰫰 󰭈, 󰫮󰬾 󰫰 󰰣 (EHR), 󰲐      󰭃󰫥󰲐     󰫰  󰫰 󰭈, 󰰌  󰰈󰫰 󰲐 󰫼 󰰍   .   󰫰 󰱿 󰬎 󰬉 , 󰰈󰫰󰫳 󰬎 󰫤    󰬎󰫤  󰫮  .  , 󰬎  - 󰲗󰫦 󰬊 󰭈   . - 󰫯    󰭃󰫥 󰰍    , 󰬎 󰫰  󰬌 Quick Response Code: Website: https://jrdrvb.org/ DOI:10.5281/zenodo.17112901 Creative Commons (CC BY-NC-SA 4.0) This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International Public License, which allows others to remix, tweak, and build upon the work noncommercially, as long as appropriate credit is given and the new creations ae licensed under the idential terms. Address for correspondence: .   ,󰬇 󰭈󰬀 (  ). 󰭅  󰱳, 󰲆.󰰣 󰱳,  (.) How to cite this article:   ,(2025). 󰫰 󰭈, 󰰌  󰰈󰫰 󰲐 󰫼  󰫰   :  󰱿  󰬋  , Journal of Research & Development, 17(10(I)), 52-58 Original Article Journal of Research and Development Peer Reviewed International, Open Access Journal. ISSN : 2230-9578 | Website: https://jrdrvb.org Volume-17, Issue-10(I)| October2025 53 󰭐  . 󰫰 󰬶   󰫯 󰫰  󰬄 󰰉 󰫼  󰫦󰫤    . 󰲐-  , 󰱇 󰫰   󰭈 󰬂󰫦󰫳 󰬇  󰫦 󰫦  ,  󰫽    󰰈󰫰󰰗󰲑󰭅 󰲆 󰬀 .  󰭈 󰭃󰫥 󰫰  󰬄    ,    󰲂󰫦  󰲐 .,  󰭈 󰭃󰫥 󰱿    󰬋   .   ,  ,   󰲓  󰰈󰫰  󰭈󰫽  󰫤   󰰍  . ,  󰭃 󰱮󰰌   󰲛󰰩 , 󰫦  󰱿󰬎  󰫦- 󰭈     󰬉󰫳  󰬄 . 󰫽  󰫰  󰫳 󰬇 󰫰 󰭈, 󰰌  󰲐 󰲓󰱮 󰰉  󰫰 󰭈󰰎󰬀  󰬁󰬇, 󰫦󰫤  󰰈󰫰󰰗󰲑󰭅 󰭈 󰫦 󰫼 󰫤 .  󰲑󰱯󰲆: )  󰬶    󰫰 󰬀 󰭈 󰫼  󰫰    . ) 󰫰  󰫼󰫳 󰰌  󰰈󰫰󰫳   󰫰 󰭃󰫥󰫳 󰭈 󰬉 . )  ,    󰫳 󰬎    󰫰  󰱿  󰫼   󰭈 󰬋 . )  󰫰  󰭈󰰎󰬀  󰫰     󰭈 󰫼     . ) 󰱳 󰬊 󰰣   󰫰  󰬎 󰬎 󰫼 󰰘, 󰫰  󰭈  󰭃󰫥   󰭈 . 󰫽 :   󰫰 󰭈, 󰰌  󰰈󰫰  󰫼  󰫰   󰲐󰫦   .  ()     󰲒   󰬊  󰰉 󰰈󰫰   ,  󰫦 󰫳 󰱿󰬎, 󰫤󰫽 . 󰫽󰭈,  ()   󰲑 󰲒   󰫼      󰫯 󰫰  󰭈󰫰 . 󰲑 ()   ()  󰫮󰬾 󰫰 󰰣,  󰫰 󰭈  󰬎  󰫯  󰫰 󰭃󰫥 󰰌  󰱿󰬎   󰫮 󰬎󰫤 󰫮   󰰌  󰰈󰫰    ,  󰭈 . ,   󰬋 󰱳  . 󰭅 ()   󰲑  󰲒 󰫦   󰬉  󰫰 󰱳    ,  󰬴 ()        󰱿  󰭈  󰬉  .  󰫰󰫳  󰰎󰬀   󰱨 󰫰 󰫤  (󰲑󰫸󰲐󰬾, )  󰫦 󰰈󰫰   󰭈󰫰 󰬂󰫦   (, )   . 󰭃 ,  󰬀 󰬎󰲆  󰲒  󰫰  󰬀 󰫰 󰬴  󰫼 󰭈 󰫤 ; 󰭃 󰫽  󰫦 󰬀 󰫼 󰫽    󰫽󰬌 .  󰱮:  󰬀 󰫰 󰭈, 󰰌  󰰈󰫰 󰲐 󰫼  󰫰  󰫳   . 󰬀 󰫽  󰫦󰫽  󰲆   , -󰲐󰬋󰬏 󰬉 󰫦󰬉,     󰬎 󰬇   󰫼  .   󰫦 󰫼  󰲄  󰫽 󰲄   .  󰱿  󰫰 󰭈, 󰰌  󰰈󰫰 󰲐 󰫼  󰫰   :  󰫰   󰱿  󰫰  󰬶    . 󰫮󰬾 󰫰 󰰣 (EHR),  󰫰 󰭈, 󰲐     󰭃 󰱮󰰌 󰫳 Journal of Research and Development Peer Reviewed International, Open Access Journal. ISSN : 2230-9578 | Website: https://jrdrvb.org Volume-17, Issue-10(I)| October2025 54 󰬇 󰰈󰫰 󰬎 ,    󰫮  .  󰭃󰫥 󰬶 󰲕   󰰈󰫰 󰬎 󰫵󰫥  󰫰 󰭈 ,  󰰈󰫰  󰫰 󰭈󰰎 󰭈    󰫦  .  󰫰 -󰲐 󰫦 󰭈󰲑󰬴󰱨 󰫰 󰰌 . 󰫮 󰰈󰫰 󰬎  󰬄 󰰉 , 󰫽    󰱇    󰫮 .  󰱳󰲒 󰲆   , 󰱳󰲒      󰫽 . 󰬎 󰰈󰫰 , 󰲐     󰬉 󰬂󰫦 󰰈󰫰  󰫤  ,  󰬎󰫤 󰫮   󰫦  󰱿󰬎  󰲐  . 󰫰 󰭈󰫽   , 󰰈󰫰     󰫽 󰲀 󰰉 󰫰 󰲐 󰫽 󰭈 . 󰫰 󰭈  󰲐    󰫼    󰫼 󰭈󰫽 ,  󰬍 󰲄 󰱿 󰫰󰫮 󰰈󰫰  󰭈󰫽 󰫦 . 󰬋󰫳󰫦 󰬉󰰎  󰫦󰬀 󰰈󰫰  ,    󰲂  . ,   󰭈, 󰬎 󰫦󰫤 ,   󰫤 󰲓,    󰰈󰫰  󰭈󰫽 󰫦󰲑  󰫤, 󰲐 󰲕 󰭃󰫥 󰲂  󰬋  󰫰  󰫳 󰱿  󰰍  ., 󰱳󰲒 󰭈󰫤  󰬎 󰭈󰲑󰬴󰬀 󰭃 󰱮󰰌,  , 󰬋󰫳󰫦 󰲐  󰰗 󰲐 󰫯 󰭈 󰭃󰫥󰫳 󰭃 󰱚  .  󰫯󰰩 󰫰    󰭈󰬀  󰬂󰫦 󰲒    󰬎 󰫰  󰰉 . 󰫽    󰬀  󰬉  󰫰 󰲂   󰫦 󰫰 󰭈, 󰰌  󰰈󰫰 󰲐  󰲓󰱮 . 󰫰  󰭈 :  󰫰 󰭃󰫥 󰫰 󰭈 󰫼 󰲐󰫦   ,  , 󰬶  󰫦 󰬀  󰱳󰲒   󰫵󰫥 󰱿  . 󰫦,  󰰈󰫰 󰬋 󰬉, 󰬀  󰲕 󰫤  󰬂󰫦󰱨 󰫰 󰭈  󰫵󰫥 󰫦  󰫮 .   󰬉󰬉󰫳 󰭈   ,  󰲗󰫦,   󰲐󰬍󰱘 󰬋󰫽  ,  󰫦  󰬉 󰲕 󰰎󰬀 󰫦 󰬉 󰰈󰫰.󰬁󰬉󰫳  ,  󰬉 (mHealth) 󰭈 󰰈󰫰 󰫽 󰫰 󰲑󰬴 󰱿󰬎 󰫼 󰬌  󰬄 󰰉 .  󰬂󰱨 󰰗 󰲕,   󰲕 - 󰰎 󰬎󰭃, 󰫤 󰰣  󰱇 󰫰  󰫤     . 󰰈󰫰 󰫰   󰬎-󰱿󰬎 󰬀  󰭈   󰬉 󰫽 󰫽󰫳  󰭃 󰫼,    󰫼   󰫦 󰫼 󰫤 . ,  󰫰 󰭃󰫥 󰭈󰫽    󰬎󰫤    󰭈 . 󰫦, 󰬎   󰰈󰫰󰫳 󰰍󰫳 󰫤    󰫰 󰭈󰫽 󰲐󰬎  󰫼󰰏 󰱿 󰫰󰫮󰱯 󰫦 , 󰫵   󰰈󰫰  󰫼   . 󰫦 󰫰    󰭃󰫥  󰰉 󰱿 󰫯󰰩    ,  󰭈     󰱮󰰎  󰭈󰲐 󰰉 .󰭃 , ,  󰬉 󰭈  󰬎  󰭈 󰰈󰫰  󰫰     .  󰭃󰫥   -󰲗󰫦   󰰉 󰫰     󰱿 󰫯 , 󰱍-󰰌 󰱳󰲒  󰰏󰫤   󰬄 󰰉 . 󰫰 󰰌 :  󰫰   󰬉 󰫰 󰬀 󰬁,   󰫮 󰫦 󰭈󰲑󰬴    󰫰 󰰌 󰫤󰫽  . 󰫮󰬾 󰫰 󰰣 (EHRs) 󰰈󰫰󰫳  󰰗󰭅  󰬆 󰫦 , 󰫵 󰰈󰫰󰫳 󰬀  󰬉 󰫦  󰫰 󰱿 Journal of Research and Development Peer Reviewed International, Open Access Journal. ISSN : 2230-9578 | Website: https://jrdrvb.org Volume-17, Issue-10(I)| October2025 55 󰱳󰲒 ,  ,      󰬄 .  󰱳󰲒    , 󰫼 󰲕 󰭈󰲑󰬴 󰰌     󰭈󰫽󰬀  󰫰 󰫤󰭃󰬀  󰫽 .  󰬂󰫦  󰬎󰫤 󰫤 󰰉 󰫰󰫳 󰰌   ,  󰭐 󰲕 󰫦  󰬉 󰰈󰫰. 󰬎 󰬉 󰲑󰫽 󰰈󰫰󰫳 󰫤 󰫤 ,  󰫽󰲐    󰭈󰫽󰫤 󰰎     󰫦󰫦  󰫮 . ,  󰫰  󰫮 󰫦 󰫦 󰭈󰰎󰱨 󰱿 󰲐 󰫦 󰫼  ,  󰬀󰫳 󰱳󰲒  󰲐 󰫦, 󰬎󰭃   󰫦󰫦 󰰍 󰬄 󰰉 󰲑 .  󰫰 󰭃󰫥 󰰀󰱳 󰬀 󰫦  .  󰲐 󰫵󰫥 󰰈󰫰󰫳 󰰣󰰎  󰰉 , 󰲓   󰰉   󰱇 󰱇    , 󰫵    󰫽 󰲐 . , 󰲐 󰲔 󰬋   󰭃󰫥 󰫽󰫳 󰫤  󰫳 󰭈       󰫦 󰫼󰰏 󰲑󰬴 󰬎󰫤 󰫮 .   󰰉, 󰱿 󰲐 󰱳󰲒 󰫦    󰲐- 󰲔 󰫤 󰰉,  󰫰  󰰈󰫰 󰫤 ,  󰭈     󰲂󰫦, 󰰈󰫰-󰰗󰲑󰭅 󰫰 󰭈  . 󰰈󰫰 󰲐    󰫰 󰭃󰫥  , 󰫽󰫦   󰫰 󰬎 󰲑󰬴 󰱿󰬎 󰫤 󰰉 󰰈󰫰 󰲐 󰫼 󰰍󰫦  . 󰲐 󰫼󰫰   󰲐 󰲔 󰭈 󰲐-󰬀 󰰍󰫳 󰬁, 󰲐 󰲑󰬴, 󰫳 󰬁   󰫰 󰰘  , 󰫵   󰫽󰲐  󰫼   󰫼 󰲑󰫽 󰬉  . , 󰱍 󰱇 󰲕 󰰂 󰫯 󰫦  󰬉 󰰈󰫰     󰬎󰫤 󰫼  , 󰫵 󰰈󰫰  󰫼    󰭈 󰫤󰫽  .  󰬉 󰰈󰫰 󰲐  ,   󰰈󰫰  󰫰 󰭈󰫽󰬀  -  󰫽󰫦  󰫮 .  󰬋󰫳󰫦 󰰎 󰰈󰫰 󰫦󰲐   󰫼, 󰫳   󰫦󰫦 󰫼  󰬌   󰫼  . 󰫽󰫦  ,  󰰈󰫰 󰫽󰫳 󰫰 󰱿󰬎 󰲑󰬴  󰫼,   󰬎󰫼    󰫼 󰭈󰫽 . 󰱿󰲐󰱇,  󰫰  󰭈󰫽    󰬎󰫤   . 󰬍 󰲄  -󰫤 󰬂󰫦 󰱍  󰬉 󰰈󰫰  , 󰫵 󰲑󰫽 󰬐 󰭈󰫽    .  󰫰 󰬂   󰬂󰫦 󰰈󰫰 󰫤󰱨  󰱿󰬎, , 󰱿   󰫰 󰰉 , 󰫵 󰫦 󰬉 . 󰲐- 󰲔, 󰲑󰬴 󰬎󰫤  󰰈󰫰  󰭃 󰰉,  󰫰 󰭃󰫥  󰫮 󰲐 ,       󰰌 .  󰫰 󰭈󰲑󰬴  󰲑󰬴, 󰰈󰫰-󰰗󰲑󰭅 󰭈󰬀 󰰉󰲐    󰱇  󰫯 󰫰 .  󰬋:  󰫰        󰬋 󰱳  . 󰬶   󰫽󰱷 󰬉 󰭈󰬀   󰫮󰬋  󰭃  󰫳 󰫦  󰰍  ,  󰱳 󰫰   󰭐  .     ,    󰬀  󰫦 ,  󰬉 󰫦󰲑    󰬋   .  󰬂󰫦  󰫰  󰭈       󰫤 󰲓 󰫦 , 󰫵 󰰈󰫰  󰫰 󰬎  󰫦 . 󰲐 HIPAA (Health Insurance Portability and Accountability Act) 󰲕  󰬀 GDPR (General Data Protection Regulation) 󰫯  Journal of Research and Development Peer Reviewed International, Open Access Journal. ISSN : 2230-9578 | Website: https://jrdrvb.org Volume-17, Issue-10(I)| October2025 56     󰬌 ,    󰭃󰫥 ,  (IT Act, 2000)  󰫽󰫦   IT Rules, 2011 (Reasonable Security Practices and Procedures and Sensitive Personal Data or Information Rules, 2011) 󰱨 󰱇   󰫳 󰫤   .    Digital Personal Data Protection Act, 2023 (DPDP Act, 2023)     ,   󰲐󰫳 󰱇  , 󰭈󰲑󰬴, 󰬶    󰭃 .   GDPR  󰱿  󰭈󰬋         󰫦 󰬎   .    󰫰 󰭈󰰎󰬀 󰫽 󰭈   󰬋󰫽 . 󰱮,  󰫤 󰲕 -󰲗󰫦󰬍󰱘    󰫯  󰫤  󰬉  󰫰  󰭈  󰫦󰲑 . 󰰈󰫰 󰬂,  󰬂󰫦 󰲕 󰫼󰫰  󰫼   , 󰫵     󰲐 󰫦󰲑 . , 󰫰 󰭈󰫽  󰭃󰫥 󰫦󰫤  󰫼 󰫰 󰭈󰫤 󰬌 , 󰬁   󰰌  󰭈   . 󰫽   󰱍-󰰌󰫳 󰫰 󰭈 󰭈󰫽 󰫼  󰬋   󰫽 󰰍 . 󰭈󰫳 :  󰫰    󰬋   ,  󰫽 󰬎󰫤  󰭃 󰬴󰱨 󰫽   󰲐 󰫼󰫳 󰱚  .   ,  󰲒  󰭈󰫤 󰫯  󰭈  󰬉  󰭃󰫥 󰱿    . 󰭊 ,  󰫦  󰬶   󰬀 󰲂󰫦 󰭃  󰬀  󰬉  󰫰 󰬀 󰭈 , 󰲐-  󰫮󰰗    󰫽 󰫰  󰭈 󰫤 . 󰭈  󰬀    󰬎 󰬉 󰱳󰲒 󰱮     󰫰   . 󰬎󰲆  󰭈󰲒   ,  󰫰 󰬀 󰰈󰫰 󰲂    󰰌  󰫤  󰲀 .  󰫰 󰭃󰫥 󰭈  󰲀 󰫼 󰰈󰫰  󰫰 󰭈󰫽  󰫤 󰫦󰬴  󰫽 󰬌 . 󰰈󰫰 󰬂,     󰬂󰫦 󰫼 󰭈󰫤 󰲑󰬉 󰭈󰱮,     󰫰 󰲐  . 󰭃󰫥 󰬴 , 󰱮   󰭃  󰬉 󰫯󰫳   󰫦 󰰉 . 󰫥󰫦  󰬂, 󰬋-󰬎 , -    󰫼󰫰  󰫯 󰬴    .   󰫤 󰰗󰲑󰭅 󰬉 󰫰 󰭈 󰱳 󰬊  󰰉 󰭈, 󰰌  󰰈󰫰 󰲐 󰫼  󰫰   󰫦   . 󰬍󰫦:  󰫰     -󰲗󰫦   󰰉, 󰭈 , 󰰌 󰰉  󰰈󰫰 󰲐  󰰉 󰫰 󰬴   .  󰭃󰫥  󰬉, 󰫽󰫦   󰭈󰫽  󰫤 , -󰲐 󰫦 󰭈󰲑󰬴    󰫰 󰭈󰫽󰬀  . 󰫰 󰬎   󰫤 󰰉, 󰰈󰫰󰫳      󰫽   󰭃󰫥 󰰈󰫰󰫳 󰬉 󰲐󰬀  󰰍󰫦  . 󰫼󰫰 , 󰲐 󰲔 󰬎  󰬁󰬉 󰰈󰫰 󰫽 󰫰 󰲑󰬴 󰱿󰬎 󰫼,  󰬎󰫤 󰫼  󰫦 󰬉 󰫼 󰫤 . , 󰫦󰲑  ,  ,    󰫤󰫳 󰲓   󰫤  󰫯 󰬋 󰭃󰫥, 󰫤   󰱨 󰫽  󰰉   . 󰭃 󰱮󰰌, 󰱚  󰲄   󰬎 󰫯 󰭈 󰭃󰫥 󰭃,      ,  󰫰     󰭈 .    Journal of Research and Development Peer Reviewed International, Open Access Journal. 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