TCHE (Trained
community health entrepreneur):
Fee for service entrepreneurial model:
In our currently
active TCHE model, the village representative working for us 2000 kms away from
our institute in Bhopal, India charges money from patients to upload their
history-data (after de-identification and signed informed consent) in
www.udhc.co.in and to his credit he has a long line of villagers queuing up
regularly to provide their health inputs (they pay him anything ranging from
1-10 $ for his services in helping share their information with our team.
Some of these patients from 2000 Kms away eventually land up to show us at our institute for further interventions (that become much easier to carry out as a result of our pre-work-up through the web-site). Our prime focus is not to get patients to our hospital but to prospectively mine all their data toward developing significant insights into improving health care practice. We provide advice for the local physicians of these patients asking them to consider specific tests or therapeutic interventions based on the information provided after matching the particular patient information with current best generalized evidence. Our developer from Bangalore is currently working on data-mining the available patient information here: http://www.udhc.co.in/INPUT/input_directory.jsp using keyword tags (his work is presented here: http://www.pitt.edu/~super1/lecture/lec48771/039.htm)
TCSE (Translational Clinician Scientist Workflow):
This person is a Health professional who will as a part of his/her regular
workflow process the patient data that involves:
•
Merging
Particular patient information and Evidence based on population based patient
data
•
Exploring
the research questions raised by the patient
•
Looking up
similar cases as well as systematic reviews around the questions raised by the
patient’s problems
•
Further shared
learning with our online group who can extract themes from the posted patient
data and develop further research questions that can be searched online
•
Most of
these questions can focus on implementable solutions for the individual patient
whose data has been posted
Fee for service
entrepreneurial model:
The health professional
(TCSE) can charge fees to provide the above services
New product Discovery and
product patenting:
the TCSE can further achieve entrepreneurial
aspirations around new product
discovery and patenting and this would depend on a)
his/her identification of the problem for which s/he would like to develop a
solution ( this would be during the clinical rotation phase in an Institute
providing the bedside clinical platform and clinical academic guide) b)
Developing the solution (the bench phase in an institute providing the bench/laboratory
and academic guide) and c) marketing the solution to the identified patient
population( a large fraction of who could be tapped from the patient population
in the institute where the TCSE learned to identify the patient problem).
