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Friday, November 27, 2020

Tele-medicine Practice Guidelines by CCH

Tele-medicine Practice Guidelines

Tele-medicine Practice Guidelines -Amendment in Homoeopathic Practitioners (Professional Conduct, Etiquette and Code of Ethics) Regulation 1982.The Board of Governors, CCH has adopted the “Telemedicine Practice Guidelines”for homoeopathic practitioners. These guidelines has been prepared to combat the current need in the wake ofCOVID19 outbreak but theoverarching principles would remain common to all future reference. 

 2.To provide statutory basis to the “Tele-medicine Practice Guidelines”, the same is required to be included as an amendment to the Homoeopathic Practitioners (Professional Conduct, Etiquette and Code of Ethics) Regulation 1982, by adding Regulation 29Atitled as “Consultation by Tele-medicine” in the said Regulations. The “Tele-medicine Practice Guidelines” will be included as “Appendix 3” to the Homoeopathic Practitioners (Professional Conduct, Etiquette and Code of Ethics) Regulation 1982, as these Regulations has two Appendices already included. 

3. The draft notification of the proposed amendment in the Homoeopathic Practitioners (Professional Conduct, Etiquette and Code of Ethics) Regulation 1982, along with the BoG,CCH approved “Tele-medicine Practice Guidelines” was placed for the approval of Central Government in the Ministry of AYUSH. The competent authority in the Ministry of AYUSH, Government of India has accorded approval for issuance of guidelines. 

4. In view of the urgency, for providing statutory basis to the “Tele-medicine Practice Guidelines”,it is being placed on the website of the Central Council of Homoeopathy for information and usage by the Registered Homoeopathic Practitioners under the HCC Act, 1973, the patients and other healthcare professionals. 

Homoeopathy  being a wholistic  system  of  medicine has  been  benefiting  people  for  their  health  problems. Tele-medicine can help to increase the availability of homoeopathy to the level where health care is difficult to reach. Telemedicine can play a particularly important role in cases where there is no need for the patient to  physically  see  the  RHP  (or  other  medical  professional),  e.g.  for  regular,  routine  check-ups  or  continuous monitoring. Homoeopathy Tele-medicine / Tele-consultation will enhance primary health care immensely. 

India's digital health policy advocates use of digital tools for improving the efficiency and outcome of Healthcare system and lays significant focus on the use of telemedicine services especially in the Health and Wellness centres at the grass root level wherein a mid-level health care provider / health worker can connect the patient to the doctor through Technology platforms for providing timely and best possible care. 

In spite of this policy till now there is no legislation or guidelines for Homoeopathic practitioners on the practice of tele-medicine through video, phone and internet based platforms (webchat, apps etc). Lack of clear guidelines has created significant ambiguity for  registered medical professionals of the Homoeopathic systems raising doubts on the practice of tele-medicine. The 2018 judgment of the Honourable High Court of Bombay   has  created  uncertainty  about  the   place   and  legitimacy  of   tele-medicine   as an appropriate Framework does not exist. 

In  India  the  practice  of  Homoeopathic  medicine  is  mainly  governed  by  concerned State Acts  along with  The  Homoeopathy  Central  Council  Act  1973,  the  Homoeopathic  Practitioners  (Professional  Conduct, Etiquette  and  Code  of  Ethics)  Regulation  1982;  Drugs  &  Cosmetics  Act  1940  &  rules  1945;  and  Clinical Establishment (Registration  and  Regulation)Act,2010.Information  technology  is  governed  by  IT  Act  2000, and the information technology (reasonable security practices and procedure and sensitive personal data or information) rules 2011. Gaps in legislation and the uncertainty of rules force a risk for both the doctors and their patients. 

It  is the need  of  the  hour  to bridge  the  gaps  in  legislation  and  the  uncertainty  of  rules.  These guidelines will serve as a step forward to be treated as professional norms that need to be followed by RHPs to enable them to regulate the practice of telemedicine.


The purpose of these guidelines is to enable Homoeopathic practitioners to use tele-medicine tools. This will be done by providing information as well as training which will be updated from time to time in the coming years.Tele-medicine will continue to grow and be adopted by more health care practitioners and patients in a wide variety of forms. 

These guidelines will give practical advice to registered homoeopathic practitioners regarding tele-medicine to  encourage  them  to  consider  the  use  of  tele-medicine  as  a  part  of  their  normal  practice  as  well  as  in disasters and pandemics which pose unique challenges to provide Healthcare.

Practice of Tele-medicine can prevent  transmission of  infectious diseases reducing the risk to both doctors and  patients  by  avoiding  social  contact.  These  guidelines  will  provide  norms  and  protocols  relating  to doctor  patient  relationship  issues  of  liability  and  negligence,  evaluation,  management  and  treatment, informed consent, continuity of care,referral for emergency services, medical records, privacy and security of  patient  records  and  exchange  of  information,  describing  and  reimbursement,  health  education  and counseling. 

Tele-medicine will not only encourage social distancing in special situations of epidemics and pandemics but talking to doctors will also allay their anxiety in the situation of complete lock-down.


Tele-medicine provides patient’s safety as well as doctor’s & health worker’s safety, especially in situations where there is a risk of contagious infections. A tele-medicine visit can be conducted without exposing staff to viruses/infections at the time of such outbreaks. 

Tele-medicine provides rapid access to medical practitioners who may not be available inperson. 

Tele-medicine will not only encourage social distancing in special situations of epidemics and pandemics but talking to doctors will also allay their anxiety in the situation of complete lockdown.

With  tele-medicine  there  is  higher  likelihood  of  maintenance  of  records  and  documentation.  Written documentation increases legal protection of doctors as well as patients. 

Tele-medicine, when effectively used, reduces the burden on secondary health care system. 

Tele-medicine is useful for regular routine checkup on continuous monitoring and minimizes gaps in timely follow ups. 


It  is  to  be  noted  that  unlike  other  technologies,  the  technology  used  for  telemedicine  has  some  risks, drawbacks  &  limitations,  which  can  be  mitigated  through  appropriate  training,  enforcement  of  standards, protocols  &  Guidelines  from  time  to  time.  These  guidelines  should  be  used  in  conjunction  with  the  other national clinical standards, protocols, policies and procedures. 

Full Guideline Doucument-Here

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