• Published on: Jul 14, 2021
  • 1 minute read
  • By: Raj Dwivedi

Telemedicine, COVID-19 And Liver Diseases

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  • For liver diseases, there have been successful experiences with the use of different modalities of telemedicine [i.e. asynchronous telemedicine (analysis of patient's data by a single physician or multidisciplinary team), synchronous real-time patient management and tele-education]
  • Our Telemedicine program showed successful results as the sustained virologic responses achieved by those patients treated in primary care settings under the expert guidance.
  • Currently, this type of care is considered a vital tool for the goal of global elimination of HCV infection.In addition to HCV management, telemedicine offers opportunities for a better management of patients with chronic liver diseases by increasing their access to tertiary care, thus improving efficiency of healthcare delivery at reasonable cost .
  •  We forsee expansion of telemedicine into other areas of hepatology is desirable and hold potential for improving management of pre- and post-liver transplant patients, patients with hepatocellular carcinoma (HCC) and patients with both compensated and decompensated cirrhosis.
  • It is important to note that in liver transplant setting existing data suggest that use of telemedicine may expedite evaluation and listing of patients referred to liver transplant centers and could improve outcomes (hospital readmissions, and quality of life) after liver transplantation.
  • In the case of HCC, telemedicine aslo offers the possibility of multidisciplinary evaluation in virtual tumor boards leading to tailored and more effective treatments . Finally, in cirrhosis, telemedicine may enhance self-care and facilitate HCC surveillance eventually preventing readmissions in recently hospitalized patients.
  • With the onset of COVID-19 pandemic everyone has forced the implementation of telemedicine actions for many liver patients.
  • Major international societies have released recommendations encouraging the use of remote care to manage patients with all liver diseases, particularly liver transplant patients.
  • However, the crisis will seriously impact cirrhosis care with social distancing and isolation causing major delays in elective procedures and routine care with potential overwhelm of medical centers managing postponed and potentially decompensated patients in the upcoming months.
  • Developing robust telemedicine programs and revamping remote care initiatives in hepatology will be critical during COVID times. The next challenge will be how to integrate telemedicine into routine clinical care beyond the COVID-19 pandemic.
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Health

20% Health Time | A Smarter Way to Build Workplace Wellbeing

Modern workplaces are increasingly recognising that employee health is not separate from performance—it is foundational to it. Long work hours, constant digital connectivity and rising stress levels have led to burnout, lifestyle diseases and declining engagement across industries. In this context, the concept of 20% Health Time has emerged as a forward-thinking approach to workplace wellness.

20% Health Time allows employees to dedicate a portion of their paid working hours specifically to activities that support physical, mental and preventive health. Rather than treating wellness as an after-hours responsibility, this model integrates health directly into the work culture.

 

What Is 20% Health Time?

20% Health Time is a structured workplace initiative where employees are encouraged or allowed to spend approximately one-fifth of their working time on health-related activities.

These activities may include:

  • physical exercise or movement breaks
     

  • mental wellness practices
     

  • health education sessions
     

  • preventive health screenings
     

  • stress management and recovery
     

The core idea is simple: healthier employees perform better and sustain productivity longer.

 

Why Traditional Wellness Programs Fall Short

Many organisations offer wellness benefits such as gym memberships or annual checkups. While valuable, these programs often fail because:

  • employees lack time to use them
     

  • wellness is seen as optional
     

  • participation remains low
     

  • benefits are disconnected from daily work
     

20% Health Time addresses these gaps by embedding wellness into regular work hours.

 

Why Health Time Matters in Today’s Workplace

Rising Lifestyle Disease Burden

Public health data shows increasing rates of:

  • diabetes
     

  • hypertension
     

  • obesity
     

  • mental health disorders
     

These conditions affect working-age adults and directly impact productivity and healthcare costs.

 

Burnout and Mental Fatigue

Constant pressure and lack of recovery time lead to:

  • chronic stress
     

  • disengagement
     

  • absenteeism
     

  • high attrition
     

Health Time creates space for recovery and resilience.

 

Sedentary Work Culture

Desk-bound work contributes to:

  • musculoskeletal problems
     

  • cardiovascular risk
     

  • low energy levels
     

Dedicated health time encourages movement and prevention.

 

How 20% Health Time Benefits Employees

Improved Physical Health

Regular movement and preventive care reduce long-term health risks.

 

Better Mental Wellbeing

Time for mindfulness, rest and stress management improves emotional balance.

 

Higher Energy and Focus

Healthy routines improve concentration and reduce fatigue.

 

Empowerment and Autonomy

Employees feel trusted to manage their wellbeing, increasing engagement.

 

How Employers Benefit from 20% Health Time

Increased Productivity

Healthy employees work more efficiently and make fewer errors.

Reduced Absenteeism

Preventive care lowers sick days and health-related disruptions.

 

Lower Healthcare Costs

Early detection and healthier habits reduce long-term medical expenses.

 

Stronger Employer Brand

Wellbeing-focused policies attract and retain top talent.

 

Sustainable Performance

Health Time supports long-term performance rather than short-term output.

 

Activities That Fit into 20% Health Time

Organisations can tailor activities based on workforce needs:

  • guided fitness or yoga sessions
     

  • walking or movement breaks
     

  • mental health workshops
     

  • preventive health checkups
     

  • nutrition education
     

  • stress and sleep management programs
     

Flexibility ensures inclusivity across roles and work models.

 

Evidence Supporting Health Time Initiatives

Workplace health research consistently shows that:

  • preventive health improves productivity
     

  • employee wellbeing programs reduce burnout
     

  • time invested in health yields measurable returns
     

According to WHO and workplace wellness studies, integrated health initiatives deliver better outcomes than standalone benefits.

 

Addressing Common Concerns

“Will this reduce working hours?”

No. Health Time improves efficiency, offsetting time spent through better performance.

 

“Is it suitable for high-pressure roles?”

Yes. High-stress roles benefit the most from structured recovery time.

 

“How do we measure impact?”

Metrics may include:

  • reduced absenteeism
     

  • improved engagement scores
     

  • lower healthcare claims
     

  • better retention
     

 

Implementing 20% Health Time Effectively

Successful implementation requires:

  • leadership support
     

  • clear guidelines
     

  • flexible scheduling
     

  • inclusive activity options
     

  • regular feedback
     

Health Time works best when seen as a cultural shift, not a perk.

 

Long-Term Impact on Organisational Health

Over time, organisations adopting Health Time observe:

  • healthier workforce
     

  • improved morale
     

  • reduced burnout
     

  • stronger team cohesion
     

  • sustainable growth
     

These benefits compound year after year.

 

Conclusion

20% Health Time represents a progressive shift in how organisations view employee wellbeing. By dedicating work time to health, companies acknowledge that productivity and wellbeing are deeply connected. Rather than reacting to burnout and illness, Health Time promotes prevention, balance and resilience. In a future where talent, performance and sustainability matter more than ever, integrating health into the workday is not a luxury—it is a strategic necessity.

 

References

  • World Health Organization (WHO) – Workplace Health Promotion Guidelines

  • Indian Council of Medical Research (ICMR) – Lifestyle Disease and Work Health Reports

  • NITI Aayog – Preventive Healthcare and Workforce Wellbeing Strateg

  •  Lancet – Workplace Wellness and Productivity Studies

  • Harvard Business Review – Employee Wellbeing and Performance Research

  • Statista – Corporate Wellness Trends and ROI Data

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