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Objective: The COVID-19 pandemic has caused a periodic shortage of quarantine beds, medical personnel, and medical equipment in South Korea. Asthe pandemic is expected to continue, a need existsto readjust the capacities of residentialtreatment centersfor asymptomatic ormild cases. Thisstudy aimed to identify howother countriestreat asymptomatic or have mild COVID-19 patients, and suggest a effective operation plan of residential treatment centers.Methods: A literature review was conducted to examine how policies on asymptomatic or mild COVID-19 cases have changed at different phases of the pandemic in different countries. A reviewwas also conducted on the epidemiological characteristics of Korean patients, including clinicalstatus and treatment period, and public opinion on residential treatment centers. A plan to improve how residential treatment centers operate during the pandemic was derived based on expert advice, and discussion within the research team.Results: Home care is being recommended for asymptomatic or mild cases of COVID-19 in many countries. In Korea, despite the increase in the number of newly confirmed cases, fatality rate of COVID-19 shows a decreasing and vaccination rate an increasing trend. Three-fourths of the public recognized that home care may be more appropriate for asymptomatic or mild cases. Assuch,we recommend a reduction in length ofstay in residential treatment centers, from 10 to 3 or 5 days, and ensuring patient’s participation in decision‒making of hospitalization.Conclusions: A need existsto prepare a systematic response system, including patient education, virtual treatment and transfersystem in orderto shorten patients’ admission period in residential treatment centers and expand home care. A functioning emergency response system should also be prepared concurrently.

A Review of COVID-19 Initial Response Systems and A Proposal to Adjust the Operation of Residential treatment centers