Open AccessHome hospital care through telehealth during COVID-19 pandemic in Nepal
Author(s) -
Ashok Devkota,
Sagar Pandey,
Yadav Pandey,
Hari Neupane,
Anjan Kumar Basnet,
Anita Shah,
Rahul Kumar Thakur,
Sumit Sah,
Durgesh Chaudhary,
Aakash Mahato,
Sunil Acharya,
Prakash Paudel,
Amrit Pathak,
Yam Acharya
Publication year - 2022
Publication title -
europasian journal of medical sciences
Language(s) - English
Resource type - Journals
eISSN - 2717-4654
pISSN - 2717-4646
DOI - 10.46405/ejms.v4i1.375
Subject(s) - telehealth , pandemic , telemedicine , medicine , health care , covid-19 , family medicine , government (linguistics) , medical emergency , emergency medicine , disease , infectious disease (medical specialty) , linguistics , philosophy , economics , economic growth
COVID-19 pandemic, caused by severe acute respiratory syndrome coronavirus 2 has been occurring in waves due to emergence of different strains. During second wave of COVID pandemic in Nepal, largely caused by Delta variant, due to rapid rise in cases, existing hospitals and health facilities were overwhelmed. As a result, telemedicine was expanded to help reduce strain on the healthcare system and meet unusually high demands. A team of physicians with the support from the local government provided hospital level care for patients at home in rural district of Dang in Nepal. This research analyzes implementation of this model of care and outcomes based on review of patient records and treatment guidelines. Within a month, from May 5 to June 13, 2021, a total of 102 patients received care at home. While most patients had mild to moderate disease, 12.8% of patients had severe disease. Telemedicine usage was highest among the 40-59 years age group, with overall recovery rate of 85.3%. The patient satisfaction survey revealed that majority, 86.5% were happy with the medical care they received. This home hospital care model has shown excellent clinical outcomes and high patient satisfaction even in resource limited setting.