Home Hospital Care through Telehealth during COVID-19 Pandemic in Nepal

Authors

  • Ashok Devkota School of Medicine, Brown University, Providence, RI, USA and Health Foundation Nepal, Lalitpur, Nepal https://orcid.org/0000-0002-5886-3998
  • Sagar Pandey Health Foundation Nepal, Lalitpur, Nepal
  • Yadav Pandey Health Foundation Nepal, Lalitpur, Nepal and Medical University of South Carolina, SC, USA
  • Hari Neupane Health Foundation Nepal, Lalitpur, Nepal
  • Anjan Kumar Basnet Health Foundation Nepal, Lalitpur, Nepal
  • Anish Shah Health Foundation Nepal, Lalitpur, Nepal
  • Rahul Thakur Health Foundation Nepal, Lalitpur, Nepal
  • Sumit Sah Health Foundation Nepal, Lalitpur, Nepal
  • Durgesh Chaudhary Health Foundation Nepal, Lalitpur, Nepal
  • Aakash Mahato Health Foundation Nepal, Lalitpur, Nepal
  • Shradha Acharya Health Foundation Nepal, Lalitpur, Nepal
  • Prakash Paudel University of Massachusetts Medical School, Worchester, MA, USA
  • Amrit Pathak Health Foundation Nepal, Lalitpur, Nepal
  • Yam Acharya Health Foundation Nepal, Lalitpur, Nepal

Keywords:

COVID-19, global health, home hospital, telemedicine, telehealth

Abstract

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.

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Published

2022-10-13

How to Cite

Devkota, A., Pandey, S., Pandey, Y., Neupane, H., Basnet, A. K., Shah, A., Thakur, R., Sah, S., Chaudhary, D., Mahato, A., Acharya, S., Paudel, P., Pathak, A., & Acharya, Y. (2022). Home Hospital Care through Telehealth during COVID-19 Pandemic in Nepal. Europasian Journal of Medical Sciences, 4, 7–10. Retrieved from https://nepjol.info/index.php/ejms/article/view/48890

Issue

Section

Short Communications