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Nepal Telemedicine Project Findings

Nepal Telemedicine Project Findings. University of Colorado SOM – Global Health Track Avery Jeffers, Mandip KC, Laura Romcevich & Aaron Shupp Faculty Advisor: Barry Bialek , MD. Findings. Current State of Telemedicine in Nepal: Two major systems

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Nepal Telemedicine Project Findings

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  1. Nepal Telemedicine Project Findings University of Colorado SOM – Global Health Track Avery Jeffers, Mandip KC, Laura Romcevich& Aaron Shupp Faculty Advisor: Barry Bialek, MD

  2. Findings • Current State of Telemedicine in Nepal: • Two major systems • Private: KMH, a hub to six satellite sites • Government: connected 25 district hospitals

  3. Findings • Telemedicine Sites: Government

  4. Findings • Telemedicine Sites: KMH

  5. Findings • Comparison of 2 current systems: • KMH uses live-real time consults where both parties have to be online at the same time • The Government of Nepal uses the Store-and-Forward system which is essentially emailing of forms.

  6. Findings • Government System: • No need of time coordination between parties • Requires less bandwidth • More economical and reliable • Not in real-time • No face-to-face between patients or providers • Kathmandu Model Hospital System • Live in real-time • Allows face-to-face with the patients & providers • More useful for Continuing Medical Education • Allows resident physicians’ academic presentations to be broadcast to the peripheral sites • Requires large bandwidth and is more expensive • Maintenance is difficult

  7. Recommendations • Recommendations for Best practices of Telemedicine in Nepal: • Hybrid system with both the store-and-forward and the live-real time feed • Either system on their own cannot fulfill the needs of the people in remote areas

  8. Additional Findings • Educational Pathway for Physicians in Nepal • Grade 1 – 10 (equivalent to high school education in the United States) • Grade 11 – 12 (selective college prep program) • Medical School to receive MBBS Degree ( 4 years basic sciences and clinical studies) • MBBS Internship receive Licensure (1.5 years) • Post Graduate Program for MD Degree (2 – 5 years depending on specialty)

  9. Additional Findings • Telemedicine’s effect on the retention of medical officers in rural clinics • Benefits • M.B.B.S. providers feel less isolated • Receive guidance remotely from specialists • Problems • Telemedicine does not prevent brain drain • M.B.B.S. providers must return to Kathmandu to finish training for MD • CME is available but funding is currently a major barrier

  10. Contacting Us: • Mandip KC: mandip.kc@ucdenver.edu • Avery Jeffers: avery.jeffers@ucdenver.edu • Laura Romcevich: laura.romcevich@ucdenver.edu • Aaron Shupp: aaron.shupp@ucdenver.edu

  11. NAMASTE नमस्ते

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