nepal telemedicine project findings
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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 - PowerPoint PPT PresentationTRANSCRIPT
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Nepal Telemedicine Project FindingsUniversity of Colorado SOM – Global Health TrackAvery Jeffers, Mandip KC, Laura Romcevich & Aaron Shupp
Faculty Advisor: Barry Bialek, MD
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Findings
– Current State of Telemedicine in Nepal:• Two major systems
– Private: KMH, a hub to six satellite sites– Government: connected 25 district hospitals
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Findings
– Telemedicine Sites: Government
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Findings
– Telemedicine Sites: KMH
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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.
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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
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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
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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)
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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
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Contacting Us:
• Mandip KC: [email protected]• Avery Jeffers:
[email protected]• Laura Romcevich:
[email protected]• Aaron Shupp:
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