Abstract

In healthcare,the delivery has become challenging as the affected patients need to be cured, and at the same time, other patients and communities need to be protected. The traditional healthcare delivery modes need to be revised as it has a higher probability of human contact and transmission of infections.This study aims to review the existing work in the literature related to care delivery in the COVID 19 era and to suggest alternative modes and practices to reduce the transmission of infection and to improve the accessibility of healthcare to the population. This research was conducted through a comprehensive review of research articles available in the research databases "PubMed" and "Science Direct"searched with the keywords "Coronavirus" and "COVID-19" till March 19, 2020. This conceptual study analysis the best practices for adoption by the government to contain COVID 19. At the same time, it also analyses the conceptual model proposed in a study done in Taiwan. Moreover, the current study proposes a new healthcare delivery model with the integration of Telemedicine, Healthcare, and Institutional Care. This study concludes that at the primary level of healthcare, the Use of Telemedicine should be considered and promoted, similarly at the secondary level of care, Home healthcare should be the preferred mode, and last, at the tertiary level of healthcare requires hospitalization should be preferred.

Highlights

  • Currently,the whole world is combating COVID 19 (Corona Virus Disease 2019), which has originated in China

  • The key themes identified for the healthcare delivery in the Coronavirus pandemic was "Telemedicine, ""Teleconsultation, ""Gatekeeper method for reducing the patient load on tertiary care hospitals,""Use of Technology,""Internet of things,""Walk in Clinics," and"Community Screening Centers."

  • The healthcare system of developing countries should start with the application of Telemedicine in the primary level of care as the resource and training requirements will be less and the initial level of screening can be done with the help of video calls between the patient and the physician, same is advised for palliative care, and in case the physician feels the patient should go for COVID 19 testing, the home health staff with proper personal protective equipment will visit the patient's house for sample collection.This will prevent the unnecessary traveling of the suspect corona infected patients, which can become a source of infection for many others in his journey to the nearest health screening center

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Summary

Introduction

Currently,the whole world is combating COVID 19 (Corona Virus Disease 2019), which has originated in China. Even technologically advanced and economically developed nations are finding it very difficult to curb the spread of this deadly virus; for example, as of May 22, 2020, as per the WHO website, around 3,23,412 patients have died throughoutthe world. The situation is much more serious for underdeveloped countries where the resources to tackle this deadly virus spread are very limited. The risk factor for transmission of this disease is very high. This category includes Indian, Brazil, Mexico, etc. India is admired throughout the world for timely actions, which have enabled them to reduce the number of infected cases. The total number of cases is above 1,17,500, with 3583 deaths

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