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dc.contributor.authorBhatta, Ramesh
dc.contributor.authorAryal, Kabita
dc.contributor.authorEllingsen, Gunnar
dc.date.accessioned2022-04-21T12:54:37Z
dc.date.available2022-04-21T12:54:37Z
dc.date.issued2015
dc.description.abstractBackground:Telemedicine services are considered essential for improving the accessibility, quality and efficiency of the healthcare services in developing countries. With these expectations, government of Nepal has implemented a rural-telemedicine program in thirty peripheral district hospitals to improve the accessibility of specialist health services. Telemedicine can be appropriate to the nation like Nepal with low physician/patient ratio. However the acceptability of telemedicine can be a delayed process, where the healthcare modalities are not well internalized. Similarly, the peoples who are involved in the program play a key role for making it efficient and effective. Hence, assessing the opportunities and challenges is important to address needs and better implement the program.<p> <p>Methods:This study has used an interpretive case study approach to explore the opportunities and challenges of the program. Fifteen stakeholders were interviewed from central level and program sites namely Darchula, Sindhupalchowk and from Patan hospital. Discussions at peripheral sites with stakeholders were recorded and intensive notes were taken.<p> <p>Results:The findings suggested that the rural-telemedicine programme does offer some benefits, however there are still many challenges associated with the implementation of program. These challenges include infrastructure problems, lack of human resources, competence and financing.<p> <p>Conclusions: Overall attitude of the stakeholders involved in delivering telemedicine services was favorable however several loopholes were reported in the existing system. Hence it shows sufficient potentialities of ruraltelemedicine to improve the health care delivery in rural and inaccessible areas.en_US
dc.descriptionSource at <a href=https://www.nepjol.info/index.php/JNHRC/index>https://www.nepjol.info/index.php/JNHRC/index</a>.en_US
dc.identifier.citationBhatta R, Aryal, Ellingsen G. Opportunities and Challenges of a Rural-telemedicine Program in Nepal. Journal of Nepal Health Research Council. 2015;13(30):149-153en_US
dc.identifier.cristinIDFRIDAID 1306872
dc.identifier.doihttps://doi.org/10.33314/jnhrc.v0i0.640
dc.identifier.issn1727-5482
dc.identifier.issn1999-6217
dc.identifier.urihttps://hdl.handle.net/10037/24846
dc.language.isoengen_US
dc.publisherNepal Health Research Councilen_US
dc.relation.journalJournal of Nepal Health Research Council
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2015 The Author(s)en_US
dc.titleOpportunities and Challenges of a Rural-telemedicine Program in Nepalen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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