On March 11, 2020, the World Health Organization (WHO) declared the coronavirus disease 2019 (COVID-19) outbreak as a pandemic. Thailand* reported positive test case, accounting for 4.48%, which was the highest number in March 2020. At that time, COVID-19 vaccination was not available in general and social distancing policy was unable to solve the problem in real time. The number of daily patients with COVID-19 infection, including ones who took self-testing at home (ATK), had significantly increased day by day. Nonthaburi province was one of the top five cities, which had a large number of infectious patients in the country. As a result, in-hospital workload had determined Panyananthaphikkhu Chonprathan Medical Center strategic to respond toward active case finding, early treatment, patient isolation, symptomatic monitoring of confirmed cases, and public or home quarantine transmission. For the mild or asymptomatic COVID-19 patients, by walk-in or refer-in from nearby hospitals, caused hospital congestion and no room for patients with different kind of illness. For the reason of economic efficiency and safety, PCMC stakeholders were encouraged to accomplish these challenges. Collaborating with nonprofit organization “Mirtraparb Bumbud Friendship Center”, family medicine department team initiated a home isolation health care system. In this context, telemedicine had been promoted and scaled up to reduce the transmission risk and decongested environment at the hospital. Our telemedicine doctors and nurses provided self-assessment guidance and reporting method via LINE application, which could promptly help staff answering questions, sending essential well-being support, and delivering medicine via community volunteers. With telephone and video call conference for assessing symptoms or continuing the treatment, medical staff could promptly access remote diagnosis and adjustment to investigate any abnormal signals of patients’ condition or monitor if they were getting worse. The earlier our doctors discovered the risks of patients’ symptom toward deterioration, the quicker our staff cooperated to provide patients’ pickup and thoracic imaging services. After the aforementioned processes, PCMC telemedicine doctor would consult the case with internal medicine physicians and admitted patients to the hospital.

1. In 2021, there were 5,064 COVID-19 infected patients participated in telemedicine cases and 1,235 of them were in remission (99.94%). Only 3 patients were relocated to other areas and lost of contact.
2. The score rating from the covid-19 patients and their relatives with telemedicine services were listed as follow.
- Processing service, service procedure, and log in process at 89.2 percent
- Information providing and procedure clarification process at 92.4 percent
- Self-care and self-assessment guidance at home at 91.6 percent
- Evaluation and follow up via phone call at 92.8 percent
- Answering question and ongoing care providing process at 90.8 percent
3. Our PCMC healthcare staff collaborated with Mirtraparb Bumbud Friendship Center facilitated network and provided full scale of COVID-19 patient assistance in Nonthaburi. We ensured that patients of all age received the best health care system and service according to social development goal of SWU policy in this current pandemic occurrence and future outbreaks.