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对新冠疫情的快速基层医疗应对:基于公平和系统思维的护理方法,确保不让任何人掉队。

A Rapid Primary Healthcare Response to COVID-19: An Equity-Based and Systems-Thinking Approach to Care Ensuring that No One Is Left Behind.

作者信息

Bhatti Sara, Commisso Elana, Rayner Jennifer

机构信息

A research and policy analyst at the Alliance for Healthier Communities in Toronto, ON. She can be reached by e-mail at

A program manager for the advancing access to team-based care initiative at the University of Toronto in Toronto, ON.

出版信息

Healthc Q. 2020 Oct;23(3):29-33. doi: 10.12927/hcq.2020.26336.

DOI:10.12927/hcq.2020.26336
PMID:33243363
Abstract

Recent data from across the globe show that COVID-19 is disproportionately affecting those who are already adversely impacted by social determinants of health. In this paper, we explore how members of the Alliance for Healthier Communities - comprehensive, salary-based primary care organizations in Ontario - anticipated the same and rapidly responded by adapting their services to ensure continued equitable access to primary care services. Lessons from this project could be adapted in other primary care team-based models or partnerships to ensure ongoing support for populations that are most at risk from COVID-19 and the consequences of restricted access to services.

摘要

来自全球各地的最新数据表明,新冠病毒病对那些已经受到健康的社会决定因素不利影响的人群造成了尤为严重的影响。在本文中,我们探讨了安大略省更健康社区联盟(Alliance for Healthier Communities)的成员——综合性、基于薪资的初级保健组织——是如何预见到同样的情况,并通过调整其服务迅速做出反应,以确保继续公平地获得初级保健服务。该项目的经验教训可应用于其他基于初级保健团队的模式或伙伴关系中,以确保持续支持那些受新冠病毒病影响风险最高以及因服务获取受限而受影响的人群。

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