Oregon Health & Science University, Portland, OR, USA.
J Prim Care Community Health. 2021 Jan-Dec;12:21501327211014093. doi: 10.1177/21501327211014093.
The COVID-19 pandemic is unprecedented in recent history as radically and forcefully changing healthcare delivery. Practice facilitators, who often use tools of improvement science, have long played a critical role in supporting routine primary care practice transformation when healthcare system and policy changes occur. However, current events have taken many healthcare systems to the brink of collapse. Our practice facilitation team, which has a long history of sustained primary care partnerships in rural under-resourced settings, is finding creative solutions to carry forward work in research and quality improvement, and the tools of improvement science are well-suited to address rapidly changing demands of primary care during such a crisis. We reflect here on practice facilitation through the pandemic-the value of applied improvement science, and the critical necessity of strong relationships, flexibility, and creativity to support ongoing primary care partnerships.
COVID-19 大流行是近年来前所未有的，它从根本上和强有力地改变了医疗保健的提供方式。实践促进者通常使用改进科学的工具，在医疗保健系统和政策发生变化时，长期以来一直发挥着支持常规初级保健实践转型的关键作用。然而，当前的情况使许多医疗保健系统濒临崩溃。我们的实践促进团队在农村资源匮乏地区有着长期的初级保健伙伴关系，正在寻找创造性的解决方案来推进研究和质量改进工作，而改进科学的工具非常适合解决危机期间初级保健需求的快速变化。我们在这里通过大流行来反思实践促进——应用改进科学的价值，以及为支持持续的初级保健伙伴关系，建立牢固关系、灵活性和创造力的关键必要性。
