Departamento de Medicina Familiar y Salud Pública, Facultad de Medicina, Universidad de La Sabana, Chía, Cundinamarca, Colombia. Adress: Campus Universitario Puente del Común, Km 7 de la Autopista Norte de Chía, Chía, Cundinamarca, Colombia. Email:
Departamento de Medicina Familiar y Salud Pública, Facultad de Medicina, Universidad de La Sabana, Chía, Cundinamarca, Colombia. ORCID: 0000-0002-6842-3064.
Medwave. 2021 Apr 7;21(3):e8147. doi: 10.5867/medwave.2021.03.8147.
The COVID-19 pandemic was declared in early 2020, requiring different prevention and intervention measures on a large scale. In the case of Colombia, a series of measures focused on isolation and remote services provision were introduced in a context marked by health inequities. This article reviews the theoretical and normative references on primary care interventions in the Colombian response to the COVID-19 pandemic.
A literature review was conducted in PubMed, LILACS, MEDLINE, and official documents and regulations issued in Colombia, the World Health Organization, and the Pan American Health Organization. A narrative synthesis was done of 33 documents based on their contribution to the implementation of primary care in Colombia and their role in the pandemic.
The information was organized into two categories: Actions taken in Colombia in response to COVID-19 and Opportunities in primary care in response to COVID-19. Colombias actions were contrasted with world experience. Better pandemic control was found in countries that adopted primary care as a response. Primary care has strengthened the handling of the pandemic through community action, the provision of coordinated services, mental health inclusion, and the adoption of telemedicine processes.
In Colombia, primary care is presented as an opportunity to respond to the COVID-19 pandemic and the problems and needs derived from this situation. However, despite the above, there is resistance in the country to adopt this type of approach and complement the hospital-centric model to face the pandemic.
2020 年初宣布了 COVID-19 大流行，需要大规模采取不同的预防和干预措施。在哥伦比亚的情况下，在卫生不平等的背景下，引入了一系列侧重于隔离和远程服务提供的措施。本文回顾了哥伦比亚应对 COVID-19 大流行中初级保健干预的理论和规范参考。
在 PubMed、LILACS、MEDLINE 以及哥伦比亚、世界卫生组织和泛美卫生组织发布的官方文件和法规中进行了文献综述。根据它们在哥伦比亚初级保健实施中的贡献及其在大流行中的作用，对 33 份文件进行了叙述性综合。
信息分为两类：哥伦比亚针对 COVID-19 采取的行动和初级保健应对 COVID-19 的机会。将哥伦比亚的行动与世界经验进行了对比。采取初级保健作为应对措施的国家，大流行控制得更好。初级保健通过社区行动、提供协调服务、纳入心理健康以及采用远程医疗流程，加强了对大流行的处理。
在哥伦比亚，初级保健被视为应对 COVID-19 大流行以及由此产生的问题和需求的机会。然而，尽管如此，该国仍存在抵制采用这种方法的情况，以补充以医院为中心的模式来应对大流行。
