General Practitioner, WONCA World President.
Norwich Medical School, University of East Anglia, United Kingdom.
Aten Primaria. 2021 Dec;53 Suppl 1(Suppl 1):102226. doi: 10.1016/j.aprim.2021.102226.
Primary care is an essential foundation for the global response to COVID-19 pandemic. It plays a significant role in the health care response: identifying and triaging potential COVID-19 cases, making an early diagnosis, helping vulnerable people cope with their anxiety about the virus, strengthening compliance with prevention and protection measures, and reducing the demand for hospital services. Primary care teams have continued to address citizens' health problems during the pandemic, adapting to strict social control measures imposed by governments such as closing of borders, lockdowns and self-isolation of cases and contacts. We describe the COVID-19 response from primary care in Hong Kong and China, based on their recent pandemic experiences. We also present that of a European country, United Kingdom, less experienced in pandemic management, but with universal and highly developed primary care with great social recognition. Finally, we point out some crucial learning for future pandemic management, highlighting the crucial need to improve the relationship between primary care and public health to improve pandemics response.
初级保健是全球应对 COVID-19 大流行的重要基础。它在医疗保健应对中发挥着重要作用:识别和分诊潜在的 COVID-19 病例,做出早期诊断,帮助弱势群体应对对病毒的焦虑,加强对预防和保护措施的遵守,并减少对医院服务的需求。初级保健团队在大流行期间继续解决公民的健康问题,适应政府实施的严格社会管控措施,如关闭边境、封锁和对病例和接触者的自我隔离。我们根据香港和中国最近的大流行经验,描述了初级保健在 COVID-19 应对中的作用。我们还介绍了一个欧洲国家英国的情况,英国在大流行管理方面经验较少,但拥有普遍存在且高度发达的初级保健,并得到了广泛认可。最后,我们指出了未来大流行管理的一些关键经验教训,强调了改善初级保健和公共卫生之间关系以改善大流行应对的迫切需要。