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[疫情对基层医疗的影响。西班牙公共卫生与社会服务总局2022年报告]

[Impact of the pandemic on primary care. SESPAS Report 2022].

作者信息

Satué de Velasco Eduardo, Gayol Fernández Manuel, Eyaralar Riera María Teresa, Magallón Botaya Rosa, Abal Ferrer Francisco

机构信息

Farmacia Comunitaria, Maella (Zaragoza), España; Red Española de Atención Primaria (REAP), España.

Red Española de Atención Primaria (REAP), España; Enfermería de Área Sanitaria VI, SESPA Asturias, Arriondas, España.

出版信息

Gac Sanit. 2022;36 Suppl 1:S30-S35. doi: 10.1016/j.gaceta.2022.05.004.

Abstract

The COVID-19 pandemic, which last 2 years and still goes on, has pushed the primary health care (PC) to a current worrying situation of saturation and exhaustion. It is a community infectious disease, with a great amount of cases (around 10 million declared in January 2022) due to that, PC has made an extraordinary effort to pay attention on mild cases and on PC and to detect potentially serious cases early. Unfortunately, up to now, a global evaluation of the actions has not been carried out, in order to allow us to learn from this new experience. This article describes the different phases of the pandemic and its impact on PC. Finally, solutions are proposed to reinforce the central criteria that allow PC to be maintained as the foundation of the welfare state, longitudinality, resolution, accessibility, and care coordination and continuity, thanks to the contribution of resources and skills given to the PC. In conclusion, PC must still being the basis of the health system and it is mandatory to recover and claim those competencies and resources that should always have been a part of PC.

摘要

持续了两年且仍在继续的新冠疫情,已将初级医疗保健(PC)推向了当前令人担忧的饱和与疲惫状态。这是一种社区传染病,病例数量众多(2022年1月宣布约有1000万例),正因如此,初级医疗保健做出了非凡努力,关注轻症病例以及初级医疗保健,并尽早发现潜在的重症病例。不幸的是,到目前为止,尚未对这些行动进行全球评估,以便我们能从这一新经验中学习。本文描述了疫情的不同阶段及其对初级医疗保健的影响。最后,提出了解决方案,以强化那些使初级医疗保健能够作为福利国家基础得以维持的核心标准,即纵向性、解决能力、可及性以及护理协调与连续性,这要归功于赋予初级医疗保健的资源和技能。总之,初级医疗保健仍必须是卫生系统的基础,恢复并要求那些本应一直属于初级医疗保健的能力和资源是必不可少的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27a6/9244614/56936b2a95ed/gr1_lrg.jpg

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