Jatic Zaim, Trifunovic Natasa, Erkocevic Hasiba, Hasanovic Elvira, Ceric Katmerka, Bajrami Baskim, Jasarevic Maksida, Gavran Larisa, Zalihic Amra, Hasanagic Melida, Dautbegovic Edin, Selmanovic Senada, Dedovic Samir, Batic-Mujanovic Olivera
Faculty of Medicine, University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
Public Institution Health Center of Canton Sarajevo, Sarajevo, Bosnia and Herzegovina.
Mater Sociomed. 2022 Mar;34(1):44-49. doi: 10.5455/msm.2022.33.44-49.
After the World Health Organization declared the outbreak of a new coronavirus on 30 January 2020 a public health emergency of international importance, health authorities in Bosnia and Herzegovinaas in other countries around the world, have ordered active surveillance, early detection, isolation and management, cases, contact monitoring and prevention of the spread of infection.
The aim of this study was to describe and analyze of the organization of family medicine during COVID-19 pandemic in Canton Sarajevo with its positive and negative aspects.
The case study design provided an ideal framework for systematic research into the organization of primary health care in Sarajevo Canton during the COVID-19 pandemic as it is an empirical study exploring a contemporary phenomenon within its real-life context when the boundaries between phenomenon and context are not clearly visible. Multiple sources of evidence are used. Data were collected in several different ways: analyzing policies, laws, regulations, decisions related to the COVID pandemic, insight into changes in the health information system, collecting data from reports, and through a group interview (Delphi exploratory) with eleven family medicine specialists.
Primary care was organized as two parallel systems with family medicine in the center. The first system was COVID-19 primary care and the second was regular care for non-COVID-19 patients. Family medicine physicians despite a numerus setbacks provide health care for 106346 COVID-19 cases.
Every principal (first contact access, person-centered care, comprehensiveness, continuity of care, community based, coordination of care, and holistic modeling) of family medicine was interrupted with consequences for patients and family physicians.
Additional research is needed to examine all facets of the family medicine and primary health care response to the COVID-19 pandemic in Sarajevo Canton.
2020年1月30日，世界卫生组织宣布新型冠状病毒疫情构成“国际关注的突发公共卫生事件”后，波斯尼亚和黑塞哥维那的卫生当局与世界其他国家一样，下令进行主动监测、早期发现、隔离与管理病例、接触者监测以及预防感染传播。
本研究旨在描述和分析萨拉热窝州在新冠疫情期间家庭医学的组织情况及其积极和消极方面。
案例研究设计为系统研究新冠疫情期间萨拉热窝州初级卫生保健的组织情况提供了理想框架，因为这是一项实证研究，探索现实生活背景下的当代现象，此时现象与背景之间的界限并不清晰。使用了多种证据来源。数据通过几种不同方式收集：分析与新冠疫情相关的政策、法律、法规、决定，洞察卫生信息系统的变化，从报告中收集数据，以及通过与11名家庭医学专家进行小组访谈（德尔菲探索性访谈）。
初级保健被组织为两个并行系统，以家庭医学为核心。第一个系统是新冠疫情初级保健，第二个系统是为非新冠患者提供的常规护理。尽管面临诸多挫折，家庭医学医生仍为106346例新冠病例提供了医疗服务。
家庭医学的每一项原则（首次接触诊疗、以患者为中心的护理、全面性、护理连续性、基于社区、护理协调以及整体模式）都受到了干扰，对患者和家庭医生都产生了影响。
需要进一步研究，以审视萨拉热窝州家庭医学和初级卫生保健应对新冠疫情的各个方面。
