Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, Redwood City, CA, United States.
J Med Internet Res. 2024 Feb 23;26:e47667. doi: 10.2196/47667.
On January 30, 2023, the Biden Administration announced its intention to end the existing COVID-19 public health emergency declaration. The transition to a "postpandemic" landscape presents a unique opportunity to sustain and strengthen pandemic-era changes in care delivery. With this in mind, we present 3 critical lessons learned from a primary care perspective during the COVID-19 pandemic. First, clinical workflows must support both in-person and internet-based care delivery. Second, the integration of asynchronous care delivery is critical. Third, planning for the future means planning for everyone, including those with potentially limited access to health care due to barriers in technology and communication. While these lessons are neither unique to primary care settings nor all-encompassing, they establish a grounded foundation on which to construct higher-quality, more resilient, and more equitable health systems.
2023 年 1 月 30 日,拜登政府宣布有意结束现有的 COVID-19 公共卫生紧急声明。向“后疫情”时代过渡为维持和加强大流行时期的医疗服务提供方式变革提供了独特的机会。考虑到这一点,我们从初级保健的角度提出了在 COVID-19 大流行期间获得的 3 个关键经验教训。首先,临床工作流程必须同时支持面对面和基于互联网的医疗服务提供。其次,异步医疗服务的整合至关重要。第三,为未来做规划意味着为所有人做规划,包括那些由于技术和沟通障碍而可能获得医疗服务有限的人。虽然这些经验教训并非初级保健环境所独有,也不是包罗万象的,但它们为构建更高质量、更有弹性和更公平的卫生系统奠定了坚实的基础。