Characterization of response mapping to the Sars-CoV2 (Covid-19) pandemic at first level of care as a public health measure
- Authors
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- Keywords:
- COVID-19, Coronavirus, First Level of Health Care, Family and Community Medicine, Community Medicine
- Abstract
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The presence of the pandemic by Covid-19 aroused the interest of the health system which is facing the difficulty of providing access, coverage and timely response to the needs of the population in the first level of care-PNA, the latter, For many years it was focused and designed to solve maternal and child health problems, thus not reaching the great deployment in times of pandemic.
Objective To determine the health response capacity in the face of the SarsCov2 (Covid-19) pandemic in the first level of care IPRESS as a public health measure.
Materials and Methods A cross-sectional, quantitative approach study was carried out, the level of research reached is descriptive, the method used is inductive and the design that guided the statistical process is non-experimental, cross-sectional. The sample consisted of 79 of the health personnel of the Institutions Providers of Health Services-IPRESS of the first level of care, the technique used was the survey and the instrument the questionnaire.
Results The results found on the response capacity of the first-level IPRESSs were observed that 62.5% of the C.S. San Cristóbal perceive that the response to the pandemic by Sars-CoV-2 (Covid-19), 57.1% and 55.6%; They also consider that the response to Covid-19 is regular.
Conclusions The response capacity of the IPRESS first level of care is generally regular.
- References
-
Basu S, Phillips RS, Phillips R, Peterson LE, Landon BE. Primary Care Practice Finances In The United States Amid The COVID-19 Pandemic. Health Aff (Millwood). 1 de septiembre de 2020;39(9):1605-14.
Solari-Twadell PA, Flinter M, Rambur B, Renda S, Witwer S, Vanhook P, et al. The impact of the COVID-19 pandemic on the future of telehealth in primary care. Nurs Outlook [Internet]. 24 de septiembre de 2021 [citado 15 de diciembre de 2021]; Disponible en: https://www.sciencedirect.com/science/article/pii/S002965542100227X
BBC. Qué capacidad tienen realmente los diferentes países de América Latina para hacer frente a la epidemia de coronavirus. BBC News Mundo [Internet]. 2020 [citado 15 de diciembre de 2021]; Disponible en: https://www.bbc.com/mundo/noticias-america-latina-51916767
Gestión. Perú pide a sus ciudadanos no ser necios ni “cómplices” de expandir el COVID | PERU [Internet]. Gestión. NOTICIAS GESTIÓN; 2020 [citado 15 de diciembre de 2021]. Disponible en: https://gestion.pe/peru/peru-pide-a-sus-ciudadanos-no-ser-necios-ni-complices-de-expandir-el-covid-noticia/
Villanueva-Carrasco R, Domínguez Samamés R, Salazar De La Cruz M, Cuba-Fuentes MS, Villanueva-Carrasco R, Domínguez Samamés R, et al. Respuesta del primer nivel de atención de salud del Perú a la pandemia COVID-19. An Fac Med. septiembre de 2020;81(3):337-41.
OMS. Informe de la misión conjunta OMS-China sobre la enfermedad por coronavirus 2019 (COVID-19) [Internet]. 2020 [citado 14 de diciembre de 2021]. Disponible en: https://www.who.int/docs/default-source/coronaviruse/who-china-joint-mission -on-covid-19-final-report.pdf
Li DKT, Zhu S. Contributions and challenges of general practitioners in China fighting against the novel coronavirus crisis. Fam Med Community Health. 23 de marzo de 2020;8(2):e000361.
Kringos DS, Boerma WG, Hutchinson A, van der Zee J, Groenewegen PP. The breadth of primary care: a systematic literature review of its core dimensions. BMC Health Serv Res. 13 de marzo de 2010;10(1):65.
Cuba-Fuentes MS, Romero-Albino Z, Dominguez R, Rojas Mezarina L, Villanueva R. Dimensiones claves para fortalecer la atención primaria en el Perú a cuarenta años de Alma Ata. An Fac Med. 30 de diciembre de 2018;79(4):346.
Ministerio de Salud de Perú. Plan Nacional de Reforzamiento de los Servicios de Salud y Contención del COVID-19 [Internet]. 2020 [citado 14 de diciembre de 2021]. Disponible en: https://cdn.www.gob.pe/uploads/document/file/568975/RM_095-2020-MINSA.PDF.
Kunin M, Engelhard D, Piterman L, Thomas S. Response of general practitioners to infectious disease public health crises: an integrative systematic review of the literature. Disaster Med Public Health Prep. octubre de 2013;7(5):522-33.
El-Hage W, Hingray C, Lemogne C, Yrondi A, Brunault P, Bienvenu T, et al. [Health professionals facing the coronavirus disease 2019 (COVID-19) pandemic: What are the mental health risks?]. L’Encephale. junio de 2020;46(3S):S73-80.
Menárguez Puche JF, Saturno Hernández PJ. Características del liderazgo de los coordinadores de centros de salud en la Comunidad Autónoma de Murcia. Aten Primaria. 1 de diciembre de 1998;22(10):636-41.
Hernán-García M, Cubillo-Llanes J, García-Blanco D, Cofiño R. Epidemias, virus y activos para la salud del barrio. Gac Sanit. 1 de noviembre de 2020;34(6):533-5.
Kumar RDC. Leadership in healthcare. Clin Integr Care. 1 de enero de 2022;10:100080.
MINSA. Lineamientos para el fortalecimiento de acciones de respuesta en establecimientos de salud, redes de salud y oferta móvil frente al COVID-19 (en fase de transmisión comunitaria) [Internet]. 2020 [citado 14 de diciembre de 2021]. Disponible en: https://cdn.www.gob.pe/uploads/document/file/729861/RM_309-2020-MINSA.PDF.
Inter-American Development Bank. Sector Social División de Protección Social y Salud. Enfermedades crónicas, atención primaria y desempeño de los sistemas de salud: Diagnóstico, herramientas e intervenciones | Publicaciones [Internet]. 2011 [citado 14 de diciembre de 2021]. Disponible en: https://publications.iadb.org/publications/spanish/document/Enfermedades-cr%C3%B3nicas-atenci%C3%B3n-primaria-y-desempe%C3%B1o-de-los-sistemas-de-salud-Diagnostico-herramientas-e-intervenciones.pdf
Ministerio de Sanidad. Gobierno de España. Manejo en Atención Primaria del COVID-19 [Internet]. 2020 [citado 14 de diciembre de 2021]. Disponible en: https://www.mscbs.gob.es/profesionales/saludPublica/ccayes/alertasActual/nCov-China/documentos/Manejo_primaria.pdf.
Chang JE, Lai AY, Gupta A, Nguyen AM, Berry CA, Shelley DR. Rapid Transition to Telehealth and the Digital Divide: Implications for Primary Care Access and Equity in a Post-COVID Era. Milbank Q. junio de 2021;99(2):340-68.
Haldane V, Zhang Z, Abbas RF, Dodd W, Lau LL, Kidd MR, et al. National primary care responses to COVID-19: a rapid review of the literature. BMJ Open. 8 de diciembre de 2020;10(12):e041622.
Zhang T, Shen X, Liu R, Zhao L, Wang D, Lambert H, et al. The impact of COVID-19 on primary health care and antibiotic prescribing in rural China: qualitative study. BMC Health Serv Res. 5 de octubre de 2021;21(1):1048.
Health AGD of. Coronavirus (COVID-19) GP respiratory clinics [Internet]. Australian Government Department of Health. Australian Government Department of Health; 2020 [citado 14 de diciembre de 2021]. Disponible en: https://www.health.gov.au/initiatives-and-programs/coronavirus-covid-19-gp-respiratory-clinics
Chang BB-J, Chiu T-Y. Ready for a long fight against the COVID-19 outbreak: an innovative model of tiered primary health care in Taiwan. BJGP Open. 4(2):bjgpopen20X101068.
Ray S, Mash R. Innovation in primary health care responses to COVID-19 in Sub-Saharan Africa. Prim Health Care Res Dev [Internet]. ed de 2021 [citado 14 de diciembre de 2021];22. Disponible en: https://www.cambridge.org/core/journals/primary-health-care-research-and-development/article/innovation-in-primary-health-care-responses-to-covid19-in-subsaharan-africa/98E895838864D1D096A4A08390F6A54C#
Zhou T-T, Wei F-X. Primary stratification and identification of suspected Corona virus disease 2019 (COVID-19) from clinical perspective by a simple scoring proposal. Mil Med Res. 4 de abril de 2020;7(1):16.
Haldane V, Zhang Z, Abbas RF, Dodd W, Lau LL, Kidd MR, et al. National primary care responses to COVID-19: a rapid review of the literature. BMJ Open. 8 de diciembre de 2020;10(12):e041622.
Xu Z, Ye Y, Wang Y, Qian Y, Pan J, Lu Y, et al. Primary Care Practitioners’ Barriers to and Experience of COVID-19 Epidemic Control in China: a Qualitative Study. J Gen Intern Med. noviembre de 2020;35(11):3278-84.
Silva C dos S. Mendonça MHM, Matta GC, Gondim R, Giovanella L, organizadores. Atenção Primária à Saúde: conceitos, práticas e pesquisa. Saúde Em Debate. septiembre de 2018;42:452-6.
Hone T, Rasella D, Barreto ML, Majeed A, Millett C. Association between expansion of primary healthcare and racial inequalities in mortality amenable to primary care in Brazil: A national longitudinal analysis. PLOS Med. 30 de mayo de 2017;14(5):e1002306.
Sarti TD, Lazarini WS, Fontenelle LF, Almeida APSC. What is the role of Primary Health Care in the COVID-19 pandemic? Epidemiol E Serviços Saúde [Internet]. 27 de abril de 2020 [citado 14 de diciembre de 2021];29. Disponible en: http://www.scielo.br/j/ress/a/SYhPKcN7f8znKV9r93cpF7w/?lang=en
Ministerio de Salud de Perú. Prevención y Atención de personas afectadas por COVID-19 en el Perú. [Internet]. 2020 [citado 14 de diciembre de 2021]. Disponible en: https://cdn.www.gob.pe/uploads/document/file/582549/RM_193-2020-MINSA.PDF.
MINSA. Guía para la planificación, coordinación e implementación de las acciones de detección, aislamiento y seguimiento clínico de las personas afectadas por COVID-19. [Internet]. 2020 [citado 14 de diciembre de 2021]. Disponible en: https://cdn.www.gob.pe/uploads/document/file/716217/RM_295-2020-MINSA.pdf.
MINSA. Directiva Sanitaria para la implementación y funcionamiento de los Equipos de Respuesta Rápida (ERR) que realizan la Vigilancia Epidemiológica de casos sospechosos de COVID-19 [Internet]. 2020 [citado 14 de diciembre de 2021]. Disponible en: https://cdn.www.gob.pe/uploads/document/file/574546/RM_141-2020-MINSA_CON_ANEXOS_1.PDF.
Sardanelli F, Di Leo G. Assessing the Value of Diagnostic Tests in the Coronavirus Disease 2019 Pandemic. Radiology. septiembre de 2020;296(3):E193-4.
Guan W-J, Ni Z-Y, Hu Y, Liang W-H, Ou C-Q, He J-X, et al. Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med. 30 de abril de 2020;382(18):1708-20.
Li Z. The interference factors in Coronavirus 2 nucleic acid detection. 2020 [citado 14 de diciembre de 2021]; Disponible en: https://pesquisa.bvsalud.org/global-literature-on-novel-coronavirus-2019-ncov/resource/pt/ppcovidwho-2024
Ai T, Yang Z, Hou H, Zhan C, Chen C, Lv W, et al. Correlation of Chest CT and RT-PCR Testing for Coronavirus Disease 2019 (COVID-19) in China: A Report of 1014 Cases. Radiology. agosto de 2020;296(2):E32-40.
Zhou T-T, Wei F-X. Primary stratification and identification of suspected Corona virus disease 2019 (COVID-19) from clinical perspective by a simple scoring proposal. Mil Med Res. 4 de abril de 2020;7(1):16.
Ministério da Saúde (BR). Protocolo de manejo clínico del coronavirus (Covid-19) en la Atención Primaria a la Saúde [Internet]. 2020 [citado 14 de diciembre de 2021]. Disponible en: https://bvsms.saude.gov.br/bvs/publicacoes/manejo_clinico_covid-19_atencao_especializada.pdf
Anderson RM, Heesterbeek H, Klinkenberg D, Hollingsworth TD. How will country-based mitigation measures influence the course of the COVID-19 epidemic? The Lancet. 21 de marzo de 2020;395(10228):931-4.
CSSEGISandData. COVID-19 Data Repository by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University [Internet]. 2021 [citado 14 de diciembre de 2021]. Disponible en: https://github.com/CSSEGISandData/COVID-19
Ministerio de Salud de Perú. Plan Nacional de Preparación y Respuesta frente al riesgo de introducción del Coronavirus 2019-nCoV [Internet]. 2020 [citado 14 de diciembre de 2021]. Disponible en: https://cdn.www.gob.pe/uploads/document/file/505245/resolucion-ministerial-039-2020-MINSA.PDF
Llor C, Moragas A. Coronavirus y atención primaria. Aten Primaria. 1 de mayo de 2020;52(5):294-6.
Vega-Romero R, Vega-Romero R. Atención Primaria en Salud y COVID-19. Hacia Promoc Salud. diciembre de 2020;25(2):17-9.
Yu X, Yang R. COVID-19 transmission through asymptomatic carriers is a challenge to containment. Influenza Other Respir Viruses. 2020;14(4):474-5.
Chang BB-J, Chiu T-Y. Ready for a long fight against the COVID-19 outbreak: an innovative model of tiered primary health care in Taiwan. BJGP Open. 2020;4(2):bjgpopen20X101068.
Jan C-F, Chiu T-Y, Chen C-Y, Guo F-R, Lee M-C. A 10-year review of health care reform on Family Practice Integrated Care Project-Taiwan experience. Fam Pract. 23 de julio de 2018;35(4):352-7.
Villanueva-Carrasco R, Domínguez Samamés R, Salazar De La Cruz M, Cuba-Fuentes MS, Villanueva-Carrasco R, Domínguez Samamés R, et al. Respuesta del primer nivel de atención de salud del Perú a la pandemia COVID-19. An Fac Med. septiembre de 2020;81(3):337-41.
MINSA. Covid 19 en el Perú - Ministerio del Salud [Internet]. 2021 [citado 14 de diciembre de 2021]. Disponible en: https://covid19.minsa.gob.pe/sala_situacional.asp
Haldane V, Zhang Z, Abbas RF, Dodd W, Lau LL, Kidd MR, et al. National primary care responses to COVID-19: a rapid review of the literature. BMJ Open. 8 de diciembre de 2020;10(12):e041622.
Starfield B, Shi L, Macinko J. Contribution of primary care to health systems and health. Milbank Q. 2005;83(3):457-502.
Miota AC, Pérez BV, Morales PAL, Martínez CA, Ivars LS, Amengual VF, et al. Respuesta de un centro de salud ante la pandemia COVID-19: percepciones de la plantilla médica. 2020;8.
Rasanathan K, Evans TG. Primary health care, the Declaration of Astana and COVID-19. Bull World Health Organ. 1 de noviembre de 2020;98(11):801-8.
Litsios DS. On the Origin of Primary Health Care [Internet]. Health For All: The Journey of Universal Health Coverage. Orient Blackswan; 2015 [citado 14 de diciembre de 2021]. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK316278/
Rifkin SB, Fort M, Patcharanarumol W, Tangcharoensathien V. Primary healthcare in the time of COVID-19: breaking the silos of healthcare provision. BMJ Glob Health. 3 de noviembre de 2021;6(11):e007721.
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