Primary health care organization in the Covid-19 pandemic: scoping review
DOI:
https://doi.org/10.11606/s1518-8787.2022056004374Keywords:
Primary Health Care, organization & administration, COVID-19, prevention & control, Health Human Resource Training, ReviewAbstract
OBJECTIVE Mapping available scientific evidence on the organization of primary health care services and professionals during the Covid-19 pandemic. METHODS This is a scoping review that followed the Joanna Briggs Institute method. Articles published in Portuguese, Spanish, and English from January 2020 to January 2021 in the CINAHL, Lilacs, Medline, PubMed, and Web of Science databases were included. RESULTS We selected 24 articles that presented the reorganization of primary health care services and professionals to care suspected or confirmed Covid-19 cases. Coordination measures to tackle this disease in primary health care help to control its infection, especially by the active search for respiratory symptoms, the detection of new cases, and the monitoring of confirmed cases. CONCLUSION This study presents an overview of how primary health care services and professionals organized themselves to tackle the Covid-19 pandemic, addressing adjustments in infrastructure and care flows, such as establishing specific Covid-19 care units, separating infected and non-infected patients, using telemedicine as an alternative modality of care, and monitoring cases by applications and phone.
References
World Health Organization. Coronavirus disease (COVID-19) pandemic. Geneva (CH): WHO; 2021 [citado 17 abr 2022]. Disponível em: https://www.who.int/emergencies/diseases/novel-coronavirus-2019
Ministério da Saúde (BR). Painel de casos de doença pelo coronavírus 2019 (COVID-19) no Brasil pelo Ministério da Saúde. Brasília, DF; 2022 [citado 17 abr 2022]. Disponível em: https://covid.saude.gov.br/
Tabish SA. COVID-19 pandemic: emerging perspectives and future trends. J Public Health Res. 2020;9(1):1786. https://doi.org/10.4081/jphr.2020.1786
World Health Organization, Regional Office for the Western Pacific Region. Role of primary care in the COVID-19 Response: interim guidance. Manila (PH); 2021 [citado 17 abr 2022]. Disponível em: https://apps.who.int/iris/handle/10665/331921
Alves MTG. Reflexões sobre o papel da Atenção Primária à Saúde na pandemia de COVID-19. Rev Bras Med Fam Comunidade. 2020;15(42):2496. https://doi.org/10.5712/rbmfc15(42)2496
Cabral ERM, Bonfada D, Melo MC, Cesar ID, Oliveira REM, Bastos TF, et al. Contributions and challenges of the Primary Health Care across the pandemic COVID-19. InterAm J Med Health. 2020;3:e202003012. https://doi.org/10.31005/iajmh.v3i0.87
Sarti TD, Lazarini WS, Fontenelle LF, Almeida APSC. What is the role of Primary Health Care in the COVID-19 pandemic? Epidemiol Serv Saude. 2020;29(2):e2020166. https://doi.org/10.5123/S1679-49742020000200024
Conselho Nacional de Secretários de Saúde. Guia orientador para o enfrentamento da pandemia COVID-19 na Rede de Atenção à Saúde. 2. ed. Brasília, DF: CONASS; 2020.
Aromataris E, Munn Z, editors. JBI manual for evidence synthesis. Adelaide (AU): JBI Faculty of Health and Medical Sciences, the University of Adelaide; 2020 [citado 17 abr 2022]. Disponível em: https://synthesismanual.jbi.global
Fabbri S, Silva C, Hernandes E, Octaviano F, Di Thommazo A, Belgamo A. Improvements in the StArt tool to better support the systematic review process. In: Proceedings of the 20th International Conference on Evaluation and Assessment in Software Engineering (EASE ’16); 2016 June; Limerick, Ireland. p.1-5.
Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467-73. https://doi.org/10.7326/M18-0850
Ministério da Saúde (BR), Secretaria de Vigilância em Saúde. Guia de vigilância epidemiológica: emergência de saúde pública de importância nacional pela doença pelo coronavírus 2019 – COVID-19. Brasília, DF; 2021 [citado 9 abr 2022]. Disponível em:https://www.gov.br/saude/pt-br/coronavirus/publicacoes-tecnicas/guias-e-planos/guia-de-vigilancia-epidemiologica-covid-19/view
Jesus AM, Oliveira KNR, Silva MPF, Matos RB, Dias CFMA. Rede de vigilância no monitoramento da Covid-19 na Bahia, Brasil, 2020. Rev Baiana Saude Publica. 2021;45 Nº Espec 1:62-78.
Giovanella L, Martufi V, Mendoza DCR, Mendonça MHM, Bousquat AEM, Aquino R, et al. A contribuição da Atenção Primária à Saúde na rede SUS de enfrentamento à Covid-19. Saude Debate. 2020;44 Nº Espec 4):1-21. https://doi.org/10.1590/0103-11042020E410
Geraldo SM, Farias SJM, Sousa FOS. A atuação da Atenção Primária no contexto da pandemia da COVID-19 no Brasil. Res Soc Dev. 2021;10(8):e42010817359. https://doi.org/10.33448/rsd-v10i8.17359
Prado NMBL, Rossi TRA, Chaves SCL, Barros SG, Magno L, Santos HLPC, et al. The international response of primary health care to COVID-19: document analysis in selected countries. Cad Saude Publica. 2020;36(12):e00183820. https://doi.org/10.1590/0102-311X00183820
Ministério da Saúde (BR), Secretaria de Atenção Primária à Saúde. Protocolo de manejo clínico do coronavírus (COVID-19) na Atenção Primária à Saúde - Versão 9. Brasília (DF); 2020 [citado 17 abr 2022]. Disponível em: https://docs.bvsalud.org/biblioref/2020/05/1095920/20200504-protocolomanejo-ver09.pdf
Krist AH, DeVoe JE, Cheng A, Ehrlich T, Jones SM. Redesigning primary care to address the COVID-19 pandemic in the midst of the pandemic. Ann Fam Med. 2020;18(4):349-54. https://doi.org/10.1370/afm.2557
Morreel S, Philips H, Verhoeven V. Organisation and characteristics of out-of-hours primary care during a COVID-19 outbreak: a real-time observational study. PLoS One. 2020;15(8):e0237629. https://doi.org/10.1371/journal.pone.0237629
Fernandes LMM, Pacheco RA, Fernandez M. How a Primary Health Care Clinic in Brazil faces coronavirus treatment within a vulnerable community: the experience of the Morro da Conceição area in Recife. NEJM Catal Innov Care Deliv. 2020;1(5). https://doi.org/10.1056/CAT.20.0466
Sigurdsson EL, Blondal AB, Jonsson JS, Tomasdottir MO, Hrafnkelsson H, Linnet K, et al. How primary healthcare in Iceland swiftly changed its strategy in response to the COVID-19 pandemic. BMJ Open. 2020;10(12):e043151. https://doi.org/10.1136/bmjopen-2020-043151
Dias EG, Ribeiro DRSV. Manejo do cuidado e a educação em saúde na atenção básica na pandemia do Coronavírus. J Nurs Health. 2020;10(4):20104020.
Vieira DS, Sá PC, Torres RC, Oliveira FT, Rocha KRSL, Vasconcelos TLC, et al. Planejamento da enfermagem frente à covid-19 numa estratégia de saúde da família: relato de experiência. Saude Coletiva (Barueri). 2020;10(54):2729-40. https://doi.org/10.36489/saudecoletiva.2020v10i54p2729-2740
Cirino FMSB, Aragão JB, Meyer G, Campos DS, Gryschek ALFPL, Nichiata LYI. Desafios da atenção primária no contexto da COVID-19: a experiência de Diadema, SP. Rev Bras Med Fam Comunidade. 2021;16(43):2665. https://doi.org/10.5712/rbmfc16(43)2665
Silveira JPM, Zonta R. Experiência de reorganização da APS para o enfrentamento da COVID-19 em Florianópolis. APS Rev. 2020;2(2):91-6. https://doi.org/10.14295/aps.v2i2.122
Ribeiro MA, Araújo Júnior DG, Cavalcante ASP, Martins AF, de Sousa LA, Carvalho RC, Cunha ICKO. (RE)Organização da Atenção Primária à Saúde para o enfrentamento da COVID-19: experiência de Sobral-CE. APS Rev. 2020;2(2):177-88. https://doi.org/10.14295/aps.v2i2.125
Guimarães FG, Carvalho TML, Bernardes RM. A organização da Atenção Primária à Saúde de Belo Horizonte no enfrentamento da pandemia Covid 19: relato de experiência. APS Rev. 2020;2(2):74-82. https://doi.org/10.14295/aps.v2i2.128
Jacobson NA, Nagaraju D, Miller JM, Bernard ME. COVID Care Clinic: a unique way for family medicine to care for the community during the SARS-CoV-2 (COVID-19) pandemic. J Prim Care Community Health. 2020;11:2150132720957442. https://doi.org/10.1177/2150132720957442
Saint-Lary O, Gautier S, Le Breton J, Gilberg S, Frappé P, Schuers M, et al. How GPs adapted their practices and organisations at the beginning of COVID-19 outbreak: a French national observational survey. BMJ Open. 2020;10(12):e042119. https://doi.org/10.1136/bmjopen-2020-042119
Majeed A, Maile EJ, Bindman AB. The primary care response to COVID-19 in England’s National Health Service. J R Soc Med. 2020;113(6):208-10. https://doi.org/10.1177/0141076820931452
Engstrom E, Melo E, Giovanella L, Mendes A, Grabois V, Mendonça MHM. Recomendações para a organização da Atenção Primária à Saúde no SUS no enfrentamento da COVID-19. Rio de Janeiro: Fiocruz; 2020 [citado 17 abr 2022]. (Série Linha de Cuidado Covid-19 na Rede de Atenção à Saúde). Disponível em: https://www.arca.fiocruz.br/bitstream/icict/41404/2/RecomendacoesAPSEnfrentamentoCovid-19.pdf
Al Ghafri T, Al Ajmi F, Anwar H, Al Balushi L, Al Balushi Z, Al Fahdi F, et al. The experiences and perceptions of health-care workers during the COVID-19 pandemic in Muscat, Oman: a qualitative study. J Prim Care Community Health. 2020;11:2150132720967514. https://doi.org/10.1177/2150132720967514
Blazey-Martin D, Barnhart E, Gillis J Jr, Vazquez GA. Primary care population management for COVID-19 patients. J Gen Intern Med. 2020;35(10):3077-80. https://doi.org/10.1007/s11606-020-05981-1
Verhoeven V, Tsakitzidis G, Philips H, Van Royen P. Impact of the COVID-19 pandemic on the core functions of primary care: will the cure be worse than the disease? A qualitative interview study in Flemish GPs. BMJ Open. 2020;10(6):e039674. https://doi.org/10.1136/bmjopen-2020-039674
Karim SI, Irfan F, Batais MA. Becoming virtual: a preliminary experience of outpatient primary care during COVID-19 pandemic. Pan Afr Med J. 2020;37:262. https://doi.org/10.11604/pamj.2020.37.262.26574
Motlhatlhedi K, Bogatsu Y, Maotwe K, Tsima B. Coronavirus disease 2019 in Botswana: contributions from family physicians. Afr J Prim Health Care Fam Med. 2020;12(1):a2497. https://doi.org/10.4102/phcfm.v12i1.2497
Sinha S, Kern LM, Gingras LF, Reshetnyak E, Tung J, Pelzman F, et al. Implementation of video visits during COVID-19: lessons learned from a primary care practice in New York City. Front Public Health, 2020;8:514. https://doi.org/10.3389/fpubh.2020.00514
Joy M, McGagh D, Jones N, Liyanage H, Sherlock J, Parimalanathan V, et al. Reorganisation of primary care for older adults during COVID-19: a cross-sectional database study in the UK. Br J Gen Pract. 2020;70(697):e540-7. https://doi.org/10.3399/bjgp20X710933
Al Ghafri T, Al Ajmi F, Al Balushi L, Kurup PM, Al Ghamari A, Al Balushi Z, et al. Responses to the pandemic COVID-19 in Primary Health Care in Oman: Muscat experience. Oman Med J. 2021;36(1):e216. https://doi.org/10.5001/omj.2020.70
Bressy S, Zingarelli EM. Technological devices in COVID-19 primary care management: the Italian experience. Fam Pract. 2020;37(5):725-6. https://doi.org/10.1093/fampra/cmaa055
Mantovani W, Franchini S, Mazzurana M, Zuccali MG, Pizzo F, Zanin A, et al. [Reorganization and public health management by the Department of Prevention during the COVID-19 emergency. An experience of integration between prevention and primary care in the proactive management of possible cases]. Epidemiol Prev. 2020;44(5-6 Suppl 2):104-12. Italian. https://doi.org/10.19191/EP20.5-6.S2.108
Desborough J, Dykgraaf SH, Toca L, Davis S, Roberts L, Kelaher C, et al. Australia's national COVID-19 primary care response. Med J Aust. 2020;213(3):104-6. https://doi.org/10.5694/mja2.50693
Duarte RB, Medeiros LMF, Araújo MJAM, Cavalcante ASP, Souza EC, Alencar OM, et al. Agentes Comunitários de Saúde frente à COVID-19: vivências junto aos profissionais de enfermagem. Enferm Foco. 2020;11 (1 Nº Espec):252-6. https://doi.org/10.21675/2357-707X.2020.v11.n1.ESP.3597
Ximenes Neto FRG, Araújo CRC, Silva RCC, Ribeiro MA, Sousa LA, Serafim TF, et al. Coordenação do cuidado, vigilância e monitoramento de casos da COVID-19 na Atenção Primária à Saúde. Enferm Foco. 2020;11(1 Nº Espec):239-45. https://doi.org/10.21675/2357-707X.2020.v11.n1.ESP.3682
Rios AFM, Lira LSSP, Reis IM, Silva GA. Atenção Primária à Saúde frente à COVID-19: relato de experiência de um Centro de Saúde. Enferm Foco. 2020;11(1 Nº Espec):246-51. https://doi.org/10.21675/2357-707X.2020.v11.n1.ESP.3666
Coma E, Mora E, Méndez L, Benítez M, Hermosilla E, Fàbregas M, et al. Primary care in the time of COVID-19: monitoring the effect of the pandemic and the lockdown measures on 34 quality of care indicators calculated for 288 primary care practices covering about 6 million people in Catalonia. BMC Fam Pract. 2020;21:208 https://doi.org/10.1186/s12875-020-01278-8
Garg S, Basu S, Rustagi R, Borle A. Primary Health Care facility preparedness for outpatient service provision during the COVID-19 pandemic in India: cross-sectional study. JMIR Public Health Surveill. 2020;6(2):e19927. https://doi.org/10.2196/19927
Danhieux K, Buffel V, Pairon A, Benkheil A, Remmen R, Wouters E, et al. The impact of COVID-19 on chronic care according to providers: a qualitative study among primary care practices in Belgium. BMC Fam Pract. 2020;21:255. https://doi.org/10.1186/s12875-020-01326-3
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Copyright (c) 2022 Breno Ribeiro Gonçalves da Silva, Ana Paula de Vechi Corrêa, Sílvia Carla da Silva André Uehara
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Fundação de Amparo à Pesquisa do Estado de São Paulo
Grant numbers 2019/21219-7 -
Conselho Nacional de Desenvolvimento Científico e Tecnológico
Grant numbers 402507/2020-7
