A Tale of 3 Asian Cities: How is Primary Care Responding to COVID-19 in Hong Kong, Singapore, and Beijing?

Tan, David Hsien Yung; Zhang, Yun; Ramiah, Anbumalar; Zeng, Xuejun; Hui, Elaine; Young, Doris

doi:10.1370/afm.2635

Cited by 9 publications

(11 citation statements)

References 5 publications

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“…A paper by Wong et al on how PHC centres responded to COVID-19 in China reported that PHC centres played a major role in screening for COVID-19 to deflate the pressure from tertiary health care services. 40 Their PHC centres developed a strong communication system with higher level management and shortage of staff was met accordingly. 40 The shortage of staff also affected the services and leaders were forced to make day-to-day decisions, some of which were to close services to better handle the expected staff shortage.…”

Section: Discussionmentioning

confidence: 99%

“… 40 Their PHC centres developed a strong communication system with higher level management and shortage of staff was met accordingly. 40 The shortage of staff also affected the services and leaders were forced to make day-to-day decisions, some of which were to close services to better handle the expected staff shortage. This action is not surprising when compared to a UK study that listed shortage of staff as the second cause after decreased demand of imaging studies for the closure of 9 out of 18 diagnostic imaging facilities during the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 99%

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Preparedness of Primary Health Care Leaders During COVID-19 Outbreak, Riyadh, Saudi Arabia: A Qualitative Study

Alakeely¹,

Almutari²,

Masud³

et al. 2021

RMHP

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Purpose: Our study aims to explore the preparedness of the frontline leaders of the primary health care (PHC) centres in dealing with the COVID-19 pandemic and to understand their experiences in implementing preventive interventions necessary to routinise health care service delivery. Methods: A qualitative exploratory study was conducted using in-depth interviews with the participants in English. The interviews were transcribed verbatim, and inductive coding followed by thematic analysis was performed using NVivo version 12. Participants: Six participants in charge of managing their respective primary health care settings were included in the study. Purposive sampling was used to identify participants until saturation was reached. After agreement, the interviews were scheduled as per availability. Results: The results were grouped into three major themes and nine subthemes. Most leaders reported that they were trained in pandemic preparedness, but there was a lack of focused readiness to handle a massive-scale, infectious disease outbreak or pandemic. The initial lack of guidelines specific to COVID-19 was a barrier in making decisions related to staff and patient care. Services were interrupted initially and there was lack of staff since many acquired COVID-19 and were isolated. The shortage of the staff was delt by repurposing staff from other departments to the essential care services. Fears related to pandemic was one of the main concerns reported among staff and patients. Several initiatives were taken to ensure staff safety and uninterrupted service delivery to patients. The use of technology was an effective mechanism in preparing for the pandemic. Conclusion: This qualitative study helped in understanding the experiences of primary health care leaders during the COVID-19 pandemic. The facilities lacked overall preparedness at the beginning of the pandemic; however, many initiatives were taken in course of time to ensure smooth operations and continued service delivery to the patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Preparedness of Primary Health Care Leaders During COVID-19 Outbreak, Riyadh, Saudi Arabia: A Qualitative Study

Alakeely¹,

Almutari²,

Masud³

et al. 2021

RMHP

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“…The healthcare surveillance and monitoring strategies used by PHC in the COVID-19 pandemic are related to the use of the telephone, video calls, teleconsultations, implementation of protocols, flow of care, detection and monitoring of COVID-19, as well as to the limits faced by PHC in the pandemic (21)(22)(23)(24)27,29,31,33,(35)(36)(37)40,43) .…”

Section: Canadian Medical Association Journalmentioning

confidence: 99%

“…With the regulation of telemedicine in Brazil for the context of the COVID-19 pandemic (46) , teleservice was included in the national protocol for the clinical management of the disease in PHC, incorporating telemonitoring of people with suspected COVID-19 and remote surveillance of the clinical picture of symptomatic people (33)(34)(35)(36) . Online and telehealth services are configured as an alternative to face the COVID-19 pandemic in PHC, considering the ease of contagion and spread of the disease in closed places and the need to avoid a great demand for health services (44,47) .…”

Section: Canadian Medical Association Journalmentioning

confidence: 99%

Implicações da pandemia da COVID-19 sobre a Atenção Primária à Saúde: revisão integrativa

Fernandes

Boufleuer²,

Finckler³

et al. 2022

Rev. Eletr. Enferm.

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Objetivo: Identificar na literatura as implicações da pandemia da Coronavirus disease de 2019 sobre a Atenção Primária à Saúde (APS). Método: Revisão integrativa da literatura realizada em abril de 2021, utilizando-se os descritores indexados “Primary Health Care”, “Coronavirus” e “Pandemics”, a partir dos Descritores em Ciências da Saúde e Medical Subject Headings. Foram incluídos artigos na íntegra, sem recorte temporal. Excluíram-se estudos duplicados, relatos de caso, reflexões, manuais, recomendações, revisões e estudos de outras temáticas. Resultados: Foram selecionados 25 estudos de 768 publicações. Apontam- se para mudanças nas demandas de trabalho relacionadas a materiais, logística, padrão de atendimento, distanciamento social e estratégias de vigilância e monitoramento da atenção à saúde utilizadas na APS na pandemia da Coronavirus disease de 2019. Conclusões: Revelam-se iniciativas voltadas à criação de estratégias de vigilância e monitoramento na Atenção Primária à Saúde no enfrentamento da pandemia da Coronavirus disease de 2019.

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confidence: 99%

Scientific research on COVID-19 conducted in Hong Kong in 2020

et al. 2021

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Much research has been conducted into the coronavirus disease 2019 (COVID-19) pandemic internationally and regionally. [1][2][3][4] Before the pandemic became widespread, researchers in Hong Kong have alerted health authorities to initiate emergency measures. 5,6 The accumulated scientific evidence on COVID-19, including clinical characteristics, transmission, risk factors, diagnostic testing and screening, immune responses, treatment and pharmaceutical prophylaxis, and vaccines has greatly helped inform the infection prevention, early recognition, rapid identification, and disease control of COVID-19. Research attention paid to the routine clinical management of chronic conditions are of equal importance in the wider context of the pandemic, given the dynamic links between COVID-19 and underlying health conditions. 7 In this issue of the Hong Kong Medical Journal, Yee et al 8 reviewed institutional data from all urology centres in the government-run healthcare sector in Hong Kong during the COVID-19 pandemic, to assess the changes in urology practice and resident training. Compared with a control period, the authors report drastic reductions of 28.5% to 49.6% in the numbers of operating sessions, clinic attendances, cystoscopy sessions, prostate biopsies, and shockwave lithotripsy sessions across all the centres reviewed. The number of surgeries performed by residents was also reduced dramatically during the pandemic. Key aspects of urology practice have undergone substantial changes, which resulted as a response to challenges including shortages in frontline healthcare resources such as personal protective equipment, or rigid management of patient flow in hospitals. Similar challenges were identified in primary care during the early phase of the COVID-19 outbreak, as shown in a cross-sectional study conducted among family doctors affiliated with the Hong Kong College of Family Physicians. 9 In other specialist services such as obstetrics and gynaecology practices, restrictive measures intended to limit the spread of COVID-19 resulted in an increased psychological burden on pregnant women who experienced cancellation of prenatal exercises, antenatal talks, hospital tours, and postnatal classes. 10 Local

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A Tale of 3 Asian Cities: How is Primary Care Responding to COVID-19 in Hong Kong, Singapore, and Beijing?

Cited by 9 publications

References 5 publications

Preparedness of Primary Health Care Leaders During COVID-19 Outbreak, Riyadh, Saudi Arabia: A Qualitative Study

Preparedness of Primary Health Care Leaders During COVID-19 Outbreak, Riyadh, Saudi Arabia: A Qualitative Study

Implicações da pandemia da COVID-19 sobre a Atenção Primária à Saúde: revisão integrativa

Scientific research on COVID-19 conducted in Hong Kong in 2020

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