Resumo
Este artículo analiza el papel y las adaptaciones de la Atención Primaria de Salud comparando la situación de la Atención Primaria de Salud antes de la pandemia, la respuesta de la Atención Primaria de Salud a Covid-19 y el posible escenario post-pandémico. Se observa que el futuro próximo tendrá incidencias ocasionales de brotes y epidemias que requerirán una actualización permanente de la vigilancia epidemiológica y de las necesidades de salud pública. Además, la evaluación de los cambios que la pandemia de Covid-19 ha introducido en la prestación de servicios, especialmente en lo que se refiere al uso de nuevas tecnologías y al rediseño de los servicios, afecta a la atención primaria, que es un elemento estructural de cualquier servicio sanitario.
Referências
Salas RN, Shultz JM, Solomon CG. The Climate Crisis and Covid-19 — A Major Threat
to the Pandemic Response-. N Engl J Med 2020;383;11: e70.
WHO. Alma Ata Declaration. Geneva.1978.
Starfield B. Is primary care essential? Lancet 1994;344;1129-1133.
Macinko, J., Starfield, B. y Shi, L. (2003). The contribution of primary care systems to health outcomes within Organization for Economic Cooperation and Development (OECD) countries, 1970-1998. HSR 38:831-865
Starfield, B., Shi, L. y Macinko, J. (2005). “Contribution of Primary Care to Health Systems and Health.” The Milbank Quarterly 83 (3): 457–502.
Schoen, C., Osborn, R., Squires, D., Doty, M.M., Pierson, R. y Applebaum, S. (2010). “How Health Insurance Design Affects Access to Care and Costs, by Income, in Eleven Countries.” Health Affairs 29 (12): 2334–2323.
Macinko J, Starfield B, Shi L (2003). The contribution of primary care systems to health outcomes within Organization for Economic Cooperation and Development (OECD) countries, 1970-1998. HSR 38:831-865
Kringos DS, Boerma W, Hutchinson A, Saltman R. Building primary care in a changing Europe. European Observatory on Health Systems and Policies. World Health Organization Regional Office for Europe, Copenhagen, 2015
Basu S, Berkowitz SA, Phillips RL, Bitton A, Landon BE, Phillips RS. Association of Primary Care Physician Supply with Population Mortality in the United States, 2005-2015. JAMA Intern Med. 2019;179(4):506-514. doi:10.1001/jamainternmed.2018.7624
Kringos, D.S., Boerma, W.G. Hutchinson, A. y Saltman, R. (2015) Building primary care in a changing Europe. European Observatory on Health Systems and Policies. World Health Organization Regional Office for Europe, Copenhagen
Minué S. ¿Están los atributos esenciales de la Atención Primaria en entredicho? Gestión Clínica y Sanitaria 2016; 18:78-80.
Knottnerus J. medical decision making by General Practitioners and Specialists. Fam Pract 1991,8:305-7
Starfield B. El Cupo y la Longitudinalidad En: Starfield B. Atención Primaria. Equilibrio entre necesidades de salud, servicios y tecnología. Barcelona; Masson.1ª ed.; 2001. p153-81.
Kelley JM, Kraft-Todd G, Schapira L, Kossowsky J, Riess H. The Influence of the Patient-Clinician Relationship on Healthcare Outcomes: A Systematic Review and Meta-
Analysis of Randomized Controlled Trials. PLoS ONE 9(4): e94207. doi: 10.1371/journal.pone.0094207.
White ES, Pereira Gray D, Langley P, Evans PH. Fifty years of longitudinal continuity in general practice: a retrospective observational study. Family Practice, 2016, Vol. 33, No. 2, 148–153.doi:10.1093/fampra/cmw001.
Baker R, Freeman GK, Haggerty JL, Bankart MJ, Nockels KH. Primary medical care continuity and patient mortality: a systematic review. Br J Gen Pract.2020 Aug 27;70(698): e600-e611. doi: 10.3399/bjgp20X712289.
Sandvik H, Hetlevik Ø, Blinkenberg J, Hunskaar S. Continuity in general practice as a predictor of mortality, acute hospitalization, and use of out-of-hours services: registry-based observational study in Norway. Br J Gen Pract 2022;72(715): e84-e90.doi: 10.3399/BJGP.2021.0340.
OMS/UNICEF. Declaración de Astaná. Global Conference on Primary Health Care.2018
WHO. Primary Health Care on the Road to Universal Health Coverage .2019. Monitoring Report. New York.2019.
Goodyear-Smith F, Kinder K, Mannie C, Strydom S, Bazemore SA, Phillips RL Jr. Relationship between the perceived strength of countries’ primary care system and COVID-19 mortality: an international survey study. BJGP Open 2020; DOI: 10.3399/bjgpopen20X101129.
Razai MS, Doerholt K, Ladhani S, Oakeshott P. Coronavirus disease 2019 (covid-19): a guide for UK GPs. BMJ 2020;368:m800 doi: 10.1136/bmj.m800
Pereira Gray D, Sidaway-Lee K, Harding A, Evans P. Reduction in face-to-face GP consultation. Br J Gen Pract 2020.Doi: https://doi.org/10.3399/bjgp20X710849
Majeed A, Maile EJ, Bindman AB. The primary care response to COVID-19 in England’s National Health Service. Journal of the Royal Society of Medicine; 2020, Vol. 113(6) 208–210 DOI: 10.1177/0141076820931452
Minué S, Jaramillo F, Oyarzo A. Evidencias y reflexiones sobre la COVID-19. AMF 2020;16(6):335-348
Moynihan R, Brodersen J, Heath I, Johannson M, Kuehlein T, Minué-Lorenzo S, et al. Reforming disease definitions: a new primary care led, people-centred approach. BMJ Evid Based Med. 2019; 24:170---3, http://dx.doi.org/10.1136/bmjebm-2018-111148.
Heath I. The mystery of general practice. John Fry Trust Fellowship. The Nuffield Provincial Hospitals Trust.1995.
López-Santín JM, Álvaro P. (2018). La salud mental digital. Una aproximación crítica desde la ética. Rev. Asoc. Esp. Neuropsiq. 38(134): 359-379 doi: 10.4321/S0211-57352018000200002
De Zuloeta P. Touch matters: COVID-19, physical examination, and 21st century general practice. British Journal of General Practice, December 2020:594-5. DOI: https://doi.org/10.3399/bjgp20X713705
Bauman Z. Tiempos líquidos. Tusquets editores, 2007. Barcelona.
Baird B, Reeve H, Ross S, Honeyman M, Nosa-Ehima M, Sahib B. Innovative models of general practice. Kings Fund. London.2018.
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