Aim The COVID-19 pandemic has had a major impact on societies and has required adjustments of health systems and changes in work processes, especially in the light of an aging population with increased morbidity and mortality. The primary health care level has a key role in maintaining access to healthcare and in addressing the largest proportion of patients with COVID - 19 and should therefore take steps to manage the condition. The aim is to determine the adequacy of COVID-19 clinic model for patients, who are suspected or have a confirmed infection with COVID-19. Methods In Health Centre Sevnica we have formed a model of the COVID Outpatient Clinic with unlimited access to safe and efficient health care. The introduction of COVID-19 disease diagnostic protocols, regular monitoring of patients, early detection of severe course of the disease and complications have made it possible to treat most patients at the primary health care level without the need for hospitalization. Results In our COVID clinic in the period 12 March 2020 - 31 January 2021 a total of 22,259 examinations were performed, of which only 284 patients were referred to the hospital level. As expected, the largest share of referrals was in the age group of 65 and over. Conclusion We believe that the established organization of work represents an optimal solution for managing the COVID-19 pandemic and is also a model with which we can manage future threats.
Rawaf S, Allen L, Stigler F, Kringos D, Yamamoto Q, Van Weel H, et al. Lessons on the COVID-19 pandemic, for and by primary care professionals worldwide. Eur J Gen Pract. 2020;129–33.
2.
Barkley S, Reynolds M, Kelley T, Dalil E, Swaminathan S, Ghaffar S, et al. Primary health care: realizing the vision. Bull World Health Organ. 2020;727-727A.
3.
Tajnikar M, Bonča D, Čok P, Domadenik M, Korže P, Sambdt B, et al. Savič Skela B. Prenova gospodarskih vidikov slovenskega zdravstva. 2016;
4.
Ster P, Svab M, I, Kalan Z, G. Factors related to consultation time: experience in Slovenia. Scand J Prim Health Care. 2008;29–34.
5.
Epstein R, Fiscella K, Lesser C, Stange K. Why the nation needs a policy push on patient-centered health care. Health Aff (Millwood). 2010;1489–95.
6.
Sacristán J. Patient-centered medicine and patientoriented research: improving health outcomes for individual patients. BMC Medical Informatics and Decision Making. 2013;6.
7.
Zgierska A, Miller M, Rabago D. Patient satisfaction, prescription drug abuse, and potential unintended consequences. JAMA. 2012;1377–8.
8.
Hone T, Gurol-Urganci I, Millett C, Başara B, Akdağ R, Atun R. Effect of primary health care reforms in Turkey on health service utilization and user satisfaction. Health Policy Plan. 2017;57–67.
9.
Mortsiefer A, Altiner A, Ernst A, Kadusziewicz H, Krahe A, Mellert C, et al. Satisfaction with general practice care in German patients with multimorbidity: a crosssectional study. Fam Pract. 2017;452–8.
10.
Green Y. Safety Implications for the homebound patient with dementia. Home Healthc Now. 2018;386–91.
11.
Rhodes P, Campbell S, Sanders C. Trust, temporality and systems: how do patients understand patient safety in primary care? A qualitative study. Health Expect. 2016;253–63.
12.
Fiscella K, Meldrum S, Franks P, Shields C, Duberstein P, Mcdaniel S, et al. Patient trust: is it related to patient-centered behavior of primary care physicians? Med Care. 2004;1049–55.
13.
Tilburgs B, Vernooij-Dassen M, Koopmans R, Weidema M, Perry M, Engels Y. The importance of trust-based relations and a holistic approach in advance care planning with people with dementia in primary care: a qualitative study. BMC Geriatr. 2018;18418.
14.
Hernan A, Walker C, Fuller J, Johnson J, Elnour A, Dunbar A, et al. Patients’ and carers’ perceptions of safety in rural general practice. Med J Aust. 2014;(3):60–3.
15.
Guan W, Ni Z, Hu Y, Liang W, Ou C, He J, et al. China Medical Treatment Expert Group for Covid-19. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020;1708–20.
16.
Sarti T, Lazarini W, Fontenelle L, Almeida A. What is the role of Primary Health Care in the COVID-19 pandemic? Epidemiol Serv Saude. 2020;
17.
Greenhalgh T, Koh G, Car J. Covid-19: a remote assessment in primary care. BMJ. 2020;1182.
18.
Krist A, Devoe J, Cheng A, Ehrlich T, Jones S. Redesigning Primary Care to Address the COVID-19 Pandemic in the midst of the pandemic. Ann Fam Med. 2020;349–54.
19.
Haldane V, Zhang Z, Abbas R, Dodd W, Lau L, Kidd M, et al. National primary care responses to COVID-19: a rapid review of the literature. BMJ Open. 2020;41622.
20.
Blazey-Martin D, Barnhart E, Gillis J, Jr, Vazquez G. Primary care population management for COVID-19 Patients. J Gen Intern Med. 2020;3077–80.
21.
Lin S, Sattler A, Smith M. Retooling Primary Care in the COVID-19 Era. Mayo Clin Proc. 2020;1831–4.
22.
Orpana H, Chawla M, Gallagher E, Escaravage E. Developing indicators for evaluation of age-friendly communities in Canada: process and results. Health Promot Chronic Dis Prev Can. 2016;214–23.
23.
Chevreul K, Brigham B, K, Zaleski D, Hernandez-Quevedo I, France C. Health System Review Health Syst Transit. 2015;1–218.
24.
Mackenbach J, Slobbe L, Looman C, Van Der Heide A, Polder J, Garssen J. Sharp upturn of life expectancy in the Netherlands: effect of more health care for the elderly? Eur J Epidemiol. 2011;903–14.
25.
Gunner E, Chandan S, Marwick S, Saunders K, Burwood S, Yahyouche A, et al. Provision and accessibility of primary healthcare services for people who are homeless: a qualitative study of patient perspectives in the UK. Br J Gen Pract. 2019;526-e536.
26.
Anonymous. China’s health-care reform: an independent evaluation (Editorial). The Lancet. 2019;1113.
27.
Azeredo T, Guedes H, De Almeida R, Chianca R, Martins T, J. Efficacy of the Manchester Triage System: a systematic review. Int Emerg Nurs. 2015;47–52.
28.
Florkowski C, Don-Wauchope A, Gimenez N, Rodriguez-Capote K, Wils J, Zemlin A. Point-of-care testing (POCT) and evidence-based laboratory medicine (EBLM) -does it leverage any advantage in clinical decision making? Crit Rev Clin Lab Sci. 2017;471–94.
29.
Smith M, Hayward S, Innes S, Miller A. Pointof-care lung ultrasound in patients with COVID-19a narrative review. Anaesthesia. 2020;1096–104.
30.
Yao W, Wang T, Jiang B, Gao F, Wang L, Zheng H, et al. Emergency tracheal intubation in 202 patients with COVID-19 in Wuhan, China: lessons learnt and international expert recommendations. Br J Anaesth. 2020;(1):28-e37.
31.
ArcGIS Dashboards -COVID-19 Dashboard. 11AD;
32.
Perrotta F, Corbi G, Mazzeo G, Boccia M, Aronne L, ’agnano D, et al. COVID-19 and the elderly: insights into pathogenesis and clinical decision-making. Aging Clin Exp Res. 2020;1599–608.
33.
Shah A, Wood R, Gribben C, Caldwell D, Bishop J, Weir A, et al. Risk of hospital admission with coronavirus disease 2019 in healthcare workers and their households: nationwide linkage cohort study. BMJ. 2020;3582.
34.
Maskari A, Z, Blushi A, Khamis A, F, Tai A, et al. Characteristics of healthcare workers infected with COVID-19: A cross-sectional observational study. Int J Infect Dis. 2021;32–6.
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