COVID-19: adaptation of a primary health care facility to the new accessibility challenges to health care

Detalhes bibliográficos
Autor(a) principal: Costa, Luís Paulo
Data de Publicação: 2022
Outros Autores: Lira, Luís Terroso, Magalhães, Alice, Garuta, Ina, Esperanço, Nuno, Real, Valeriya, Silva, Hugo, Cardoso, Sérgio Barros, Vicente, Ana
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.32385/rpmgf.v38i1.13008
Resumo: The COVID-19 pandemic forced a quick adaptation of the health services so that the response and quality of care could be maintained. In order to guarantee the accessibility of users to primary health care and minimize the consequences of social distancing, offering alternatives to face-to-face consultation, our family health unit created a support line for the patients. The health professionals of this primary health care facility purchased six mobile phones and created six different helplines: two lines for general medical support, two lines for matters related to COVID-19, a nursing support line, and a support line for clinical secretaries. A database was created to record all telephone contacts. This database also allowed direct referral to psychological support. The record of the clinical secretaries’ line was discontinued. A six-month period was evaluated (between March 16 and September 16, 2020). 7,535 calls were registered: 5,281 to the general medical support lines, 230 to the medical lines related to COVID-19, and 2,024 to the nursing support lines. Fifty-one referrals were made for psychological support. The restrictions that forced extraordinary measures will be lifted one day and this experience may provide some knowledge for the future, regarding how to diversify the accessibility of a primary health care facility and highlight the need for investment in this area. In the current pandemic situation, telemedicine has proven to be an adequate alternative for the care and guidance of users.
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spelling COVID-19: adaptation of a primary health care facility to the new accessibility challenges to health careCOVID-19: adaptação de uma unidade de saúde familiar a novos desafios de acessibilidade aos cuidados de saúdeCOVID-19TelemedicinaAcessibilidadeCuidados de saúde primáriosCOVID-19TelemedicineAccessibilityPrimary health careThe COVID-19 pandemic forced a quick adaptation of the health services so that the response and quality of care could be maintained. In order to guarantee the accessibility of users to primary health care and minimize the consequences of social distancing, offering alternatives to face-to-face consultation, our family health unit created a support line for the patients. The health professionals of this primary health care facility purchased six mobile phones and created six different helplines: two lines for general medical support, two lines for matters related to COVID-19, a nursing support line, and a support line for clinical secretaries. A database was created to record all telephone contacts. This database also allowed direct referral to psychological support. The record of the clinical secretaries’ line was discontinued. A six-month period was evaluated (between March 16 and September 16, 2020). 7,535 calls were registered: 5,281 to the general medical support lines, 230 to the medical lines related to COVID-19, and 2,024 to the nursing support lines. Fifty-one referrals were made for psychological support. The restrictions that forced extraordinary measures will be lifted one day and this experience may provide some knowledge for the future, regarding how to diversify the accessibility of a primary health care facility and highlight the need for investment in this area. In the current pandemic situation, telemedicine has proven to be an adequate alternative for the care and guidance of users.A pandemia COVID-19 obrigou a uma rápida adaptação dos serviços de saúde para que se pudesse manter a resposta e qualidade dos cuidados. De forma a garantir a acessibilidade dos utentes aos cuidados de saúde primários e minimizar as consequências do distanciamento social, oferecendo alternativas à consulta presencial, a nossa Unidade de Saúde Familiar (USF) criou a linha de apoio ao utente. Os profissionais da USF adquiriram de forma autónoma seis telemóveis e criaram seis linhas diferentes: duas linhas para apoio médico geral, duas linhas para assuntos relacionados com a COVID-19, uma linha de apoio de enfermagem e uma linha de apoio do secretariado clínico. Foi criada uma base de dados para registo de contactos médicos e de enfermagem. Esta base de dados permitiu ainda a referenciação direta a apoio de psicologia. Avaliou-se um período de seis meses (entre 16 de março e 16 de setembro de 2020). Foram registadas 7.535 chamadas: 5.281 nas linhas de apoio médico geral e 230 nas linhas médicas relacionadas com a COVID-19. Foram feitas 51 referenciações para apoio psicológico. As restrições que obrigaram a medidas extraordinárias serão levantadas e esta experiência pode fornecer bases para o futuro, nomeadamente como diversificar a acessibilidade de uma unidade de saúde familiar, salientando a necessidade de investimento nessa área. No contexto atual, a telemedicina tem-se revelado uma alternativa adequada para o atendimento e orientação dos utentes.Associação Portuguesa de Medicina Geral e Familiar2022-03-11info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.32385/rpmgf.v38i1.13008https://doi.org/10.32385/rpmgf.v38i1.13008Portuguese Journal of Family Medicine and General Practice; Vol. 38 No. 1 (2022): Revista Portuguesa de Medicina Geral e Familiar; 125-8Revista Portuguesa de Medicina Geral e Familiar; Vol. 38 Núm. 1 (2022): Revista Portuguesa de Medicina Geral e Familiar; 125-8Revista Portuguesa de Medicina Geral e Familiar; Vol. 38 N.º 1 (2022): Revista Portuguesa de Medicina Geral e Familiar; 125-82182-51812182-517310.32385/rpmgf.v38i1reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://rpmgf.pt/ojs/index.php/rpmgf/article/view/13008https://rpmgf.pt/ojs/index.php/rpmgf/article/view/13008/11753Direitos de Autor (c) 2022 Revista Portuguesa de Medicina Geral e Familiarhttp://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessCosta, Luís PauloLira, Luís TerrosoMagalhães, AliceGaruta, InaEsperanço, NunoReal, ValeriyaSilva, HugoCardoso, Sérgio BarrosVicente, Ana2024-09-17T12:00:26Zoai:ojs.rpmgf.pt:article/13008Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-09-17T12:00:26Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv COVID-19: adaptation of a primary health care facility to the new accessibility challenges to health care
COVID-19: adaptação de uma unidade de saúde familiar a novos desafios de acessibilidade aos cuidados de saúde
title COVID-19: adaptation of a primary health care facility to the new accessibility challenges to health care
spellingShingle COVID-19: adaptation of a primary health care facility to the new accessibility challenges to health care
Costa, Luís Paulo
COVID-19
Telemedicina
Acessibilidade
Cuidados de saúde primários
COVID-19
Telemedicine
Accessibility
Primary health care
title_short COVID-19: adaptation of a primary health care facility to the new accessibility challenges to health care
title_full COVID-19: adaptation of a primary health care facility to the new accessibility challenges to health care
title_fullStr COVID-19: adaptation of a primary health care facility to the new accessibility challenges to health care
title_full_unstemmed COVID-19: adaptation of a primary health care facility to the new accessibility challenges to health care
title_sort COVID-19: adaptation of a primary health care facility to the new accessibility challenges to health care
author Costa, Luís Paulo
author_facet Costa, Luís Paulo
Lira, Luís Terroso
Magalhães, Alice
Garuta, Ina
Esperanço, Nuno
Real, Valeriya
Silva, Hugo
Cardoso, Sérgio Barros
Vicente, Ana
author_role author
author2 Lira, Luís Terroso
Magalhães, Alice
Garuta, Ina
Esperanço, Nuno
Real, Valeriya
Silva, Hugo
Cardoso, Sérgio Barros
Vicente, Ana
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Costa, Luís Paulo
Lira, Luís Terroso
Magalhães, Alice
Garuta, Ina
Esperanço, Nuno
Real, Valeriya
Silva, Hugo
Cardoso, Sérgio Barros
Vicente, Ana
dc.subject.por.fl_str_mv COVID-19
Telemedicina
Acessibilidade
Cuidados de saúde primários
COVID-19
Telemedicine
Accessibility
Primary health care
topic COVID-19
Telemedicina
Acessibilidade
Cuidados de saúde primários
COVID-19
Telemedicine
Accessibility
Primary health care
description The COVID-19 pandemic forced a quick adaptation of the health services so that the response and quality of care could be maintained. In order to guarantee the accessibility of users to primary health care and minimize the consequences of social distancing, offering alternatives to face-to-face consultation, our family health unit created a support line for the patients. The health professionals of this primary health care facility purchased six mobile phones and created six different helplines: two lines for general medical support, two lines for matters related to COVID-19, a nursing support line, and a support line for clinical secretaries. A database was created to record all telephone contacts. This database also allowed direct referral to psychological support. The record of the clinical secretaries’ line was discontinued. A six-month period was evaluated (between March 16 and September 16, 2020). 7,535 calls were registered: 5,281 to the general medical support lines, 230 to the medical lines related to COVID-19, and 2,024 to the nursing support lines. Fifty-one referrals were made for psychological support. The restrictions that forced extraordinary measures will be lifted one day and this experience may provide some knowledge for the future, regarding how to diversify the accessibility of a primary health care facility and highlight the need for investment in this area. In the current pandemic situation, telemedicine has proven to be an adequate alternative for the care and guidance of users.
publishDate 2022
dc.date.none.fl_str_mv 2022-03-11
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.32385/rpmgf.v38i1.13008
https://doi.org/10.32385/rpmgf.v38i1.13008
url https://doi.org/10.32385/rpmgf.v38i1.13008
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rpmgf.pt/ojs/index.php/rpmgf/article/view/13008
https://rpmgf.pt/ojs/index.php/rpmgf/article/view/13008/11753
dc.rights.driver.fl_str_mv Direitos de Autor (c) 2022 Revista Portuguesa de Medicina Geral e Familiar
http://creativecommons.org/licenses/by-nc-nd/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Direitos de Autor (c) 2022 Revista Portuguesa de Medicina Geral e Familiar
http://creativecommons.org/licenses/by-nc-nd/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Associação Portuguesa de Medicina Geral e Familiar
publisher.none.fl_str_mv Associação Portuguesa de Medicina Geral e Familiar
dc.source.none.fl_str_mv Portuguese Journal of Family Medicine and General Practice; Vol. 38 No. 1 (2022): Revista Portuguesa de Medicina Geral e Familiar; 125-8
Revista Portuguesa de Medicina Geral e Familiar; Vol. 38 Núm. 1 (2022): Revista Portuguesa de Medicina Geral e Familiar; 125-8
Revista Portuguesa de Medicina Geral e Familiar; Vol. 38 N.º 1 (2022): Revista Portuguesa de Medicina Geral e Familiar; 125-8
2182-5181
2182-5173
10.32385/rpmgf.v38i1
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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