Primary care in the COVID-19 pandemic and beyond Lessons from Ontario

被引：1

作者：

Martin, Danielle ^{[1
]}

Razak, Fahad ^{[2
,3
]}

Bayoumi, Imaan ^{[4
]}

Eissa, Azza ^{[1
]}

Green, Michael E. ^{[5
]}

Glazier, Richard H. ^{[6
,7
,8
,9
]}

Grill, Allan K. ^{[1
,10
,11
]}

Ivers, Noah M. ^{[1
,10
,11
]}

Mangin, Derelie ^{[12
]}

Muggah, Elizabeth ^{[1
,13
]}

Newbery, Sarah ^{[5
]}

Nnorom, Onyenyechukwu ^{[14
,15
]}

Nowak, Dominik Alex ^{[1
]}

Premji, Kamila ^{[16
,17
,18
]}

Pinto, Andrew D. ^{[2
,19
,20
]}

Rayner, Jennifer ^{[1
,21
]}

Smylie, Janet ^{[7
,22
,23
]}

Kiran, Tara ^{[1
,6
,8
,22
,24
,25
]}

机构：

[1] Univ Toronto UT, Dept Family & Community Med DFCM, Toronto, ON, Canada

[2] St Michaels Hosp Toronto, Toronto, ON, Canada

[3] UT, Healthcare Data & Analyt, Toronto, ON, Canada

[4] Queens Univ Kingston, Dept Family Med, Kingston, ON, Canada

[5] NOSM Univ, Thunder Bay, ON 94089, Canada

[6] UT, St Michaels Hosp, MAP Ctr Urban Hlth Solut, Toronto, ON, Canada

[7] U T, Dalla Lana Sch Publ Hlth, DFCM, Toronto, ON, Canada

[8] UT, Inst Hlth Policy Management & Evaluat, Toronto, ON, Canada

[9] Oak Valley Hlth Markham Stouffville Hosp Ontario, Markham, ON, Canada

[10] UT, Womens Coll Hosp, Toronto, ON, Canada

[11] UT, Womens Coll Res Inst, Toronto, OH USA

[12] McMaster Univ, Hamilton, ON, Canada

[13] Ontario Hlth Toronto, Primary Care, Toronto, ON, Canada

[14] UT, Publ Hlth & Prevent Med Residency Program, Toronto, ON, Canada

[15] Ontario Med Assoc Toronto, Toronto, ON, Canada

[16] Univ Ottawa, Ottawa, ON, Canada

[17] Inst du Savoir Montfort Ottawa, Ottawa, ON, Canada

[18] Western Univ London, London, ON, Canada

[19] Upstream Lab, Toronto, ON, Canada

[20] UT, Toronto, ON, Canada

[21] Alliance Healthier Communities, Res & Policy, Toronto, ON, Canada

[22] Unity Hlth Toronto, Toronto, ON, Canada

[23] Adv Generat Hlth Serv Indigenous Populat Canada, Toronto, ON, Canada

[24] UT, DFCM, Qual & Innovat, Toronto, ON, Canada

[25] UT, Fac Med, Toronto, ON, Canada

来源：

CANADIAN FAMILY PHYSICIAN | 2025年 / 71卷 / 01期

关键词：

HEALTH-CARE; ECOLOGY;

D O I：

10.46747/cfp.710131

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective To understand the role of primary care in the COVID-19 pandemic to provide insight into its functioning and inform potential reforms. Composition of the committee The now dissolved Ontario COVID-19 Science Advisory Table (Science Table) was formed in July 2020 to provide decision makers and the public with a synthesis of rapidly evolving evidence related to COVID-19. The Science Table was based at the Dalla Lana School of Public Health at the University of Toronto, and supported by Public Health Ontario. Methods Authors worked with the leadership and secretariat of the Science Table to synthesize evidence and inputs. Authors drew on their expertise in research, policy, and front-line care delivery and coupled this with data analysis and reviews of the literature relevant to the topic areas discussed. Data analysis and literature reviews were done with the support of the Ontario Medical Association, the INSPIRE-Primary Health Care research program, and the Department of Family and Community Medicine at the University of Toronto. Experts conducted a rapid review of the briefs prior to publication, and authors presented the briefs' content at a series of meetings attended by Science Table members for their input. As Science Table briefs were intended to provide rapid-response answers to important health system questions in real time, the intent was not to conduct a systematic review but rather to gather available relevant evidence and present it in a form that could be used by policy-makers. Report This summary describes the work of primary care during the COVID-19 pandemic in Ontario up to September 2022; outlines current challenges in primary care capacity and structure; and makes recommendations for strengthening the sector to better address population needs for current and future public health priorities. While the focus is on Ontario, many of the findings are relevant to other jurisdictions in Canada and elsewhere. Conclusion Universal formal attachment to an accountable interprofessional primary care team supported by adequate infrastructure should be the cornerstone of pandemic recovery planning.

引用

页码：31 / 40

页数：10

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