Managing Health Care Capacity - Revision history

80.106.187.46: /* Consequences for action */

2020-04-07T07:31:22Z

‎Consequences for action

79.129.118.174: /* Analysis and interpretation */

2020-04-07T07:30:08Z

‎Analysis and interpretation

79.129.118.174: /* Observations */

2020-04-07T07:28:49Z

‎Observations

Bosmana: Created page with "This page collects observations, interpretations, and consequences for action about Managing Health Care Capacity during SARS-CoV2 pandemic. Please observe the structure of th..."

2020-04-02T21:43:09Z

Created page with "This page collects observations, interpretations, and consequences for action about Managing Health Care Capacity during SARS-CoV2 pandemic. Please observe the structure of th..."

New page

This page collects observations, interpretations, and consequences for action about Managing Health Care Capacity during SARS-CoV2 pandemic. Please observe the structure of the page, when you add your content. Please use references where possible. Remember to find the relevant page. For example, if your observation is about [[transmission routes]], please use that page, instead of posting your content here.

=What is already known=

=Italian experience=
==Observations==
* Italian clinicians look back on the first 3 months of the COVID19 epidemic in their country, and conclude that proper preparedness for the next pandemic cannot include investments in health care alone. <ref name="Nacoti2020"/>
==Analysis and interpretation==
* "What we are painfully learning is that we need experts in public health and epidemics, yet this has not been the focus of decision-makers at the national, regional, and hospital levels. We lack expertise on epidemic conditions, guiding us to adopt special measures to reduce epidemiologically negative behaviors."<ref name="Nacoti2020"/>
* "This outbreak is more than an intensive care phenomenon, rather it is a public health and humanitarian crisis.3 It requires social scientists, epidemiologists, experts in logistics, psychologists, and social workers. We urgently need humanitarian agencies who recognize the importance of local engagement." <ref name="Nacoti2020"/>
==Consequences for action==
* In a pandemic, patient-centered care is inadequate and must be replaced by community-centered care. Solutions for Covid-19 are required for the entire population, not only for hospitals. Home care and mobile clinics avoid unnecessary movements and release pressure from hospitals. <ref name="Nacoti2020">Nacoti, M., Ciocca, A., Giupponi, A., Brambillasca, P., Lussana, F., Pisano, M., ... & Longhi, L. (2020). At the Epicenter of the Covid-19 Pandemic and Humanitarian Crises in Italy: Changing Perspectives on Preparation and Mitigation. NEJM Catalyst Innovations in Care Delivery, 1(2).</ref>

=References=

@@ Line 15: / Line 15: @@
 ==Consequences for action==
 * In a pandemic, patient-centered care is inadequate and must be replaced by community-centered care. Solutions for Covid-19 are required for the entire population, not only for hospitals. Home care and mobile clinics avoid unnecessary movements and release pressure from hospitals.  <ref name="Nacoti2020">Nacoti, M., Ciocca, A., Giupponi, A., Brambillasca, P., Lussana, F., Pisano, M., ... & Longhi, L. (2020). At the Epicenter of the Covid-19 Pandemic and Humanitarian Crises in Italy: Changing Perspectives on Preparation and Mitigation. NEJM Catalyst Innovations in Care Delivery, 1(2).</ref>
+* better communication on the reasons and the scientific evidence on why recommendations are different for health professionals than the rest of the population.
 =References=

@@ Line 11: / Line 11: @@
 *  "What we are painfully learning is that we need experts in public health and epidemics, yet this has not been the focus of decision-makers at the national, regional, and hospital levels. We lack expertise on epidemic conditions, guiding us to adopt special measures to reduce epidemiologically negative behaviors."<ref name="Nacoti2020"/>
 * "This outbreak is more than an intensive care phenomenon, rather it is a public health and humanitarian crisis.3 It requires social scientists, epidemiologists, experts in logistics, psychologists, and social workers. We urgently need humanitarian agencies who recognize the importance of local engagement." <ref name="Nacoti2020"/>
 ==Consequences for action==
 * In a pandemic, patient-centered care is inadequate and must be replaced by community-centered care. Solutions for Covid-19 are required for the entire population, not only for hospitals. Home care and mobile clinics avoid unnecessary movements and release pressure from hospitals.  <ref name="Nacoti2020">Nacoti, M., Ciocca, A., Giupponi, A., Brambillasca, P., Lussana, F., Pisano, M., ... & Longhi, L. (2020). At the Epicenter of the Covid-19 Pandemic and Humanitarian Crises in Italy: Changing Perspectives on Preparation and Mitigation. NEJM Catalyst Innovations in Care Delivery, 1(2).</ref>

@@ Line 6: / Line 6: @@
 ==Observations==
 * Italian clinicians look back on the first 3 months of the COVID19 epidemic in their country, and conclude that proper preparedness for the next pandemic cannot include investments in health care alone. <ref name="Nacoti2020"/>
 ==Analysis and interpretation==
 *  "What we are painfully learning is that we need experts in public health and epidemics, yet this has not been the focus of decision-makers at the national, regional, and hospital levels. We lack expertise on epidemic conditions, guiding us to adopt special measures to reduce epidemiologically negative behaviors."<ref name="Nacoti2020"/>