Managing Health Care Capacity

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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. [1]
  • Different recommendations for returning to work for health care workers (7 days after the positive test instead of 14 days as in the rest of the population) due to shortage of staff raises questions

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."[1]
  • "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." [1]
  • Infection committees of hospitals do not always follow the recommendations and personnel refuses to return to work earlier than 14 days or with symptoms as it is required.

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. [1]
  • better communication on the reasons and the scientific evidence on why recommendations are different for health professionals than the rest of the population.

References

  1. 1.0 1.1 1.2 1.3 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).