Aile Hekimliği Sistemi için Covid-19 Yönetim Önerileri

Öz

Birinci basamak çalışanları, yeni bir durum olan covid-19'un yayılmasını önlemek için büyük bir sorumluluğa sahiptir. Sağlık sisteminin iyi işlemesi için birinci basamak sağlık hizmetleri daha fazla kullanılmalıdır. Yazımızda sağlık sisteminin bloke olmasını önleme önerilerimizi paylaştık.

Dear Editor,

Primary preventive healthcare services have always
been the easiest and fastest way for the patientto access
healthcare services. In addition to the emergency
departments, these centers come to mind first to be
referred in case of pandemics.[1] Primary healthcare
personnel undertake a great responsibility in this new
and special case of Covid-19 viral pandemic. The basis
for the emergency action plan should be established by
taking necessary measures in these primary healthcare
centers and easing the workload in order to prevent a
bottleneck in the health system.
Necessary equipment should be provided, or diagnosis
centers should be established so that Covid-19 virus
can be diagnosed through all primary preventive
healthcare services. People should stay in isolated
environments as much as possible and the contagion
risk for the virus should be minimized in order to ease
the workload of hospitals and to take the pandemic
under control. It is clear that the delayed diagnosis
of people infected with the virus increase the risk of
getting infected. In countries where family healthcare
system runs properly, a good planning and designation
of family healthcare centers as the basis for emergency
action plans to minimize the riskof infection could
help limiting the contagion areas.[2] Cities should be
separated into regions and isolated. Healthcare needs
other than urgent ones should be met by the family
healthcare center in order to minimize the risk for
contagion and to ease the workload of hospitals to
prevent a bottleneck in the health system.
Family healthcare centers should employ Covid-19
diagnosis kits[3] giving fast results. However, they are
not being as valid and reliable as PCR (polymerase
chain reaction) diagnosis methods.[4] Patient referral
system should operate without any compromise in
order to minimize the risk for contagion. The borders
of small areas in cities should be determined and a
single-family healthcare center should be designated
to each region to limit the virus.
We believe that primary preventive healthcare services
always forming the first and basic step of healthcare
systems should be well-organized and public
cooperation should be ensured to limit Covid-19 viral
pandemic. It would be helpful in terms of minimizing
loss of life until vaccine and medicine studies prove
their success.

Anahtar Kelimeler

• 2019 yeni korona virüsü
• aile hekimliği uygulamaları
• güçlü birinci basamak bakımı

Recommendations Regarding Covid-19 Management for the Family Healthcare System

Öz

Dear Editor,

Primary preventive healthcare services have always
been the easiest and fastest way for the patient to access
healthcare services. In addition to the emergency
departments, these centers come to mind first to be
referred in case of pandemics.[1] Primary healthcare
personnel undertake a great responsibility in this new
and special case of Covid-19 viral pandemic. The basis
for the emergency action plan should be established by
taking necessary measures in these primary healthcare
centers and easing the workload in order to prevent a
bottleneck in the health system.
Necessary equipment should be provided, or diagnosis
centers should be established so that Covid-19 virus
can be diagnosed through all primary preventive
healthcare services. People should stay in isolated
environments as much as possible and the contagion
risk for the virus should be minimized in order to ease
the workload of hospitals and to take the pandemic
under control. It is clear that the delayed diagnosis
of people infected with the virus increase the risk of
getting infected. In countries where family healthcare
system runs properly, a good planning and designation
of family healthcare centers as the basis for emergency
action plans to minimize the risk of infection could
help limiting the contagion areas.[2] Cities should be
separated into regions and isolated. Healthcare needs
other than urgent ones should be met by the family
healthcare center in order to minimize the risk for
contagion and to ease the workload of hospitals to
prevent a bottleneck in the health system.
Family healthcare centers should employ Covid-19
diagnosis kits[3] giving fast results. However, they are
not being as valid and reliable as PCR (polymerase
chain reaction) diagnosis methods.[4] Patient referral
system should operate without any compromise in
order to minimize the risk for contagion. The borders
of small areas in cities should be determined and a
single-family healthcare center should be designated
to each region to limit the virus.
We believe that primary preventive healthcare services
always forming the first and basic step of healthcare
systems should be well-organized and public
cooperation should be ensured to limit Covid-19 viral
pandemic. It would be helpful in terms of minimizing
loss of life until vaccine and medicine studies prove
their success.

Anahtar Kelimeler

• 2019 novel corona virus
• family medicine practices
• strong primary care

Kaynakça

1. 1. Başer DA, Kahveci R, Koç EM, Kasım İ, Şencan İ, Özkara A. Etkin sağlık sistemleri için güçlü birinci basamak. Ankara Med J 2015; 15(1):26-31. 2. Bai Y, Yao L, Wei T, et al. PresumedAsymptomatic Carrier Transmission of COVID-19. JAMA. PublishedonlineFebruary 21, 2020. doi:10.1001/jama.2020.2565 3. Zhejiang Da, XueXue, BaoYi, Xue Ban. [Management of coronavirus disease-19 (COVID-19): theZhejiangexperience2020;49(1):0. 4. Lim J, Jeon S, Shin HY, Kim MJ, Seong YM, Lee WJ, Choe KW, Kang YM, Lee B, Park SJ. Case of the Index PatientWhoCausedTertiaryTransmission of CoronavirusDisease 2019 in Korea: the Application of Lopinavir/Ritonavir for the Treatment of COVID-19 Pneumonia Monitored by Quantitative RT-PCR. J KoreanMedSci. 2020 Feb;35(6):79. https://doi.org/10.3346/jkms.2020.35.e79 5. Lee N-Y, Li C-W, Tsai H-P, Chen P-L, Syue L-S, Li M-C, Tsai C-S, Lo CL, Hsueh P-R, Ko W-C, A case of COVID-19 andpneumoniareturningfrom Macau in Taiwan: clinicalcourseand anti-SARS-CoV-2 IgGdynamic, Journal of Microbiology, ImmunologyandInfection, https:// doi.org/10.1016/j.jmii.2020.03.003.