ReviewBMJ global health2021
On the importance of primary and community healthcare in relation to global health and environmental threats: lessons from the COVID-19 crisis.
Review in BMJ global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Global Experiences of Community Responses to COVID-19: A Systematic Literature Review.Frontiers in public health · 2022Pooled it
- Security governance and health inequity in contemporary crises: a critical discourse analysis of securitization, exception-making, and responsibility displacement.Globalization and health · 2026Article
- Crisis management of COVID-19 at the primary healthcare level: challenges and solutions - a qualitative study.BMC primary care · 2026Article
- Sentinel Physicians for the Environment: A Chilean Perspective to Address Global Health and Climate Resilience.International journal of environmental research and public health · 2026Article
- Disaster Preparedness Among Physicians in Underdeveloped Regions of Southwestern China: A Cross-Sectional Study of Disaster Response Competencies, Training Needs, and Policy Implications.Risk management and healthcare policy · 2026Article
- Synthesising key findings from Indonesia's first civil society-led forum on primary health care: PHC forum, Jakarta, 13-14 November 2023.BMC proceedings · 2025Article
- Integrating community health into primary care: two case studies from Barcelona's Raval neighborhood.Frontiers in public health · 2025Article
- Strategies to strengthen the resilience of primary health care in the COVID-19 pandemic: a scoping review.BMC health services research · 2024Article
- Addressing Hospital Overwhelm During the COVID-19 Pandemic by Using a Primary Health Care-Based Integrated Health System: Modeling Study.JMIR medical informatics · 2024Article
- Practice pathways, education, and regulation influencing nurse practitioners' decision to provide primary care: a rapid scoping review.BMC primary care · 2024Article
- Towards Resilient Healthcare Systems: A Framework for Crisis Management.International journal of environmental research and public health · 2024Review
- Resilience of the primary healthcare system: perspectives of German stakeholders at primary care interfaces during the second wave of the COVID-19 pandemic.Frontiers in medicine · 2024Article
- A new environmental public health practice to manage current and future global health challenges through education, training, and capacity building.Frontiers in public health · 2024Review
- A new environmental public health practice to manage current and future global health challenges through education, training, and capacity building.Frontiers in public health · 2024Review
- Understanding the experiences of PHC nurses in caring for older patients in the post-fifth wave of the COVID-19 pandemic: an exploratory qualitative study.Frontiers in public health · 2024Article
- COVID-19 in Workplace Settings: Lessons Learned for Occupational Medicine in the UK.La Medicina del lavoro · 2023Article
- What can we learn from experiences in general practice during the COVID-19 pandemic? A qualitative study.BMC health services research · 2023Article
- Pandemic preparedness and management in European out-of-hours primary care services - a descriptive study.BMC health services research · 2023Article
- Adolescents and young adults' concerns under stress, the COVID-19 pandemic: a Portuguese cross-sectional study.Frontiers in psychology · 2023Article
- Healthcare utilization after mass trauma: a register-based study of consultations with primary care and mental health services in survivors of terrorism.BMC psychiatry · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
25 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In the course of the COVID-19 pandemic, it has become clear that primary healthcare systems play a critical role in clinical care, such as patient screening, triage, physical and psychological support and also in promoting good community advice and awareness in coordination with secondary healthcare and preventive care. Because of the role of social and environmental factors in COVID-19 transmission and burden of disease, it is essential to ensure that there is adequate coordination of population-based health services and public health interventions. The COVID-19 pandemic has shown the primary and community healthcare (P&CHC) system's weaknesses worldwide. In many instances, P&CHC played only a minor role, the emphasis being on hospital and intensive care beds. This was compounded by political failures, in supporting local community resilience. Placing community building, social cohesion and resilience at the forefront of dealing with the COVID-19 crisis can help align solutions that provide a vision of 'planetary health'. This can be achieved by involving local well-being and participation in the face of any pervasive health and environmental crisis, including other epidemics and large-scale ecological crises. This paper proposes that P&CHC should take on two critical roles: first, to support local problem-solving efforts and to serve as a partner in innovative approaches to safeguarding community well-being; and second, to understand the local environment and health risks in the context of the global health perspective. We see this as an opportunity of immediate value and broad consequence beyond the control of the COVID-19 pandemic.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.