ArticleRisk management and healthcare policy2021
Primary Health Care and Hospital Management During COVID-19: Lessons from Lombardy.
Article in Risk management and healthcare policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A management perspective on resilience in healthcare: a framework and avenues for future research.BMC health services research · 2023Pooled it
- Causal Impact of Primary Care and Publicly Funded Health Insurance on Catastrophic Health Spending From Climate-Sensitive Diseases in India.Applied health economics and health policy · 2026Article
- Family health coverage and care reorganization during the COVID-19 pandemic.Revista latino-americana de enfermagem · 2026Article
- Impact of COVID-19 on Primary Healthcare Research: Trends and Suggestions for Better Services Approaches Via Blockchain Based Applications.Blockchain in healthcare today · 2025Article
- Strategies to strengthen the resilience of primary health care in the COVID-19 pandemic: a scoping review.BMC health services research · 2024Article
- Knowledge, attitudes, and practices toward Patient Safety among nurses in health centers.BMC nursing · 2024Article
- Resilience of hospitals in an age of disruptions: a systematic literature review on resources and capabilities.Health systems (Basingstoke, England) · 2024Review
- Preparedness, impacts, and responses of public health emergencies towards health security: qualitative synthesis of evidence.Archives of public health = Archives belges de sante publique · 2023Article
- Experiences of operating room nurses in disaster preparedness of a great disaster in Iran: a qualitative study.BMC emergency medicine · 2023Article
- A resilience perspective on healthcare personnels' experiences of managing the COVID-19 pandemic: a qualitative study in Norwegian nursing homes and come care services.BMC health services research · 2023Article
- German GPs' Self-Perceived Role in the COVID-19 Pandemic: Leadership, Participation in Regional Services and Preferences for Future Pandemic Preparedness.International journal of environmental research and public health · 2023Article
- Social determinants of health inequity in Iran: a narrative review.Journal of diabetes and metabolic disorders · 2023Review
- Validity of On-Line Supervised Fitness Tests in People with Low Back Pain.Healthcare (Basel, Switzerland) · 2023Article
- Re-evaluating Our Knowledge of Health System Resilience During COVID-19: Lessons From the First Two Years of the Pandemic.International journal of health policy and management · 2023Review
- Evaluation of primary health care by users during the COVID-19 pandemic: A cross-sectional study.PloS one · 2023Article
- Relationship between COVID-19 Mortality, Hospital Beds, and Primary Care by Italian Regions: A Lesson for the Future.Journal of clinical medicine · 2022Article
- COVID-19 Pandemic-Revealed Consistencies and Inconsistencies in Healthcare: A Medical and Organizational View.Healthcare (Basel, Switzerland) · 2022Article
- Early Nurse Management Experiences from Finnish COVID-19 Hubs: An In-Action Review.International journal of environmental research and public health · 2022Article
- Managing Care during the COVID-19 Pandemic: The Point of View and Fears of Pediatric Cancer Patients' Families.Children (Basel, Switzerland) · 2022Article
- Mental Health Symptoms among General Practitioners Facing the Acute Phase of the COVID-19 Pandemic: Detecting Different Reaction Groups.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The pandemic due to SARS-CoV-2 tested the resilience of health systems worldwide. The outcome of the pandemic is impacted by health management choices made over the course of the disaster, which in turn are strongly dependent on the underlying healthcare system - as mirrored by the fact that regional pandemic experiences differ considerably: In Italy (a country most impacted by the COVID-19 outbreak), infection and mortality rates vary vastly between regions, with Lombardy - a comparatively well-equipped region with regard to hospitals and centers of scientific excellence - being amongst the worst-affected areas. Within this article, we focus on the challenges within primary health care and hospital organization, cooperation between primary and specialist care, and access to health care services: In Lombardy, neglected primary health care with a comparatively low availability of general practitioners (GPs) per inhabitant, the initial prioritization of hospitals during the pandemic while neglecting primary health care in terms of personal protective equipment (PPE), the lack of testing resources, and a failure to achieve coordinated support contributed to a quick overburdening of hospitals, where the dissolution of traditional departments into "macro-areas" may favor nosocomial infections during an ongoing pandemic. Neither specialized medicine nor privatization, but rather flexible public healthcare services working in consistent cooperation with GPs, show better efficiency in containing viral spread and managing patients. Strengthening the primary health care sector with regard to human and technical resources and supporting the coordination between the different levels of health care providers help to avoid overcrowded hospitals, while protecting patients and health care workers during large-scale health emergencies. Overall, further in-depth analysis of structural determinants is needed in order to develop more-resilient and integrative health care systems.
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