Lessons on the COVID-19 pandemic, for and by primary care professionals worldwide

During the early stage of the pandemic, primary care continued as the first point of contact to the health system but was poorly informed by policy makers on how to fulfil its role and ill equipped to provide care while protecting staff and patients against further spread of the infection. The pandemic presents important lessons to strengthen health systems through better connection between public health, primary care, and secondary care to cope better with future waves of this and other pandemics.

Health care for chronic neurological patients after COVID-19

Covid-19 has hit the world population hard. Its effects continue to arise at the community and individual level. However, recovered patients, who had a relatively long stay in the ICU due to the complications of the disease, present and will present very diverse sequelae: post-traumatic stress, transient cognitive alterations and neurological alterations. This article-commentary shows how the health system should reformulate certain priorities for the care of the neurological sequelae of the pandemic at the individual level.

Integrated older people care and advanced practice nursing: an evidence-based review.

The world's population is aging rapidly. This is a fact, and the demand for services adapted to this new reality is increasingly necessary. The World Health Organization has proposed an integrative strategy centered on people. Here present a systematic review of strategies that address the care of older adults with the integrated care-centered approach to people.

The context, strategy and performance of the American safety net primary care providers: a systematic review

The objective of this research is to synthesize evidence on the relationship between context, strategies and performance in the context of federally qualified health centers (FQHCs), a core safety net health services provider in the United States. The research also identifies prior approaches to measure contextual factors, FQHC strategy and performance. Gaps in the research are identified, and directions for future research are provided.

From Crisis to Coordination: Challenges and Opportunities for Integrated Care posed by the COVID-19 Pandemic

COVID-19 has accentuated the stark reality that, despite the efforts of the past 20 years, there remains a continued failure to embrace integrated care systems. It has also demonstrated how quickly systems, organisations and individuals can change, if they must. The uptake in telehealth, eHealth and other technological support systems is unprecedented, even though only a couple of months ago this was unthinkable on a broad scale in many countries. The swiftness of multi-disciplinary teams coming together to find flexible solutions to the day-today challenges during lockdown has shown how we can achieve effective communication and collaboration.

Realising the value of integrated care in Australia beyond

PROFESSOR NICK GOODWIN, Director, Central Coast Research Institute for Integrated Care, University of Newcastle and Central Coast LHD. Co-Founder, International Foundation for Integrated Care

Over the past decade there has been a growing realisation of the need to reform health and care systems in Australia to better coordinate care, improve quality and promote value.

For example, recent reports such as the 2017 Productivity Commission’s Shifting the Dial and the 2018 CSIRO report Future of Health criticised the existing disease-based, episodic, medicallydominated and institutionally- led characteristics of the Australian health system as being unable to respond effectively to the new ...

Who Cares? Attracting and Retaining Care Workers for the Elderly

This report presents the most up-to-date and comprehensive cross-country assessment of long-term care (LTC) workers, the tasks they perform and the policies to address shortages in OECD countries. It highlights the importance of improving working conditions in the sector and making care work more attractive and shows that there is space to increase productivity by enhancing the use of technology, providing a better use of skills and investing in prevention.

COVID-19 and Older Persons: A Defining Moment for an Informed, Inclusive and Targeted Response

As the world grapples with an unparalleled health crisis, POLICY BRIEF NO68 older persons have become one of its more visible victims. The pandemic spreads among persons of all ages and conditions, yet available evidence indicates that older persons and those with underlying medical conditions are at a higher risk of serious illness and death from the COVID-19 disease. This brief has presented the distinct situation of older persons during the COVID-19 pandemic. It highlights how older persons encounter specifc challenges that need to be understood and integrated into policy measures related to COVID-19. 

Policy Brief: The Impact of COVID-19 on older persons

The COVID-19 pandemic is causing untold fear and suffering for older people across the world. As the virus spreads rapidly to developing countries, likely overwhelming health and social protection systems, the mortality rate for older persons could climb even higher. Efforts to protect older persons should not overlook the many variations within this category, their incredible resilience and positivity, and the multiple roles they have in society, including as caregivers, volunteers and community leaders.

COVID-19 recovery is an opportunity to set the stage for a more inclusive, equitable and age-friendly society.

Paradoxes of person centred care: A discussion paper