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Improved strategies to counter the COVID-19 pandemic: Lockdowns vs. primary and community healthcare - imarina:9138987

Autor/es de la URV:Domingo Roig, José Luis
Autor según el artículo:Farsalinos K; Poulas K; Kouretas D; Vantarakis A; Leotsinidis M; Kouvelas D; Docea AO; Kostoff R; Gerotziafas GT; Antoniou MN; Polosa R; Barbouni A; Yiakoumaki V; Giannouchos TV; Bagos PG; Lazopoulos G; Izotov BN; Tutelyan VA; Aschner M; Hartung T; Wallace HM; Carvalho F; Domingo JL; Tsatsakis A
Direcció de correo del autor:joseluis.domingo@urv.cat
Identificador del autor:0000-0001-6647-9470
Año de publicación de la revista:2021
Tipo de publicación:Journal Publications
Referencia de l'ítem segons les normes APA:Farsalinos K; Poulas K; Kouretas D; Vantarakis A; Leotsinidis M; Kouvelas D; Docea AO; Kostoff R; Gerotziafas GT; Antoniou MN; Polosa R; Barbouni A; Y (2021). Improved strategies to counter the COVID-19 pandemic: Lockdowns vs. primary and community healthcare. Toxicology Reports, 8(), 1-9. DOI: 10.1016/j.toxrep.2020.12.001
Referencia al articulo segun fuente origial:Toxicology Reports. 8 1-9
Resumen:© 2020 The Authors COVID-19 pandemic mitigation strategies are mainly based on social distancing measures and healthcare system reinforcement. However, many countries in Europe and elsewhere implemented strict, horizontal lockdowns because of extensive viral spread in the community which challenges the capacity of the healthcare systems. However, strict lockdowns have various untintended adverse social, economic and health effects, which have yet to be fully elucidated, and have not been considered in models examining the effects of various mitigation measures. Unlike commonly suggested, the dilemma is not about health vs wealth because the economic devastation of long-lasting lockdowns will definitely have adverse health effects in the population. Furthermore, they cannot provide a lasting solution in pandemic containment, potentially resulting in a vicious cycle of consecutive lockdowns with in-between breaks. Hospital preparedness has been the main strategy used by governments. However, a major characteristic of the COVID-19 pandemic is the rapid viral transmission in populations with no immunity. Thus, even the best hospital system could not cope with the demand. Primary, community and home care are the only viable strategies that could achieve the goal of pandemic mitigation. We present the case example of Greece, a country which followed a strategy focused on hospital preparedness but failed to reinforce primary and community care. This, along with strategic mistakes in epidemiological surveillance, resulted in Greece implementing a second strict, horizontal lockdown and having one of the highest COVID-19 death rates in Europe during the second wave. We provide recommendations for measures that will reinstate primary and community care at the forefront in managing the current public health crisis by protecting hospitals from unnecessary admissions, providing primary and secondary prevention services in relation to COVID-19 and maintaining population health through treatment of non−COVID-19 conditions. This, together with more selective social distancing measures (instead of horizontal lockdowns), represents the only viable and realistic long-term strategy for COVID-19 pandemic mitigation.
DOI del artículo:10.1016/j.toxrep.2020.12.001
Enlace a la fuente original:https://www.sciencedirect.com/science/article/pii/S2214750020304431?via%3Dihub
Versión del articulo depositado:info:eu-repo/semantics/publishedVersion
Acceso a la licencia de uso:https://creativecommons.org/licenses/by/3.0/es/
Departamento:Ciències Mèdiques Bàsiques
URL Documento de licencia:https://repositori.urv.cat/ca/proteccio-de-dades/
Áreas temáticas:Zootecnia / recursos pesqueiros
Toxicology
Saúde coletiva
Química
Psicología
Odontología
Nutrição
Medicina veterinaria
Medicina ii
Materiais
Interdisciplinar
Health, toxicology and mutagenesis
Farmacia
Engenharias ii
Ciências biológicas iii
Ciências biológicas ii
Ciências biológicas i
Ciências ambientais
Biotecnología
Biodiversidade
Palabras clave:Primary care
Hospital preparedness
Horizontal lockdowns
Covid-19 pandemic
Entidad:Universitat Rovira i Virgili
Fecha de alta del registro:2024-07-27
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