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The severity of the situation was measured by lives, lack of money, food, lack of security and freedom. There were other crises – epidemics, pandemics – variola of faith, measles, plague, and cholera.
And we are all winners, decimated, but winners. Right next to us, he stood up, the protector, the silent hero. Doctor Are we ready to pay you after the horror of the virus crown?
Above every crisis, perhaps incomprehensible at the moment, there is a possibility, one that tells us that we can do things better or differently. So it is now. Will the coronal virus pandemic reveal to us this doctor as the insurmountable figure we need? Will state systems recognize that change is needed? Are we going to stop scolding our front line doctor and stop praising those who are not and who sell us duchy grass? Will we trust the doctor who invented the vaccine and saved us or will we fail again?
Family doctor: the most important figure of the future
Spain and Italy, on the one hand, proved to be the biggest losers. And then America. Germany and Austria, on the other hand, with many infected as winners. One thing is certain in all health systems around the world that it has proven to be the necessary but underutilized primary care and family doctor as the mainstay and foundation of medicine.
– The health system is now on a new mission. We have witnessed that there have been many failures in the organization and that it will now have to undergo a transformation. I think there will be a second wave, but we will not be prepared for it, explains the epidemiologist and retired professor at the Zoran Radovanovic School of Medicine.
He explains that the situation will have to move in the direction of primary health care and that health systems need to turn much more towards it.
– It is clearly prescribed that a family doctor must address 80 to 90 percent of patients’ problems. So only 10 percent go beyond secondary and tertiary health care systems, says Radovanovic, who adds that it is far and economically profitable, since it does not use the resources of clinical centers, which in this situation resulted be necessary. .
The general practitioner needs to tackle most of the pathology, our esteemed epidemiologist is clear, and Marian Ivanusha, director of the World Health Organization in Serbia, agrees. He said the WHO constantly emphasized the importance of health centers.
– When it comes to the issue of primary health care, WHO constantly emphasizes the importance of health centers, that is, primary care within the health system. Good cooperation, that is, the integration of all levels of health care (primary, secondary and tertiary level of health) from the health center to the general hospital, to the higher clinical center and public health institutes, it’s important at both the state and local levels, says Ivanusha. .
The first question that arises is whether the current health system will change. We have seen that many have failed. The pandemic has proven to be litmus paper, proof of the system’s success.
Global experts confirm that primary health care will be strengthened. So Ai Jen Po, director of the National Alliance of Indigenous Workers and Welfare in Generations of America, tells Politico that the virus crown pandemic has uncovered holes in the care infrastructure.
– Millions of American families have been forced to go through the crisis without primary social protection. Their loved ones were ill and their children would soon return to schools, families were torn apart to choose between health and financial ruin. Significant help with childcare is extremely limited, very few workers have the ability to pay sick leave, which means that lack of work means failure to pay, “says Jen Po, adding that this crisis should change us in this regard.
He believes that the state should support universal family care, a single fund to which everyone should contribute so that the family has the necessary medical care at a time when one of the family members has to work.
Healthcare as the first among equality policies
The health system, we only see now, has the power to affect all other systems and, like the most important screw, it makes the iron sculpture unite.
– The opinion of the World Health Organization is that health is not only part of health policy, but that health occupies an important position in all policies. As such, it should be the focus of the entire government, including society, says the WHO director in Serbia.
Explain that it is still too early for us to provide a comprehensive answer to this question, as any change requires time for an evaluation.
– What we can say is that we hope that the attitude of state governments towards health systems, and especially towards public health institutions and capacities, will change. We believe that these capabilities are crucial for better preparedness for emergencies in the health field, says Ivanusha.
Vin Gupta, an associate professor at the University of Washington School of Medicine, says that we have not faced the threat to public health on this scale for centuries.
– This has had a great psychological impact on the health of the population and there will certainly be a call to action. Kovid19 will be used by people around the world as a strong justification for the demand for universal health care, which depends primarily on a transparent and principled state system. There will be a demand for health security to be raised to the same priority level as other threats such as nuclear weapons and terrorism, says Gupta.
In recent months, governments have increased their supplies of respiratory equipment, respirators, but also hospital capacity, and have relied on the military to combat the disease. The need to change the law is illustrated in the example of the United Kingdom, where car companies have been involved in the production of respirators for thousands of patients. Governments are intensively seeking solutions. Quick solutions that could become the future of the health system. Serbia was not far behind.
We are witnesses that, in addition to the existing hospitals, in the short term they have built and equipped the storms, the number of respirators in our country has more than doubled, and the Government has begun the national production of protective masks and chloroquins. Whether such innovation and company will remain after all remains to be seen.
– We entered into everything without preparation, we did not have enough equipment, capacity and everything was done on the fly. Some situations from the past can serve as a reference point that we can admire when this is over. For example, when outbreaks occurred in the world in the past, our doctors were sent to focal points to directly deal with the epidemic and share experiences with us, should it have happened to us. It was a rigid socialist regime, but it was known who did what, says Professor Radovanovic.
According to Ivanus, when it comes to emergencies, WHO has successfully developed the Public Health Emergency Preparedness Program for several years and has advocated for strengthening and improving the ability of Member States to prevent and detect health threats public of all kinds early, responds appropriately and effectively, as well as the ability to recover quickly. This is closely related to strengthening the capacity to implement the International Health Regulations.
– WHO Member States have recently adopted a work program, which clearly outlines three objectives related to improving emergency response, universal health coverage and improving the health and well-being of the population, and in that In the direction we will continue our work with the Member States and we will strive to continue directing them towards strengthening health systems, with the aim of improving health for all – says the Director of the WHO.
The rise of telemedicine.
Underneath each text at almost every site in the days after us when the coronavirus appeared, we had the opportunity to view a series of phone numbers where patients could contact the epidemiologist due to the coronavirus situation and the chosen physician. at the health center. So the ranking was done and that system turned out to be good. As Dr. Branka Grujic, general practitioner at the Zvezdara Health Center said, the entire system switched to a phone. And according to her it was very successful.
– We receive a lot of calls every day. Gynecologists and many other doctors are on the team in addition to the GPs. We give patients advice and suggestions on how to use them, and anything that is not urgent, we ask the patient to wait for the current epidemic, explains Dr. Grujic.
Is this the future of healthcare? Experts say yes.
– Digital technologies will be more prominent, and we will probably see and increased use of telemedicine as well as home testing. A third of the US population USA She already uses telemedicine, and people currently have no choice but to trust her. The more they use it, the more they will believe it and therefore get faster and cheaper medical care, says Gupti.
He believes that we will also see large numbers of people using home tests for diseases like the flu or high cholesterol. In this regard, says a professor at the University of Washington School of Medicine, pandemics are good ground for doctors to determine what works and what is susceptible to innovation. Ezekiel J. Manule, a professor at the University of Pennsylvania, agrees with him, noting that this is a significantly more comfortable variant.
“People will be able to get adequate medical care through a video call from the heat of their home and, most importantly, they will not go to hospitals where the most critically ill patients will be treated,” said Manuel.
– This situation has shown that in serious threats to health, people turn to the health care system and we hope that people have more confidence in health professionals, especially given the involvement of health workers in the response. and the commitment they have to help the sick and that more will be provided in the future. Trust the messages of those who saved lives in this pandemic. Modern medicine is based on science, otherwise it is about quackery, says Ivanus.
(Kurir.rs/Blic)
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