On 11 March 2020, the World Health Organization declared Coronavirus 2019 (COVID-19) a pandemic, one that has since spread across the globe. As of May 2021, COVID-19 has infected over 171 million people, resulting in more than 3.5 million deaths, while pressing hospital and ICU capacities to precarious acuity levels. Yet the international crisis also revealed a disproportionate impact on primary care, leading to severe declines in clinical volumes and revenues, plus interruption in effective preventive care services and chronic disease management. Equally important, we are learning of numerous potential long-term clinical impacts and distressing ongoing chronic health issues stemming from respiratory illness, psychological problems or cognitive deficits and unexplained lingering symptoms (1–3). Primary care training has likely suffered due to early restrictions on personal protective equipment, quarantine of health care workers and reduced morale amongst practicing physicians and nurses (4–6). Rapid adoption of telehealth, and outreach to existing patient populations has created a demand for new methods of care delivery (7) and reimbursement, while concurrently raising a multitude of questions about effectiveness and financial stability (8).

中文翻译：

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针对 COVID-19 大流行的初级保健应对措施

2020 年 3 月 11 日，世界卫生组织宣布 2019 年冠状病毒 (COVID-19) 为大流行病，此后已在全球蔓延。截至 2021 年 5 月，COVID-19 已感染超过 1.71 亿人，导致超过 350 万人死亡，同时将医院和 ICU 的能力推向不稳定的严重水平。然而，国际危机也暴露出对初级保健的不成比例的影响，导致临床数量和收入严重下降，加上有效的预防保健服务和慢性病管理的中断。同样重要的是，我们正在了解许多潜在的长期临床影响和令人痛苦的持续慢性健康问题，这些问题源于呼吸系统疾病、心理问题或认知缺陷以及无法解释的挥之不去的症状 (1-3)。由于个人防护设备的早期限制、医护人员的隔离以及执业医生和护士士气的下降，初级保健培训可能受到影响 (4-6)。远程医疗的快速采用以及对现有患者群体的推广产生了对新的护理提供方法 (7) 和报销的需求，同时提出了许多有关有效性和财务稳定性的问题 (8)。