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Yann Bourgueil, Mylaine Breton, Christine Cohidon

    Sante Publique (Vandoeuvre-Les-Nancy, France)
    |June 20, 2022
    PubMed
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    Primary care mobilization during COVID-19 varied significantly across regions, highlighting the need for improved governance and integration with public health. Lessons learned can inform future healthcare reforms and pandemic preparedness.

    Area of Science:

    • Healthcare Management
    • Public Health Policy
    • Primary Care Research

    Background:

    • The COVID-19 pandemic necessitated rapid healthcare system adjustments, initially focusing on population confinement and intensive care expansion.
    • Primary care's role was subsequently mobilized, but with varying degrees of coordination and integration across different regions.

    Purpose of the Study:

    • To compare primary care involvement in four French-speaking regions with similar structures.
    • To identify lessons for healthcare reform based on the COVID-19 experience.

    Main Methods:

    • Comparative analysis of primary care responses in four distinct francophone regions.
    • Evaluation of the implementation and effectiveness of primary care strategies during the pandemic.

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    Main Results:

    • Primary care mobilization was significant but heterogeneous, influenced by local context and existing dynamics, except in Quebec where health authorities governed primary care.
    • COVID centers were established systematically in Quebec and initiated by local stakeholders elsewhere. Teleconsultation, primarily phone-based, was widely adopted with flexible pricing.
    • Areas for improvement include diagnostic testing and vaccination by new professionals, requiring streamlined legal, financial, and training frameworks. Information systems for assessing local needs were inadequate across all regions.

    Conclusions:

    • Establishing clear primary care governance methods is crucial.
    • Strengthening the link between primary care professionals and public health operators is a priority at both local and national levels.