Abstract：
The first wave of COVID-19 in Calgary, Alberta accelerated the integration of primary care with the province\'s centrally managed health system. This integration aimed to deliver wraparound in-community patient care through two interventions that combined to create the COVID-19 Integrated Pathway (CIP). The CIP\'s interventions were: 1) a data sharing platform that ensured COVID-19 test results were directly available to family physicians (FPs), and 2) a clinical algorithm that supported FPs in delivering in-community follow up to improve patient outcomes. We describe the CIP function and its capacity to facilitate FP follow-up with COVID-19 patients and evaluate its impact on Emergency Department (ED) visits and hospitalization.
We generated descriptive statistics by analyzing data from a Calgary Zone hub clinic called the Calgary COVID-19 Care Clinic (C4), provincially maintained records of hospitalization, ED visits, and physician claims.
Between Apr. 16 and Sep. 27, 2020, 7289 patients were referred by the Calgary Public Health team to the C4 clinic. Of those, 48.6% were female, the median age was 37.4 y. 97% of patients had at least one visit with a healthcare professional, where follow-up was conducted using the CIP\'s algorithm. 5.1% of patients visited an ED and 1.9% were hospitalized within 30 days of diagnosis. 75% of patients had a median of 4 visits with their FP.
Our data suggest that information exchange between Primary Care (PC) and central systems facilitates primary care-based management of patients with COVID-19 in the community and has potential to reduce acute care visits.
We generated descriptive statistics by analyzing data from a Calgary Zone hub clinic called the Calgary COVID-19 Care Clinic (C4), provincially maintained records of hospitalization, ED visits, and physician claims.
Between Apr. 16 and Sep. 27, 2020, 7289 patients were referred by the Calgary Public Health team to the C4 clinic. Of those, 48.6% were female, the median age was 37.4 y. 97% of patients had at least one visit with a healthcare professional, where follow-up was conducted using the CIP\'s algorithm. 5.1% of patients visited an ED and 1.9% were hospitalized within 30 days of diagnosis. 75% of patients had a median of 4 visits with their FP.
Our data suggest that information exchange between Primary Care (PC) and central systems facilitates primary care-based management of patients with COVID-19 in the community and has potential to reduce acute care visits.
摘要：
背景：第一波COVID-19在卡尔加里，艾伯塔省加快了初级保健与该省中央管理的卫生系统的整合。这种整合旨在通过两种干预措施提供社区内患者护理，这两种干预措施相结合，共同创建了COVID-19整合途径(CIP)。TheCIP的干预措施是：1)一个数据共享平台，确保COVID-19检测结果直接提供给家庭医生(FP)，和2)支持FP提供社区随访以改善患者预后的临床算法。我们描述了CIP功能及其促进COVID-19患者FP随访的能力，并评估其对急诊科（ED）就诊和住院的影响。
方法：我们通过分析来自卡尔加里地区中心诊所的数据来生成描述性统计数据，该中心诊所称为卡尔加里COVID-19护理诊所（C4），省级保存的住院记录，ED访问，和医生声称。
结果：4月之间。16和9月27，2020年，7289名患者被卡尔加里公共卫生团队转诊到C4诊所。其中,48.6%是女性,年龄中位数为37.4岁。97%的患者至少有一次就医，其中使用CIP算法进行随访。5.1％的患者在诊断后30天内就诊ED，1.9％的患者住院。75％的患者的FP中位数为4次。
结论：我们的数据表明，初级保健（PC）和中央系统之间的信息交换有助于社区对COVID-19患者进行基于初级保健的管理，并有可能减少急性护理就诊。
方法：我们通过分析来自卡尔加里地区中心诊所的数据来生成描述性统计数据，该中心诊所称为卡尔加里COVID-19护理诊所（C4），省级保存的住院记录，ED访问，和医生声称。
结果：4月之间。16和9月27，2020年，7289名患者被卡尔加里公共卫生团队转诊到C4诊所。其中,48.6%是女性,年龄中位数为37.4岁。97%的患者至少有一次就医，其中使用CIP算法进行随访。5.1％的患者在诊断后30天内就诊ED，1.9％的患者住院。75％的患者的FP中位数为4次。
结论：我们的数据表明，初级保健（PC）和中央系统之间的信息交换有助于社区对COVID-19患者进行基于初级保健的管理，并有可能减少急性护理就诊。
