Id |
Subject |
Object |
Predicate |
Lexical cue |
T65 |
0-8 |
Sentence |
denotes |
Barriers |
T66 |
9-167 |
Sentence |
denotes |
Though primary care has many important roles in a pandemic, there are also many barriers or challenges to family physicians being able to fulfill these roles. |
T67 |
168-173 |
Sentence |
denotes |
Time: |
T68 |
174-257 |
Sentence |
denotes |
Family physicians are often already feeling pressured in terms of time commitments. |
T69 |
258-334 |
Sentence |
denotes |
Expanding and adapting clinical practice during a pandemic can be difficult. |
T70 |
335-349 |
Sentence |
denotes |
Communication: |
T71 |
350-565 |
Sentence |
denotes |
Following SARS and H1N1 influenza, one of the largest barriers identified by surveyed family physicians was the sense of lack of communication or miscommunication between public health agencies and primary care.6,22 |
T72 |
566-593 |
Sentence |
denotes |
Governance of primary care: |
T73 |
594-774 |
Sentence |
denotes |
Compared to public health agencies, hospitals, paramedic services, and other healthcare organizations, primary care in Ontario does not often have a central hierarchical structure. |
T74 |
775-898 |
Sentence |
denotes |
This creates challenges in coordinating a unified primary care pandemic response, though it certainly does not preclude it. |
T75 |
899-910 |
Sentence |
denotes |
Technology: |
T76 |
911-1085 |
Sentence |
denotes |
Many of the functions of primary care in a pandemic would be made easier by technology, including enabling virtual care, communication and enhanced triaging and surveillance. |
T77 |
1086-1210 |
Sentence |
denotes |
While COVID-19 has certainly forced a progression in technological development and adoption, there is still room for growth. |
T78 |
1211-1235 |
Sentence |
denotes |
Recognition and support: |
T79 |
1236-1404 |
Sentence |
denotes |
As previously discussed, pandemic responses have often been focused on secondary and tertiary care, without a clear understanding of the important role of primary care. |
T80 |
1405-2012 |
Sentence |
denotes |
As Rust et al state, “Authorities may designate mainly hospitals as surge sites, neglecting to designate primary care community health center networks.”5 Similarly, in an analysis of the response to SARS, Lee and Chuh wrote, “SARS has highlighted the inadequate interface between primary and secondary care and valuable health care resources were thus inappropriately matched to community needs.”9 Lack of understanding of the role family physicians play in the community during a pandemic leads to primary care being inadequately equipped in terms of personal protective equipment and workforce investment. |