PMC:7536478 / 10240-12252 JSONTXT 7 Projects

Annnotations TAB TSV DIC JSON TextAE

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.