Concept of Primary Care Clinic Facilities and Management in the New Era of Covid-19

https://doi.org/10.22146/rpcpe.59699

Trevino A Pakasi(1*), Dhanasari Vidawati Trisna(2), Levina Stephanie Pakasi(3)

(1) Family Medicine Department of Community Medicine Faculty of Medicine Universitas Indonesia
(2) Department of Community Medicine, Faculty of Medicine, University of Indonesia
(3) Faculty of Travel Medicine, Royal College of Physicians and Surgeons of Glasgow, United Kingdom
(*) Corresponding Author

Abstract


This is a concept paper of how a primary clinic should be managed in the new normal era, facing the pandemic of Covid-19, but also the possible pandemic in the future. 

We proposed how to manage the clinic based on several findings regarding epidemiology, virus transmission, and many other best practices to reduce contact but maintaining the service through an online connection. 

We also highlighted the recommended use for indoor air quality management, which is the use of a HEPA filter. Other devices may be used but in special precaution. 

 


Keywords


Primary care clinic, management, indoor air quality, HEPA filter

Full Text:

PDF


References

  1. Kemenkes RI. Pedoman Pencegahan dan Pengendalian Coronavirus Disease (COVID-19). Germas. 2020;0–115.
  2. WHO. Situation Report COVID 19 Day 125. World Heal Organ [Internet]. 2020;2019(March):2633. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019
  3. Rajkumar RP. COVID-19 and mental health: A review of the existing literature. 2020;(January).
  4. Lai AL, Millet JK, Daniel S, Freed JH, Whittaker GR. The association between domestic train transportation and novel coronavirus (2019-nCoV) outbreak in China from 2019 to 2020: A data-driven correlational report. 2020;(January):19–20.
  5. WHO. Updated WHO advice for international traffic in relation to the outbreak of the novel coronavirus 2019-nCoV [Internet]. Available from: https://www.who.int/news-room/articles-detail/updated-who-advice-for-international-traffic-in-relation-to-the-outbreak-of-the-novel-coronavirus-2019-ncov
  6. Kemenkes RI. PMK-No.9-Th-2020
  7. Pedoman-Pembatasan-Sosial-Berskala-Besar-Dalam-Penanganan-COVID-19.pdf. 2020.
  8. Kemenhub. Pengendalian Transportasi Selama Masa Mudik Lebaran. Jakarta; 2020.
  9. Pemda DKI Jakarta. Panduan Izin Keluar-Masuk Jakarta. Panduan Penggunaan Izin Keluar-Masuk Jakarta. 2020.
  10. Susilo A, Rumende CM, Pitoyo CW, Santoso WD, Yulianti M, Sinto R, et al. Coronavirus Disease 2019 : Tinjauan Literatur Terkini Coronavirus Disease 2019 : Review of Current Literatures. J Penyakit Dalam Indones. 2020;7(1):45–67.
  11. BNPB. Peta Sebaran [Internet]. 2020. Available from: https://covid19.go.id/peta-sebaran
  12. Worldometer. Coronavirus Cases [Internet]. [cited 2020 May 26]. Available from: https://www.worldometers.info/coronavirus/?zarsrc=130
  13. ECDC. Risk assessment guidelines for infectious diseases transmitted on aircraft (RAGIDA) Middle East Respiratory Syndrome Coronavirus (MERS-CoV) [Internet]. 2020. Available from: https://www.ecdc.europa.eu/sites/default/files/documents/infectious-diseases-transmitted-on-aircrafts-ragida-risk-assessment-guidelines.pdf
  14. WHO. Rational use of personal protective equipment for coronavirus disease (COVID-19) and considerations during severe shortages [Internet]. 2020. [cited 2020 May 26]. Available from: https://www.who.int/publications-detail/rational-use-of-personal-protective-equipment-for-coronavirus-disease-(covid-19)-and-considerations-during-severe-shortages
  15. WHO. Modes of transmission of virus causing COVID-19: implications for IPC precaution [Internet]. 2020 [cited 2020 May 26]. Available from: https://www.who.int/news-room/commentaries/detail/modes-of-transmission-of-virus-causing-covid-19-implications-for-ipc-precaution-recommendations
  16. Morawska L, Cao J. Airborne transmission of SARS-CoV-2: The world should face the reality. Environ Int [Internet]. 2020;139(April):105730. Available from: https://doi.org/10.1016/j.envint.2020.105730
  17. Tellier R, Li Y, Cowling BJ, Tang JW. Recognition of aerosol transmission of infectious agents: A commentary. BMC Infect Dis. 2019;19(1):1–9.
  18. Pan M, Lednicky JA, Wu CY. Collection, particle sizing and detection of airborne viruses. J Appl Microbiol. 2019;127(6):1596–611.
  19. Setti L, Passarini F, Gennaro G De, Baribieri P, Perrone MG, Borelli M, et al. SARS-Cov-2 RNA Found on Particulate Matter of Bergamo in Northern Italy: First Preliminary Evidence. medRxiv [Internet]. 2020;2020.04.15.20065995. Available from: https://www.medrxiv.org/content/10.1101/2020.04.15.20065995v1?%253fcollection=
  20. Martelletti L, Martelletti P. Air Pollution and the Novel Covid-19 Disease: a Putative Disease Risk Factor. SN Compr Clin Med. 2020;10.
  21. Sanità di Toppi L, Sanità di Toppi L, Bellini E. Novel Coronavirus: How Atmospheric Particulate Affects Our Environment and Health. Challenges [Internet]. 2020;11(1 PG-6–6):6. Available from: https://www.mdpi.com/2078-1547/11/1/6 NS -
  22. Wu X, Nethery RC, Sabath MB, Braun D, Dominici F. Exposure to air pollution and COVID-19 mortality in the United States: A nationwide cross-sectional study. medRxiv [Internet]. 2020;53(9):1689–99. Available from: https://www.medrxiv.org/content/10.1101/2020.04.05.20054502v2
  23. BNPB. Panduan Lintas Sektor [Internet]. Jakarta; 2020. Available from: https://covid19.go.id/storage/app/media/Protokol/FINAL - COVID-19 Indonesia Cross Sectoral Guidance - 20 May.pdf _BNPB. Jika harus tetap bekerja.pdf. 2020.
  24. Widyaningrum N (BPOM R, Rosmalasari E (BPOM R, Awalia S (BPOM R, Sasmoyo R (BPOM R, Wardoyo T (BPOM R. Serba Covid Cegah Covid19 Sehat Untuk Semua. Widyaningrum N (BPOM R, Rosmalasari E (BPOM R, editors. Jakarta; 2020.
  25. Kemenkes RI. KESELAMATAN PASIEN DENGAN. Вестник Росздравнадзора Jakarta; 2017 p. 5–9.
  26. KemenKes RI 2020. PENYELENGGARAAN PELAYANAN KESEHATAN MELALUI PEMANFAATAN TEKNOLOGI INFORMASI DAN KOMUNIKASI DALAM RANGKA PENCEGAHAN PENYEBARAN CORONA VIRUS DISEASE 2019 (COVID-19) Corona. Peraturan Menteri Kesehatan Republik Indonesia Jakarta; 2020 p. 2–6.
  27. KemenKes RI. PANDUAN PENCEGAHAN DAN PENGENDALIAN CORONA VIRUS DISEASE 2019 (COVID-19) DI TEMPAT KERJA PERKANTORAN DAN INDUSTRI DALAM MENDUKUNG KEBERLANGSUNGAN USAHA PADA SITUASI PANDEMI. Jakarta; 2020.
  28. Miller SL. How to use ventilation and air filtration to prevent the spread of coronavirus indoors [Internet]. Available from: https://theconversation.com/how-to-use-ventilation-and-air-filtration-to-prevent-the-spread-of-coronavirus-indoors-143732
  29. EPA U. Air Cleaners, HVAC Filters, and Coronavirus (COVID-19) [Internet]. 2020 [cited 2020 Sep 12]. Available from: https://www.epa.gov/coronavirus/air-cleaners-hvac-filters-and-coronavirus-covid-19
  30. Ginanjar E, Puspitasari A, Rinawati W, Hasibuan RK, Sofiana NA, Satria AB, et al. Standar perlindungan dokter di era covid-19. Putri VH, editor. Jakarta: Balai Penerbit IDI; 2020. 92 p.



DOI: https://doi.org/10.22146/rpcpe.59699

Article Metrics

Abstract views : 2294 | views : 1943

Refbacks

  • There are currently no refbacks.


Copyright (c) 2020 Trevino A Pakasi

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

View My Stats