Development and implementation of a community-based COVID-19 assessment centre in Selangor: A descriptive study.

Autor: Manoharan A; MBBS (MAHE), MMed FamMed (UM), Klinik Kesihatan Bandar Botanik, Bandar Botanik, Klang, Selangor, Malaysia., Mohammad NM; MBBS (UM), MMed FamMed (UKM), Klinik Kesihatan Kelana Jaya Jln SS6/3A, SS 6, Petaling Jaya, Selangor, Malaysia. Email: nik_ina68@yahoo.com., Abdul Samad A; MD (UKM), MMed FamMed (UM), Klinik Kesihatan Seksyen 7 Shah, Alam 2, Persiaran Kayangan, Seksyen 7, Shah Alam, Selangor, Malaysia., Hamid D; MBChB (Cardiff), MMedFamMed (UM), Klinik Kesihatan AU2, Jalan AU, 2A, Taman Keramat, Kuala Lumpur, Selangor, Malaysia., Abdullah ZA; LRCPSI BAO BCH (Ireland), MMed, FamMed (UKM), Klinik Kesihatan Pandamaran, Persiaran Raja Muda Musa, Klang, Selangor, Malaysia.
Jazyk: angličtina
Zdroj: Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia [Malays Fam Physician] 2023 Jun 08; Vol. 18, pp. 33. Date of Electronic Publication: 2023 Jun 08 (Print Publication: 2023).
DOI: 10.51866/oa.156
Abstrakt: Introduction: With the rising number of COVID-19 cases in Malaysia and the overwhelming strain on the tertiary healthcare system, home isolation has been introduced by the Ministry of Health Malaysia to reduce the admission of patients with mild COVID-19 to tertiary and low-risk quarantine centres. COVID-19 assessment centres (CACs) have been set up to provide initial assessment, triaging and monitoring of patients with COVID-19 prior to and during their home isolation. In this study, we aimed to share our experience in setting up CACs in Selangor, Malaysia.
Method: We described the steps taken in developing assessment tools and guidelines for assisting healthcare providers in safely monitoring patients with COVID-19 undergoing home isolation.
Results: A total of 26,826 patients were clinically assessed from 1 to 28 February 2021 in various CACs in the state. The majority of the cases seen in the CACs were under category (CAT) 1 and 2. Only 0.2% (n=53) of the cases were categorised as severe COVID-19 (CAT 3 and above).
Conclusion: CACs coordinated by primary care providers play an important role in triaging, assessing and monitoring patients with COVID-19 undergoing home isolation in the community. There needs to be a better partnership between various stakeholders and the private healthcare sector to improve the services. The usage of a pulse oximeter in home monitoring of all patients with COVID-19 in Selangor needs to be seriously considered.
Competing Interests: The authors declare that they have no conflicts of interest.
(© Academy of Family Physicians of Malaysia.)
Databáze: MEDLINE