A Community-Based Model to the COVID-19 Humanitarian Crisis

Mirco Nacoti; Andrea Ciocca; Pietro Brambillasca; Francesco Fazzi; Michele Pisano; Massimo Giupponi; Antonio Pesenti; Oliviero Valoti; Maurizio Cereda

doi:10.3389/fcimb.2021.639579

A Community-Based Model to the COVID-19 Humanitarian Crisis

Front Cell Infect Microbiol. 2021 Mar 15:11:639579. doi: 10.3389/fcimb.2021.639579. eCollection 2021.

Authors

Affiliations

¹ Department of Anesthesia and Intensive Care, ASST Papa Giovanni XXIII, Bergamo, Italy.
² Coordination, Comunità della Salute, Bergamo, Italy.
³ 1st General Surgery Unit, Department of Emergency, ASST Papa Giovanni XXIII, Bergamo, Italy.
⁴ Executive Board, Agenzia di Tutela della Salute, Bergamo, Italy.
⁵ Department of Emergency, Anesthesia and Critical Care, Foundation IRCCS Ospedale Maggiore Policlinico, Milan, Italy.
⁶ Department of Surgical Pathophysiology and Transplantation, University of Milan, Milan, Italy.
⁷ Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.

Abstract

A multidisciplinary group, mainly from Bergamo region - the epicenter of the COVID-19 pandemic crisis in Italy on march 2020- has developed concept of creating intermediate care facilities and proposes a three-tier model of community-based care, with the goal of reducing hospital admissions, contagion and mortality related to hospital overloading and optimizing human resources.

Keywords: COVID-19; Community; Humanitarian crisis; Italy; PHC; SARS-CoV-2; pandemic.

MeSH terms

COVID-19 / epidemiology*
COVID-19 / prevention & control
COVID-19 / therapy*
Home Care Services
Humans
Italy / epidemiology
Pandemics*
Patient Care / classification
Patient Care / methods
SARS-CoV-2
Severity of Illness Index