Trends in the transformation of primary health care in the who European Region during the pandemic

Abstract

During the COVID-19 pandemic in the WHO European Region, primary care underwent continuous transformation that proved the important role of this medical fi eld. In diff erent countries, the transformation process has gone diff erently and diff erent goals and objectives were determned. Th e narrative review was conducted using a number of 15 publications, pragmatic and action-oriented, describing the policy instruments that countries have implemented to strengthen the role of primary health care during the pandemic response, as well as to maintain essential health. The case studies, published in series by WHO, were analyzed and evaluated in terms of common and country-specifi c trends in the WHO European region. Interventions described in WHO publications focused on the following areas: Strengthening governance and legislative frameworks; Strengthening the workforce, multidisciplinary team; Community and distance services; E-health and digital solutions; and Prevention, health promotion and education programs. Regardless of the results obtained, the continuous transformation of primary health care in diff erent countries in the WHO European Region during the COVID-19 pandemic has allowed the adjustment of medical services provided to the situation created and contextual to the health system. Th is transition period allowed the learning of a number of lessons, both general and specifi c to specifi c countries. By presenting the crucial role of primary health care during the pandemic and beyond, the cases described by WHO have enabled the exchange of experience between countries to inspire policy action and accelerate long-term reforms in primary health care.