Lessons learned in the care of patients with COVID-19 at the Provisional Comprehensive Center of Figali, Panama

Authors

Keywords:

Infections by coronavirus, learning from the health system, isolation hospitals, associated health institutions.

Abstract

Introduction: The conversion of various buildings as hospital centers for the medical care of patients with COVID-19 is a necessary solution in light of the high demand of cases and the limitation of hospital beds.

Objective: Determine the lessons learned and the points of improvement in the medical care process of the Comprehensive Center of Provisional Care for Patients with moderate COVID-19 in Figali.

Methods: Prospective, descriptive study, conducted from March 1 to 15, 2021. Total of workers, total of doctors, nursing graduates and administrative heads were assessed. Cluster sampling of 36,5 %. Qualitative methodology (questionnaire, semi-structured interview and focal group workshop) was used.

Results: In the first three months, the center admitted 548 patients (daily maximum of 124); of these, 309 (56.4%) with moderate or severe category. The institution had up to 74 doctors (including 41 Cuban specialists) and 91 nurses. Medical care was rated by the respondents as very high or high (100%), and other rates were: patient satisfaction (90.9%), hygiene (93.2%) and social function of the center (97.7%). The greatest learnings were on biosafety, oxygen therapy, comprehensive management of the disease and the integration of different groups; among whom professionalism, humanism and a sense of belonging stood out.

Conclusions: The main lessons learned focus on training, biosecurity, flows, oxygen therapy, quality and sense of belonging of the staff. Workers perceive that the center adequately fulfills its mission. The main points of improvement are communication, comfort for patients, collective evaluation of cases and psychological support.

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Author Biographies

Victor René Navarro Machado, Universidad de Ciencias Médicas de Cienfuegos

Doctor en Ciencias de la Salud. Especialista de II Grado en Medicina Interna y de II Grado en Medicina Intensiva y Emergencias. Profesor Titular Universidad de Ciencias Médicas de Cienfuegos. Investigador titular. Presidente del Consejo provincial de Sociedades Científicas.

Yashica Johanna González Pinilla, Centro Integral de Atención Provisional para Pacientes Moderados con COVID-19 en Figali, Panamá

Médico. Especialista en Medicina Familiar.

Siria del Carmen Salazar Simpson, Centro Integral de Atención Provisional para Pacientes Moderados con COVID-19 en Figali, Panamá

Licenciada en Ciencias de la Enfermería. Jefa de enfermería del Centro Integral de Atención Provisional para Pacientes Moderados con COVID-19 en Figali, Panamá

Estefanía Alleyne Hepburn, Centro Integral de Atención Provisional para Pacientes Moderados con COVID-19 en Figali, Panamá

Médico General. Coordinadora médica del Centro Integral de Atención Provisional para Pacientes Moderados con COVID-19 en Figali

Ligia Esther Bandera Elizastegui, Hospital general “Dr. Agostinho Neto”, Guantánamo, Cuba

Médico. Especialista en Medicina Interna. Máster en enfermedades infecciosas. Profesor Asistente. 

Joanna Rodríguez Poveda, Centro Integral de Atención Provisional para Pacientes Moderados con COVID-19 en Figali, Panamá

Licenciada en Finanzas. Máster en Comercio Internacional. Coordinadora administrativa del Centro Integral de Atención Provisional para Pacientes Moderados con COVID-19 en Figali, Panamá.

Published

2021-07-25

How to Cite

1.
Navarro Machado VR, González Pinilla YJ, Salazar Simpson S del C, Alleyne Hepburn E, Bandera Elizastegui LE, Rodríguez Poveda J. Lessons learned in the care of patients with COVID-19 at the Provisional Comprehensive Center of Figali, Panama. Rev Cubana Salud Pública [Internet]. 2021 Jul. 25 [cited 2025 Mar. 14];47(3). Available from: https://revsaludpublica.sld.cu/index.php/spu/article/view/3160