From: Facing the threat of influenza pandemic - roles of and implications to general practitioners
 | Phase 4 | Phase 5 - 6 |
---|---|---|
Running and Co-ordination | Co-ordination of triage system for suspected cases. | Liaison with national/local health authority for prioritisation of primary health care during pandemic. |
 | Standardisation of procedures in handling suspected cases and cautious cases. | Chair of GP network participates and gives advice in national/sub-national crisis committee. |
 | Action plan to avoid cross infection of suspected cases and other patients. | Co-ordination of care at primary care level for large influx of influenza patients and patients with other illness. |
 | Co-ordination of other sectors to care for large number of ill patients. | Provide local leadership in rational use of multi-sectoral resources in meeting the local health needs and demand. |
 | Identify the vulnerable and at risk groups for necessary health protection. | Care for those under medical surveillance. |
 | Co-ordination of care for close contacts and family members of suspected or cautious cases. | Protocol for home management for those with minor illnesses |
Situation monitoring and Assessment | Collect specimens from suspected cases for rapid diagnosis. | Cases reporting |
 | Collect more clinical and epidemiological data from suspected cases. | Assess the capacity to manage larger number of ill patients. |
 | Monitoring of symptoms and signs of flu - like illness of close contacts. | Monitoring of caution cases. |
 | Close monitoring of 'suspected' or 'cautious' cases. | Assess the uptake and impact of mitigation measures at community level. |
 |  | Monitor resources in primary health care to meet the surge of demands as alternative health care for hospital setting in management of non-infectious diseases. |
 | Phase 4 | Phase 5 - 6 |
Reducing the spread of disease | Clinical management of those fever cases or suspected cases according to national guidelines to avoid cross infection | Re-designation of clinics within the local catchment area to designated clinics for management of fever cases and those with flu-like illness, and other clinics to manage illness of non-infectious nature |
 | Working closely with local health authority for management of those suspected cases isolated at home and their households and close contacts | Home visits for patients with chronic illnesses rather than coming to clinics by those primary care doctors not involved in management of flu cases |
 | Health protection for at risk groups including clinic staff | Special review clinics for those requiring follow up for chronic illnesses to avoid cross infection |
 | Re-organisation of clinic schedule to minimise cross infection with minimal disruption of usual services | Prophylactic treatment for high risk groups |
 | To reinforce the community implementation of individual/household and societal level of disease control measures34 |  |
 | Given advice and provision of care to patients returning from high risk areas or close contact of suspected cases in accordance to national guidelines |  |
Continuity of Health Care and Provision | To activate the system in primary health care to manage flu-like illnesses as well as non-infectious illnesses with minimum chance of cross-infection | Primary care clinics as alternate source of medical care for those stabilised hospital patients with 'non-communicable diseases' to relieve the workload of hospital setting |
 | Self management protocol for patients with minor illnesses | Provide psycho-social support to patients, communities and also health care workers |
Communication | Explain to local community what is known and not known about the virus, the state of outbreak, the effective preventive measures and next steps | Act as resource persons for community to have update information of transmission pattern, clinical severity, treatment and prophylaxis options |
 | Act as resource persons for enquire how to obtain medicines, essential services | Feedback of community concerns to national authority |