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Minerva Gastroenterologica e Dietologica 2020 Jun 02

DOI: 10.23736/S1121-421X.20.02713-0

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English

COVID emergency: an opportunity to increase the interaction between hepatologist and primary care physician

Giovanni CASELLA 1 , Fabio INGRAVALLE 2, Adriana INGRAVALLE 3, Claudio MONTI 4, Fulvio BONETTI 4, Aurelio LIMONTA 5

1 ATS Brianza, Limbiate, Monza Brianza, Italy; 2 School of Specialization in Hygiene and Preventive Medicine, University of Tor Vergata, Rome, Italy; 3 Department of Obstetrics and Gynecology, Campus Bio-Medico University, Rome, Italy; 4 ATS Brianza, Barlassina, Monza Brianza, Italy; 5 ATS Brianza, Concorezzo, Monza Brianza, Italy


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The outbreak of Coronavirus Disease 2019 (COVID-19) worldwide had evidenced the opportunity to increase the interaction between Specialist and Primary Care Physician (PCP). COVID 19, started in December 2019 in China, has been considered a public health emergency by the Department of Health and Human Services and, at the moment, it is a pandemic disease with worldwide diffusion. The Covid 19 crisis permits to increase the role of Telemedicine as a tool for the delivery of health care services at distance and to slow down the virus diffusion. This technology is cheap and easy to use but it is limited by governmental licensing restrictions, reimbursement barriers, lesser extent of infrastructure and difficulties related to the change. During COVID 19 Epidemy, Telemedicine is safe, low cost and permits to treat urgent and routine specialist cases without human proximity and contact which would spread infection, particularly to the elderly and immunocompromised patients. In COVID 19 era, the goal of PCP is to reduce travels and visits in specialized center for liver disease patients. A strict collaboration between specialized hepatologist and PCP is needed.


KEY WORDS: COVID-19; Hepatologist; Primary care physician; Liver disease

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