<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0864-3466</journal-id>
<journal-title><![CDATA[Revista Cubana de Salud Pública]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Salud Pública]]></abbrev-journal-title>
<issn>0864-3466</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-34662021000300005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Lecciones aprendidas en la atención a pacientes con COVID-19 en el Centro Integral Provisional de Figali, Panamá]]></article-title>
<article-title xml:lang="en"><![CDATA[Lessons learned in the care of patients with COVID-19 at the Provisional Comprehensive Center of Figali, Panama]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Navarro Machado]]></surname>
<given-names><![CDATA[Victor René]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Pinilla]]></surname>
<given-names><![CDATA[Yashica Johanna]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salazar Simpson]]></surname>
<given-names><![CDATA[Siria del Carmen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alleyne Hepburn]]></surname>
<given-names><![CDATA[Estefanía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bandera Elizastegui]]></surname>
<given-names><![CDATA[Ligia Esther]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Poveda]]></surname>
<given-names><![CDATA[Joanna]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Cienfuegos  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Integral de Atención Provisional para Pacientes Moderados con COVID-19  ]]></institution>
<addr-line><![CDATA[ Figali]]></addr-line>
<country>Panamá</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital general &#8220;Dr. Agostinho Neto&#8221;  ]]></institution>
<addr-line><![CDATA[ Guantánamo]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2021</year>
</pub-date>
<volume>47</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-34662021000300005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-34662021000300005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-34662021000300005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La conversión de diversas edificaciones como centros hospitalarios para la atención médica a pacientes con COVID-19 es una solución necesaria ante la alta demanda de casos y limitación de camas hospitalarias.  Objetivo: Determinar las lecciones aprendidas y los puntos de mejora en el proceso de atención médica del Centro Integral de Atención Provisional para Pacientes Moderados con COVID-19 en Figali.  Métodos:  Estudio prospectivo, descriptivo, realizado del 1 al 15 de marzo 2021. Universo, total de médicos, licenciados enfermería y jefes administrativos. Muestreo por conglomerados del 36,5 %. Se utilizó metodología cualitativa (cuestionario, entrevista semiestructurada y taller grupo focal).  Resultados:  En sus primeros tres meses el centro ingresó a 548 pacientes (máximo diario de 124); de estos, 309 (56,4 %) con categoría de moderado o grave. La institución dispuso de hasta 74 médicos (incluidos 41 especialistas cubanos) y 91 enfermeros. Se consideró por los encuestados de muy alta o alta la atención médica (100 %), satisfacción de pacientes (90,9 %), higiene (93,2 %) y función social del centro (97,7 %). Las mayores enseñanzas fueron sobre bioseguridad, oxigenoterapia, manejo integral de la enfermedad y la integración de colectivos diferentes; entre quienes se destacó la profesionalidad, humanismo y sentido de pertenencia.  Conclusiones: Las principales lecciones aprendidas se centran en capacitación, bioseguridad, flujos, oxigenoterapia, calidad y sentido de pertenencia del personal. Los trabajadores perciben que el centro cumple adecuadamente con su misión. Los principales puntos de mejora son la comunicación, el confort para los pacientes, la evaluación colectiva de los casos y el apoyo psicológico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[infecciones por coronavirus]]></kwd>
<kwd lng="es"><![CDATA[aprendizaje del sistema de salud]]></kwd>
<kwd lng="es"><![CDATA[hospitales de aislamiento]]></kwd>
<kwd lng="es"><![CDATA[instituciones asociadas de salud]]></kwd>
<kwd lng="en"><![CDATA[Infections by coronavirus]]></kwd>
<kwd lng="en"><![CDATA[learning from the health system]]></kwd>
<kwd lng="en"><![CDATA[isolation hospitals]]></kwd>
<kwd lng="en"><![CDATA[associated health institutions]]></kwd>
</kwd-group>
</article-meta>
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