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A plea from doctors in Italy: To avoid Covid-19 disaster, treat more patients at home

Physicians at the epicenter of Italy’s #Covid19 outbreak warned that medical practice may need to be turned on its head — with care delivered to many #coronavirus patients at home.
Bodies of coronavirus victims from Bergamo, Italy, are unloaded Saturday upon arrival at a cemetery in Ferrara, where they will be cremated.

A dozen physicians at the epicenter of Italy’s Covid-19 outbreak issued a plea to the rest of the world on Saturday, going beyond the heartbreaking reports of overwhelmed health care workers there and a seemingly uncontrollable death toll to warn that medical practice during a pandemic may need to be turned on its head — with care delivered to many patients at home.

“Western health care systems have been built around the concept of patient-centered care,” physicians Mirco Nacoti, Luca Longhi, and their colleagues at Papa Giovanni XXIII Hospital in published on Saturday in NEJM Catalyst, a new peer-reviewed journal from the New England Journal of Medicine. But a pandemic requires “community-centered care.”

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