Table 1. Themes for PCI response for global pandemic.

	Theme	International lessons
Clinical & public health
1 2 3 4 5	The COVID-19 pandemic onset was associated with an abrupt fall in in-person consultations. The “new normal” will include increased non-face-to-face consultation. Fears of primary care clinicians that patients were delaying care despite the availability of televisits. Coordinated national programs seem to have worked better to control spread of the disease The digital divide in the pandemic was global.	Lesson: Future pandemics contingency plans need to be made so that care usually delivered face-to-face can switch to virtual. We need the technical, legislative, financing and contractual frameworks to do this as standard. Lesson 1: We should keep the capability to step away from non-face-to-face care in future for doctor, service or patient convenience. Lesson 2: Where safe and convenient to patients, this as an opportunity to reset care. However, both lessons need to be underpinned by research on how to do it safely. Lesson: We need robust international research as to whether this is real (likely is), what exacerbated it, and what mitigated patients’ willingness to access primary care. Lesson 1: We need empiric public health research to establish if national priorities, as opposed to local jurisdiction, leads to reduced spread of disease and lower mortality. Lesson 2: The WHO, in coordination with other international agencies, needs to develop plans acceptable to the world’s nations, to control pandemics on an international scale. Lesson: We have a societal responsibility to correct uneven distribution of internet availability for healthcare delivery. This should include equitable access to the internet and adequate bandwidth for eHealth delivery; eHealth needs eAccess.
Informatics and data science
6 7	Inability to code SARS-COV-2 in the pandemic. There was an international lack of clinical terms for coding standards. Variability across regions and jurisdictions in how they recorded, coded, modelled, and managed key data during the pandemic, making lessons harder to learn globally.	Lesson 1: The WHO working with others needs to have contingencies in place that work across terminologies (e.g., International Classification of Disease (ICD), SNOMED CT, and the International Classification of Primary Care (ICPC)). Lesson 2: We need to avoid frequent reclassification of pandemic diseases. There have been three sequential reclassifications of COVID-19. Lesson: Future preparedness needs to go beyond coding. There should be common data models created to facilitate sharing data about pandemic disease spread, testing (which may be virological or serological), vaccine coverage, vaccine effectiveness and any adverse events of interest.