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Did the organizatio...
Did the organization of primary care practices during the COVID-19 pandemic influence quality and safety? an international survey
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- Eriksson, Mats, Professor, 1959- (författare)
- Örebro universitet,Institutionen för hälsovetenskaper,Pricov-19
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- Blomberg, Karin, 1970- (författare)
- Örebro universitet,Institutionen för hälsovetenskaper,Pricov-19
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- Arvidsson, Eva (författare)
- Futurum, Region Jönköping County, Jönköping, Sweden; Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden,Pricov-19
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- Van Poel, Esther (författare)
- Department of Public Health and Primary Care, Ghent University, Ghent, Belgium,Pricov-19
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- Ares-Blanco, Sara (författare)
- Federica Montseny Health Centre, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Madrid, Spain,Pricov-19
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- Astier-Peña, Maria Pilar (författare)
- Healthcare Quality Territorial Unit, Territorial Health Directorate, Institute of Health of Catalonia, Camp de Tarragona, Barcelona, Spain,Pricov-19
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- Collins, Claire (författare)
- Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; Irish College of General Practitioners, Dublin, Ireland,Pricov-19
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- Gabrani, Jonila (författare)
- University of Medicine, Tirana, Albani,Pricov-19
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- Stylianou, Neophytos (författare)
- Department of data analysis, NS Intelligence Solutions Ltd, Nicosia, Cyprus; Akesis Home Care, Nicosia, Cyprus,Pricov-19
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- Tkachenko, Victoria (författare)
- Department of Family Medicine, Shupyk National Healthcare University of Ukraine, Kyiv, Ukraine,Pricov-19
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- Willems, Sara (författare)
- Department of Public Health and Primary Care, Ghent University, Ghent, Belgium,Pricov-19
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(creator_code:org_t)
- BioMed Central (BMC), 2024
- 2024
- Engelska.
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Ingår i: BMC Health Services Research. - : BioMed Central (BMC). - 1472-6963. ; 24
- Relaterad länk:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
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- Background: Changes in demographics with an older population, the illness panorama with increasing prevalence of non-communicable diseases, and the shift from hospital care to home-based care place demand on primary health care, which requires multiprofessional collaboration and team-based organization of work. The COVID-19 pandemic affected health care in various ways, such as heightened infection control measures, changing work practices, and increased workload.Objectives: This study aimed to investigate the association between primary care practices’ organization, and quality and safety changes during the COVID-19 pandemic.Design: Data were collected from 38 countries in a large online survey, the PRICOV-19 study. For this paper, the participating practices were categorized as “Only GPs”, comprising practices with solely general practitioners (GPs) and/or GP trainees, without any other health care professionals (n = 1,544), and “Multiprofessional,” comprising practices with at least one GP or GP trainee and one or more other health professionals (n = 3,936).Results: Both categories of practices improved in infection control routines when compared before and during the COVID-19 pandemic. A larger proportion of the multiprofessional practices changed their routines to protect vulnerable patients. Telephone triage was used in more “Multiprofessional” practices, whereas “Only GPs” were more likely to perform video consultations as an alternative to physical visits. Both types of practices reported that the time to review new guidelines and scientific literature decreased during the pandemic. However, both had more meetings to discuss directives than before the pandemic.Conclusions: Multiprofessional teams were keener to introduce changes to the care organization to protect vulnerable patients. However, practices with only GPs were found to be more aligned with video consultations, perhaps reflecting the close patient-doctor relationship. In contrast, telephone triage was used more in multiprofessional teams.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Nyckelord
- COVID-19
- International comparison
- Interprofessional collaboration
- Multiprofessional
- Infection prevention and control
- Pricov-19
- Quality of care
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- ref (ämneskategori)
- art (ämneskategori)
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Eriksson, Mats, ...
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Blomberg, Karin, ...
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Arvidsson, Eva
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Van Poel, Esther
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Ares-Blanco, Sar ...
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Astier-Peña, Mar ...
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visa fler...
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Collins, Claire
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Gabrani, Jonila
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Stylianou, Neoph ...
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Tkachenko, Victo ...
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Willems, Sara
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Örebro universitet