Background and objectiveIn April 2020, a group of general practice leaders in NSW, Australia, established a COVID-19 virtual community of practice (VCoP) to facilitate rapid transfer and implementation of clinical guidance into practice. This research aimed to gain an understanding of the experience and effectiveness of the VCoP from leaders and members.
MethodsThe study used a qualitative participatory action research methodology. A framework analysis was applied to focus group discussion, semi-structured interview and opentext written response data.
ResultsThirty-six participants contributed data. In addition to a positive evaluation of the effectiveness of information transfer and support, a key finding was the importance of the role of the VCoP in professional advocacy. Areas for improvement included defining measures of success.
DiscussionThis study has reinforced the potential for VCoPs to aid health crisis responses. In future crisis applications, we recommend purposefully structuring advocacy and success measures at VCoP establishment.ON 30 JANUARY 2020, the Director-General of the World Health Organization announced that the outbreak of a novel coronavirus in China had been declared a Public Health Emergency of International Concern. 1 At the time of that announcement, there were 7834 confirmed cases, 98 of those outside China. 1 By April 5 2020, there were 1,133,758 cases of COVID-19 globally, with 62,784 deaths. 2 At that time, Australia had 5805 COVID-19 notifications and 33 associated deaths. 2 In the absence of an available vaccine or effective pharmacotherapy for COVID-19 in Australia during 2020, the mainstay of individual case management was prevention of transmission through identification and isolation of cases and, in severe cases, supportive care, including ventilation. 3 Community management was recommended for the approximately 80% of patients with mild disease, provided there was capacity for counselling, isolation, support, monitoring and escalation to hospital-based care in the event of deterioration. 3 As the principal providers of continuing healthcare for people living in the community, general practice shared community management and monitoring of Australians with COVID-19, in collaboration with public health units, virtual care clinics and hospital-in-the home teams. This was in addition to rapid adaption of practice workflows, implementing telehealth consultations, and testing and management of patients with COVID-like symptoms, with responses to the pandemic shared by primary care services internationally. 4,5 This continuously evolving environment required assimilation and implementation of a very large amount of new and changing clinical guidance. Implementation of new evidence, guidelines or procedures into clinical practice is a challenge, especially where the change is complex with limited external support (such as facilitation) or previous applicable experience. 6 All of these applied to the early stages of the COVID-19 pandemic.Thus, as a contribution to addressing the COVI...