Experience and views of primary care physicians involved in reorganisation of care in family medicine practices during COVID-19 pandemic: A qualitative study from Slovenia

Abstract

Background In Slovenia, primary care is the backbone and gatekeeper to the health care system. During the first months of the COVID-19 pandemic, primary care had to be reorganised to manage suspected COVID-19 patients, safely care for other patients, and manage the consequences of the pandemic. Objectives To explore the opinions and experiences of Slovenian primary care workers (PCWs) about their confrontation with COVID-19. Methods In June 2020, we conducted a qualitative study among PCWs in Slovenia. Invited participants ( n = 42) worked either in primary health care centres or as private contractors and were involved in organising care during the COVID-19 pandemic. The study was conducted using semi-structured online questionnaires. Data was analysed using an inductive-deductive method. Results Out of 42 invited subjects, 18 participated in the study. The main predefined categories were Information/from decision-makers, Organisation of work, Workforce, Personal protective equipment, Views on decision-making institutions, Stressors that place additional burden on health workers, and Suggestions for improvement (funding, organisation of care). Within these categories, 29 themes emerged. Conclusion Based on participants’ experiences and suggestions, the most important areas to address in similar pandemic situations are clear organisation of work in primary care (adequate funding, staff allocation, distribution of personal protective equipment), psychological solid support for health workers, and effective and timely support from health authorities.

Well-being of family physicians during COVID-19 pandemic in Slovenia

“…A shortage of physicians, an excessive daily flow of patients and a high administrative burden are part of the daily work of FPs [20]. The COVID-19 pandemic has further aggravated the situation by causing excessive organizational stress [21].…”

“…The state changed the guidelines for the treatment of COVID-19 patients and other regulations on a daily basis. FPs were forced to monitor and follow the guidelines and apply them in daily practice, which also entailed more demanding working conditions [21,22].…”