General practice's early response to the COVID-19 pandemic

Wright, Michael; Versteeg, Roald B. B. M.; Hall, Jane

doi:10.1071/ah20157

Cited by 35 publications

(45 citation statements)

References 10 publications

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“…Australia's current hybrid method of contact tracing-manual and assisted by spreadsheets and generic customer relationships management solutions-raises questions about safety standards, security and privacy, similar to those posed to the head of UK National Health Service (NHS) Test-and-Trace. Primary care will need support to increase its digital health capacity, including standards for virtual health competencies, training, implementing electronic referrals and CPOE to enable the delivery of virtual care [24].…”

Section: Timely Access To Real-world Data (Rwd) Across the Spectrum Omentioning

confidence: 99%

Primary Care Informatics Response to Covid-19 Pandemic: Adaptation, Progress, and Lessons from Four Countries with High ICT Development

et al. 2021

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Objective: Internationally, primary care practice had to transform in response to the COVID pandemic. Informatics issues included access, privacy, and security, as well as patient concerns of equity, safety, quality, and trust. This paper describes progress and lessons learned. Methods: IMIA Primary Care Informatics Working Group members from Australia, Canada, United Kingdom and United States developed a standardised template for collection of information. The template guided a rapid literature review. We also included experiential learning from primary care and public health perspectives. Results: All countries responded rapidly. Common themes included rapid reductions then transformation to virtual visits, pausing of non-COVID related informatics projects, all against a background of non-standardized digital development and disparate territory or state regulations and guidance. Common barriers in these four and in less-resourced countries included disparities in internet access and availability including bandwidth limitations when internet access was available, initial lack of coding standards, and fears of primary care clinicians that patients were delaying care despite the availability of televisits. Conclusions: Primary care clinicians were able to respond to the COVID crisis through telehealth and electronic record enabled change. However, the lack of coordinated national strategies and regulation, assurance of financial viability, and working in silos remained limitations. The potential for primary care informatics to transform current practice was highlighted. More research is needed to confirm preliminary observations and trends noted.

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Section: Timely Access To Real-world Data (Rwd) Across the Spectrum Omentioning

confidence: 99%

Primary Care Informatics Response to Covid-19 Pandemic: Adaptation, Progress, and Lessons from Four Countries with High ICT Development

et al. 2021

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“…Enrolment also has the potential to improve efficiency and reduce waste. GPs report variable communication of test results from hospital‐based services and this has been highlighted during the pandemic 18 . Providing a clear link between a patient and GP which can be recognised by all providers within the health system will reduce this problem, improving safety and reducing duplication and costs.…”

Section: The Benefits Of Enrolmentmentioning

confidence: 99%

Introducing general practice enrolment in Australia: the devil is in the detail

Wright

Versteeg

2021

Medical Journal of Australia

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“…New strategies had to be instituted to manage patients under care for other ailments and chronic illnesses, both in outpatient and inpatient settings. These included risk minimizations, care prioritization, health care team management, and applying new technology (26,27,29,33). One major change has been to institute Telehealth and COVID-19 pandemic has accelerated its advancement significantly, maybe by a decade.…”

Section: Technology Is Not Enoughmentioning

confidence: 99%

“…Since the COVID pandemic, almost overnight, by necessity, virtually every healthcare provider can now deliver care utilizing telemedicine. Medicare paved the way for providers to allow billing for virtual visits in March 2020 (33). Private payers have since followed.…”

Section: Technology Is Not Enoughmentioning

confidence: 99%

Organizational learning—COVID-19 experience: innovative global practices for improving patient care in crisis response

Muskopf¹,

Sudan²,

Verdooner³

et al. 2021

J Hosp Manag Health Policy

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Across human history, civilizations have responded to disasters and outbreaks of disease with increasingly complex, systematic approaches as a means of organizing chaos and protecting human life. The SARS-CoV-2 coronavirus (COVID-19) pandemic provides a unique opportunity to learn from the practice of disaster management and crisis-driven changes to patient care processes in hospital and emergent care environments worldwide. COVID-19 acts as an accelerant for process change and the need for redesign in systems where classical, linear evaluation methods most often inform carefully implemented service improvements. Strikingly, many innovative approaches and valuable lessons come from all over the globe where technology and access to resources have been most limited. This article answers the question, what can we learn about how to respond to future disasters from the evolution of disaster management as performed by helping professionals and policymakers during the past hundred-plus years and best practices seen today?Macro practitioners have co-created unique approaches within several global communities to help cope with COVID-19 and other disasters despite limited resources and seemingly unlimited needs. Referencing existing case studies of patient care responses during COVID-19 in Italy, Nigeria, South Africa, South Korea, and the United States, the authors document innovative practices and use of diverse technologies in local patient care systems. The article concludes by suggesting best practices for designing more robust, adaptive, and crisis ready responses to patient care, as well as the use of developmental evaluation as an agile approach to evaluating and improving patient services. It also suggests roles that helping professionals can play in the translation of big data systems of disaster management from organizations such as the Center for Disease Control, World Health Organization, non-governmental organizations (NGOs), and selected think tanks, among others.

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General practice's early response to the COVID-19 pandemic

Cited by 35 publications

References 10 publications

Primary Care Informatics Response to Covid-19 Pandemic: Adaptation, Progress, and Lessons from Four Countries with High ICT Development

Primary Care Informatics Response to Covid-19 Pandemic: Adaptation, Progress, and Lessons from Four Countries with High ICT Development

Introducing general practice enrolment in Australia: the devil is in the detail

Organizational learning—COVID-19 experience: innovative global practices for improving patient care in crisis response

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