La première vague de Covid-19 en Belgique et les soins primaires

Jamart, Hubert; Maele, Louis Van; Ferguson, Monique; Drielsma, Pierre; Macq, Jean; Durme, Thérèse Van

doi:10.53738/revmed.2020.16.713.2119

Cited by 7 publications

(7 citation statements)

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“…One explanation for this difference between regions could have been linked to the differences in primary care organization between regions. In the French-speaking part of Belgium, the primary healthcare system lacks the same level of organization seen in Flanders [ 23 , 50 ]. This structural difference had notable implications during the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 99%

“…This structural difference had notable implications during the COVID-19 pandemic. Unlike Flanders, which adopted a more structured approach with primary care zones and well-defined roles for healthcare professionals [ 23 , 50 ], Wallonia struggled to coordinate its pandemic response at the local level [ 20 , 22 , 23 , 50 ]. This resulted in scattered efforts and a heavier reliance on GPs for testing and triage, potentially causing uneven responses and less effective pandemic management in Wallonia compared to Flanders [ 20 , 50 ].…”

Section: Discussionmentioning

confidence: 99%

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General practitioners’ well-being in Belgium: results from the cross-sectional PRICOV-19 study

Cholewa,

Ponsar,

de Rouffignac

et al. 2024

BMC Prim. Care

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Background The mental health and well-being of GPs is a critical issue as they play a vital role in providing healthcare services to individuals and communities. Research has shown that GPs often face high levels of stress, burnout, and mental health problems due to their demanding work environment. During the COVID-19 pandemic, GPs faced additional challenges which further impacted their mental health and well-being. This study aims to investigate the impact of systemic work-related stressors on the level of well-being of GPs in Belgium during the pandemic, with a particular emphasis on identifying regional variations between Flanders, Wallonia, and Brussels-Capital. Methods Data were collected with a self-reported online questionnaire from 479 GPs Belgian practices between December 2020 and August 2021 as part of the international PRICOV-19 study that explored the organization of general practices during COVID-19 in 38 countries to guarantee safe, effective, patient-centered, and equitable care. Well-being was evaluated by the Mayo Clinic's expanded 9-item well-being index. Results The findings of this study reveal notable regional discrepancies in the degree of well-being experienced by Belgian GPs, with the Walloon region displaying the lowest level of well-being (37%) in a population highly susceptible to professional distress (57%). Among the key stressors contributing to such distress, financial difficulties among patients (p < 0.011), the fee-for-service payment system (p = 0.013), a lack of work-related purpose (p = 0.047), and inadequate work-life balance (p < 0.001) were identified as significant factors. When examining the influence of regional disparities, it was found that the sole significant interaction between work-related stressors and region regarding the probability of experiencing distress was related to the possibility of workload sharing among practice personnel. Conclusion The findings from this study underscore the imperative for more comprehensive research aimed at scrutinizing the differences in well-being across the three regions in Belgium and identifying the systemic factors that influence the practice environment, as opposed to exclusively concentrating on enhancing individual resilience.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

General practitioners’ well-being in Belgium: results from the cross-sectional PRICOV-19 study

Cholewa,

Ponsar,

de Rouffignac

et al. 2024

BMC Prim. Care

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“…As in other European countries, the first lockdown measures, announced in Belgium on 13 March, resulted in the closure of schools and all economic, cultural and social activities that were not recognised as 'essential'. There was a restriction of movement across borders and within the national territory, the imposition of a teleworking system for all professions that could be performed remotely, and the limitation of social contacts with people living under the same roof (Jamart et al, 2020).…”

Section: The Impact Of the Covid-19 Pandemic On Home Care Providersmentioning

confidence: 99%

“…From the beginning of the crisis, the federal government had to deal with specific problems, mainly linked to: the capacity of the healthcare system, and of hospitals in particular; the lack of personal protective equipment (PPE) for frontline workers; and the lack of coordination between institutions, hospitals and medical doctors. In this context, hospitals were made a priority, leaving aside other residential facilities, including care homes for older people and residential centres for people with disabilities (Jamart et al, 2020). This had dramatic consequences for care homes, which quickly became the epicentres of COVID-19-related infections and deaths (Bergfeld, 2021).…”

Section: The Impact Of the Covid-19 Pandemic On Home Care Providersmentioning

confidence: 99%

Home care service providers in Brussels: time adjustments during COVID-19 and the consequences for frontline home care workers

Giordano

2024

International Journal of Care and Caring

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Home care service providers have been considerably affected by the COVID-19 crisis. Since the beginning of the pandemic, their internal organisation has undergone important changes, including in terms of time schedules, to adapt to the needs of the older population and those of workers. In most cases, they had to reduce the provision of services, either because care workers – the majority of whom are women – were no longer available to cover the shifts, or because families had cancelled the services. In other cases, they had to meet increased demand. The most dramatic consequences were borne by female care workers, who had to combine working time adjustments with family obligations. Drawing from the material collected before and after the impact of the pandemic in Belgium, which includes interviews with public and private home care providers, this article explores the consequences that time adjustments had on frontline care workers and on the organisations themselves.

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“…The complexity of the Belgian institutional system and the (increased) fragmentation of the state action among a multitude of actors acting at distinct levels is not new and was already pinpointed as an important factor to consider when looking at the effectivity of public policy. Numerous and various examples on how institutional complexities, particularly in the case of Brussels, can hinder the effectiveness of public state action can easily be found in the scholarship and range from the issue of homelessness (Malherbe et al, 2019 ), the integration of newly arrived immigrants in the territory (Xhardez, 2016 ) to the general administration of primary care during the first wave of Covid 19 (Jamart et al, 2020 ).…”

Section: A More Complex Answer: Institutional Forces and Dynamics At ...mentioning

confidence: 99%

A socio-legal analysis of the Belgian protective legislation towards victims of aggravated forms of migrant smuggling

Rebetz

Woude

2022

Crime Law Soc Change

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As many scholars have shown, and other than what is suggested by their legal definition, migrant smuggling and human trafficking are not always easily distinguishable in reality. Acknowledging this grey area between the two phenomena, the Belgian legislature has introduced an alternative approach (referred to as ‘third-way approach’) which would offer migrants who have experienced ‘aggravated forms’ of migrant smuggling the same protective status that is usually strictly reserved for victims of human trafficking. Interestingly enough, migrants don’t seem inclined to make use of this procedure. Through a series of expert interviews, this article shines light on the perspective of key actors within the Belgian criminal justice system and migration control apparatus with regard to this third-way approach and its functioning in practice. In so doing, the article not only reveals how the proper functioning of this third-way approach is hindered by a series of organizational and institutional factors, but it also shows how the different actors are struggling with the inherent tension between the objectives of protecting state security and the protection of the needs of vulnerable groups in precarious life situations.

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La première vague de Covid-19 en Belgique et les soins primaires

Cited by 7 publications

References 0 publications

General practitioners’ well-being in Belgium: results from the cross-sectional PRICOV-19 study

General practitioners’ well-being in Belgium: results from the cross-sectional PRICOV-19 study

Home care service providers in Brussels: time adjustments during COVID-19 and the consequences for frontline home care workers

A socio-legal analysis of the Belgian protective legislation towards victims of aggravated forms of migrant smuggling

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