Primary care indicators for disease burden, monitoring and surveillance of COVID-19 in 31 European countries: Eurodata Study

Ares-Blanco, Sara; Guisado-Clavero, Marina; Del Rio, Lourdes Ramos; Larrondo, Ileana Gefaell; Fitzgerald, Louise; Murauskienė, Liubovė; López, Naldy Parodi; Perjés, Ábel; Petek, Davorina; Petrazzuoli, Ferdinando; Petricek, Goranka; Sattler, Martin; Saurek-Aleksandrovska, Natalija; Senn, Oliver; Seifert, Bohumil; Serafini, Alice; Sentker, Theresa; Ticmane, Gunta; Tiili, Paula; Torzsa, Péter; Valtonen, Kirsi; Vaes, Bert; Vinker, Shlomo; Adler, Limor; Assenova, Radost; Bakola, Maria; Bayen, Sabine; Brutskaya-Stempkovskaya, Elena; Busneag, Iliana-Carmen; Divjak, Asja Ćosić; Peña, Maryher Delphin; Díaz, Esperanza; Domeyer, Philippe-Richard; Feldmane, Sabine; Gjorgjievski, Dragan; Gómez-Johansson, Mila; de la Fuente, Ángel Gónzalez; Hanževački, Miroslav; Hoffmann, Kathryn; Ільков, Оксана; Ivanna, Shushman; Jandrić-Kočić, Marijana; Karathanos, Vasilis Trifon; Üçüncü, Erva Kirkoç; Kirkovski, Aleksandar; Knežević, Snežana; Korkmaz, Büsra Çimen; Kostić, Milena; Krztoń-Królewiecka, Anna; Kozlovska, Liga; Nessler, Katarzyna; Gómez-Bravo, Raquel; Peña, María Pilar Astier; Lingner, Heidrun

doi:10.1093/eurpub/ckad224

Cited by 4 publications

(1 citation statement)

References 20 publications

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“…The COVID-19 pandemic has tested the healthcare systems in their capacity to face such relevant shock impacts, focusing on their resilience ( Legido-Quigley et al, 2020 ). GPs have played the frontline of health leaders during the crisis period ( Rebnord et al, 2023 ; Suar et al, 2023 ; Ares-Blanco et al, 2024 ), showing GPs services strengths and weaknesses ( Greenhalgh et al, 2020 ; Burau et al, 2024 ).…”

Section: Discussionmentioning

confidence: 99%

General practitioners in front of COVID-19: Italy in European comparative perspective

Genova,

Lombardini

2024

Front. Sociol.

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COVID-19 has highlighted strengths and weaknesses in healthcare systems all over the word. Despite the differences in primary care models in Europe, this study investigates the state-of-the-art of general practitioners (GPs) before the COVID-19 pandemic spread as a result of the reform process of the previous two decades. The GPs numbers over 100,000 inhabitants has been considered as a proxy of public health investment in GPs. Is the number of GPs increased or decreased in the last 20 years of reform processes in European countries? The main hypothesis is that European healthcare systems would have increased the number of GPs coherently with WHO recommendations. Comparative data on the number of GPs per 100,000 inhabitants in 21 European countries are investigated between 1995 and 2014 (the last available data). Data show that the number of family doctors over 100,000 inhabitants in European countries has increased over the last 20 years, except for Italy, where it has strongly reduced. Primary care has had a crucial role in managing the pandemic. Results of this study suggest that a country such as Italy, which has not invested in family doctors in the last two decades, would have been less equipped to manage the COVID-19 pandemic.

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Section: Discussionmentioning

confidence: 99%

General practitioners in front of COVID-19: Italy in European comparative perspective

Genova,

Lombardini

2024

Front. Sociol.

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Navigating Concurrent Disasters: Lessons learned from a Hospital Evacuation Amidst a Pandemic and an Earthquake

Sofuoglu,

Ozturk,

et al. 2024

Disaster med. public health prep.

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The concurrent challenges of the COVID-19 pandemic and a significant earthquake in Izmir on October 30, 2020, presented a unique scenario for disaster management and response. This study focuses on the impact of the earthquake, which resulted in 117 fatalities, including 1 due to drowning, and injured 1034 individuals, alongside widespread structural damage including to the Izmir Democracy University Buca Seyfi Demirsoy Training and Research Hospital. The objective is to assess the activation and implementation of the hospital disaster plan amidst the ongoing pandemic. Through a retrospective evaluation of all actions undertaken as per the Hospital Disaster Emergency Plan within the Disaster Management cycle, this study examines the decision-making process for the hospital evacuation on October 30, 2020, the evacuation of COVID-19 patients, and the strategies employed to increase hospital capacity. Of 216 patients hospitalized at the time of the earthquake, 65 were transferred to other facilities under COVID-19 protocols. The prolonged nature of pandemics and the likelihood of secondary disasters underscore the importance of comprehensive risk assessments and dynamic disaster planning, considering simultaneous multiple hazards. This study suggests the inclusion of multi hazard scenarios and diverse evacuation methods by using types of ambulances, such as ground, helicopter, and boat.

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“A bit of a cough, tired, not very resilient – is that already Long-COVID?” perceptions and experiences of GPs with Long-COVID in year three of the pandemic. a qualitative interview study in Austria

Wojczewski,

Mayrhofer,

Szabo

et al. 2024

BMC Public Health

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Background Long-COVID is a new multisectoral healthcare challenge. This study aims at understanding experiences, knowledge, attitudes and (information) needs that GPs had and have in relation to Long-COVID and how these evolved since the beginning of the COVID-19 pandemic. Methods The study used an exploratory qualitative research design using semistructured interviews. A total of 30 semistructured interviews with GPs in different primary care settings (single practices, group practices, primary care centres) were conducted between February and July 2022. The data were analysed using qualitative thematic content analysis with the software Atlas.ti. Results This is the first study that empirically investigated Long-COVID management by GPs in Austria during the third year of the pandemic. All GPs indicated having experience with Long-COVID. In cities, GPs tended to have slightly better networks with specialists. The GPs who already worked in teams tended to find the management of Long-COVID easier. The symptoms that the physicians described as Long-COVID symptoms corresponded to those described in the international literature, but it is unclear whether syndromes and symptomes such as Post-Exertional-Malaise, autonomic dysfunction such as postural tachycardia syndrome or Mast-Cell-Overactivation-Syndrom, and cognitive dysfunctions were also recognized and correctly classified since they were never mentioned. Most GPs reacted quickly by granting the needed sick leaves and by seeing and discussing with the patients often.The treatment of the patients is described as an enormous challenge and frustrating for patient and GP if the treatment does not yield to significantly improved health also due to the high costs for the patient. Conclusion Long-COVID will continue to preoccupy our health care systems for a long time to come, as new variants of COVID-19 will continue to produce new patients without adequate prevention strategies. Therefore, it is not a question of if but when good support for GPs and adequate care pathways for people with Long-COVID will be implemented. Specific contact points that are familiar with therapy-refractory postacute infection syndromes like the postacute COVID condition as a subgroup of Long-COVID are urgently needed. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-024-20475-z.

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Primary care indicators for disease burden, monitoring and surveillance of COVID-19 in 31 European countries: Eurodata Study

Cited by 4 publications

References 20 publications

General practitioners in front of COVID-19: Italy in European comparative perspective

General practitioners in front of COVID-19: Italy in European comparative perspective

Navigating Concurrent Disasters: Lessons learned from a Hospital Evacuation Amidst a Pandemic and an Earthquake

“A bit of a cough, tired, not very resilient – is that already Long-COVID?” perceptions and experiences of GPs with Long-COVID in year three of the pandemic. a qualitative interview study in Austria

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