Primary care responses to the COVID-19 pandemic

Zeber, John E.; Khanna, Niharika

doi:10.1093/fampra/cmab087

Cited by 8 publications

(8 citation statements)

References 9 publications

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“…The Health Information Exchange (CRISP) in Maryland, USA, has established a set of data for each primary care practice to select patients who are suitable for the COVID-19 vaccination based on demographics and chronic illness, as well as patient names for focused outreach. Primary care physicians were educated and trained on how to use data, and new tools for community outreach were developed to supplement primary care's efforts 33 . In the same line, PPCPs supported vaccination centers and, most importantly, offered consultation to their patients, reducing vaccination hesitancy.…”

Section: Discussionmentioning

confidence: 99%

The role of private primary care pulmonologists network in Greece in the first year of COVID-19 pandemic

Vittorakis¹,

Georgakopoulou²,

Apollonatos³

et al. 2022

Pneumon

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INTRODUCTIONThe COVID-19 pandemic has overwhelmed the capacities of healthcare systems. Primary care physicians had a pivotal role in reducing the unnecessary access of suspected and confirmed cases to hospitals, and they substantially contributed to the success of vaccination programs. In this study, we aim to determine the role of the Greek private primary care pulmonologists (PPCPs) network during the first year of the pandemic. METHODS An electronic questionnaire consisting of 28 simple questions was administered to PPCPs by e-mail or by sharing a link in private social networking groups. RESULTS A total of 150 PPCPs completed the study. According to their answers, they examined a significant portion of suspected and confirmed COVID-19 cases, and they offered to several patients blood testing and chest radiography. PPCPS maintained close contact with both patients that had faceto-face assessment and patients managed remotely with a great number of telephone contacts. The majority of PPCPs provided information for COVID-19 vaccination by telephone for more than 20 patients weekly. CONCLUSIONS PPCPs offered high quality and specialized support for COVID-19 patients. Besides, they supported the national vaccination program by informing a substantial number of patients.

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Section: Discussionmentioning

confidence: 99%

The role of private primary care pulmonologists network in Greece in the first year of COVID-19 pandemic

Vittorakis¹,

Georgakopoulou²,

Apollonatos³

et al. 2022

Pneumon

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“…US Doctor of Osteopathic Medicine (DO) seniors saw a gain in the numbers who matched into family medicine, internal medicine, and pediatrics, still, the match in 2022 saw a "slight" decline in US seniors matching into PC compared to 2021 [ 3 ]. PC consists of family medicine, general internal medicine, general pediatrics, and geriatric medicine, and these physicians play a critical role in the health care of our nation and have an integral role in triaging and testing patients during the responses to the COVID-19 pandemic [ 4 ]. Understanding how medical students' interest in working in underserved areas is shaped during undergraduate medical education (UGM) can be helpful in developing tactical interventions throughout the medical school curriculum.…”

Section: Introductionmentioning

confidence: 99%

Building Interest in the Primary Care Specialty Through Enhanced Global Health Experience

Hernandez,

Ibiwoye,

Ledbetter

et al. 2023

Cureus

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Background An overwhelming majority of matriculating medical students in the USA are keen to deliver quality health care to all people, including the socioeconomically disadvantaged populations in remote, resource-scarce regions nationally and worldwide. Here, we describe a protocol developed to evaluate the interest of our medical students in global health activities. We also examined the relationship between students' interest in global health and readiness to pursue a future career in the primary care specialty. Materials and methods We designed a survey in Qualtrics online software and reached all first-year and third-year medical students between 2019 and 2022 enrolled at the Alabama College of Osteopathic Medicine (ACOM). The survey utilized ordinal scale items to explore the medical students' interest in primary care residency programs, their interest in global health and international travel, and their perceptions of how a range of factors might motivate their desire to participate in global health activities. The study was approved by ACOM's Institutional Review Board (IRB). In order to compare findings from this study with data from other medical schools, we developed constructs using the national aggregate data, in percentages, from matriculants and graduates of Doctor of Osteopathic Medicine (DO) degree-granting medical schools according to gender, published by the American Association of Colleges of Osteopathic Medicine (AACOM). Statistical analysis of national aggregate data was performed using the unpaired t-test. Results Both female and male participants had lived or traveled abroad before starting medical school. Female (98%, n=249) and male (95%, n=140) participants in the first-year cohorts considered helping the underserved population as important or very important as it is related to a career in medicine. Females in the third-year cohorts (97%, n=71) also ranked this statement as important or very important compared to male cohorts (89%, n=31). A higher proportion of females (43%, n=108) compared to males (35%, n=52) in first-year cohorts agreed or strongly agreed that they would likely pursue a residency in primary care. More females (59%, n=43) than males (46%, n=16) in the third-year cohorts agreed or strongly agreed with the same statement. Analysis of the aggregate national data (2009-2022) revealed that the percentage (actual count not available) of female students who planned to practice in underserved/shortage area was higher both at the time of matriculation (M=51%, SD=4%) and before graduation (M=40%, SD=4%) compared to males (matriculation: M=40%, SD=5%; graduation: M=33%, SD=4%) presenting a significant difference (matriculation t(24)=6.7, p<0.0001; graduation t(24)=5.4, p<0.0001). Furthermore, a higher percentage of females at the time of matriculation (M=25%, SD=5%) and graduation (M=40%, SD=6%) planned to practice in the primary care specialties compared to males (matriculation: M=17%, SD=4%; gra...

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“…In the Coronavirus Disease 2019(COVID-19) pandemic, primary health care (PHC) systems, the first line of defense, faced unprecedented challenges [ 1 ]. Primary care worldwide played an important role in the struggling for COVID-19 containment [ 2 , 3 ]. Despite the limited capacity in dealing with severe COVID-19 infections, well-organized PHC systems reduced the spread of the severe acute respiratory syndrome coronavirus 2(SARS-CoV-2), treated individuals with fever or respiratory symptoms, and further decreased the morbidity and mortality of this highly contagious disease during its pandemic [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Tasks of COVID-19 prevention and control management teams at primary health care facilities in mainland China: a nationwide online cross-sectional survey

Yan

Fan

et al. 2022

BMC Prim. Care

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Background This research aimed to investigate the tasks performed by Coronavirus Disease 2019(COVID-19) prevention and control management teams at primary healthcare (PHC) facilities during COVID-19 pandemic across the mainland China. Methods An online survey was performed and COVID-19 prevention and control management teams at PHC facilities were invited to participate in this research. The top 7 most important tasks in the three different periods of COVID-19 containment were selected and ranked. Participations of tasks were surveyed. Results A total of 998 valid responses (an effective rate of 99.11%) were collected. The respondents were divided into Group A (≤5 respondents within each PHC facility, n1 = 718) and Group B (> 5 respondents within each PHC facility, n2 = 280). The consensus was selected from top 7 most important tasks including screening at travel centers/intervals and screening at entry centers, at-home/centralized quarantine management, transferring, pre-examination/triage and fever sentinel surveillance clinic/fever clinic. Pre-examination/triage and fever sentinel surveillance clinic/fever clinic works became more significant in the regular prevention and control period. Adjusted analysis found that team members of Group A with a college, undergraduate college and graduate school educational background were less involved in pre-examination/triage works (aOR: 0.28; 95%CI: 0.09-0.86, P = 0.026; aOR: 0.30; 95%CI: 0.10-0.90, P = 0.031; aOR: 0.21; 95%CI: 0.05-0.82, P = 0.024). Those who were over the median age were twice more likely to be engaged in managing fever sentinel surveillance of clinic/fever clinic visitors (aOR: 2.18; 95%CI: 1.16-4.08, P = 0.015). Those being specialized in nursing and other specialties were less likely to participate in fever sentinel surveillance of clinic/fever clinic works (aOR: 0.44; 95%CI: 0.24-0.81, P = 0.009; aOR: 0.30; 95%CI: 0.16-0.58, P < 0.001). Those came from central and western China were less likely to participate in centralized quarantine management (aOR: 0.61; 95%CI: 0.38-0.98, P = 0.042; aOR: 0.64; 95%CI: 0.42-0.97, P = 0.037). Team members came from central and western China were twice less likely to participate in screening at travel centers/intervals (aOR: 1.75; 95%CI: 1.14-2.70, P = 0.011; aOR: 1.63; 95%CI: 1.07-2.48, P = 0.024). Conclusion In mainland China, team members of COVID-19 prevention and control at PHC facilities are mainly responsible for screening, quarantine, transferring and monitoring during the COVID-19 pandemic. Pre-examination/triage and the fever sentinel surveillance clinic/fever clinic were gradually valued. Team members with lower educational background are competent in pre-examination/triage works, but more experienced general practitioners are more likely to be in charge of fever sentinel surveillance clinic/fever clinics work. The necessity of COVID-19 prevention and control management teams to participate in screening at travel centers/intervals is subjected to further discussions.

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Primary care responses to the COVID-19 pandemic

Cited by 8 publications

References 9 publications

The role of private primary care pulmonologists network in Greece in the first year of COVID-19 pandemic

The role of private primary care pulmonologists network in Greece in the first year of COVID-19 pandemic

Building Interest in the Primary Care Specialty Through Enhanced Global Health Experience

Tasks of COVID-19 prevention and control management teams at primary health care facilities in mainland China: a nationwide online cross-sectional survey

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