Snelle aanpassing praktijkorganisatie tijdens de coronapandemie

Groenewegen, Peter; Muijsenbergh, Maria van den; Batenburg, Ronald; Poel, Esther Van; Broek, Stijn van den; Bussche, Pierre Vanden; Willems, Sara

doi:10.1007/s12445-022-1439-5

Cited by 4 publications

(5 citation statements)

References 10 publications

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“…The confusion around communication left the interviewed GPs feeling that some PHSMs and patient reluctance led to care postponement with sometimes devastating consequences. This confirmed the findings of earlier studies, demonstrating that most Belgian and Dutch practices faced a delayed care process in patients with urgent conditions [25,31]. The concerns of the interviewed GPs also aligned with the previous research that indicated high rates of unmet healthcare needs in patients during COVID-19 [32].…”

Section: Main Findingssupporting

confidence: 89%

“…However, this finding contradicted the results of the cross-sectional PRICOV-19 study in The Netherlands [24]. More precisely, the Dutch PRICOV-19 study data showed that most practices relied on information from the independent research body, the 'National Institute for Public Health and the Environment', and professional organizations, instead of the government [25]. Moreover, the GPs from this study experienced challenges in staying up to date on PHSMs because of the rapidly changing care guidelines.…”

Section: Main Findingsmentioning

confidence: 70%

See 1 more Smart Citation

Barriers and Enablers Experienced by General Practitioners in Delivering Safe and Equitable Care during COVID-19: A Qualitative Investigation in Two Countries

Van Poel,

van Loenen,

Collins

et al. 2023

Healthcare

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Addressing equity in healthcare is fundamental for delivering safe care to vulnerable patients, especially during COVID-19. This paper aims to identify barriers and enabling factors for general practitioners (GPs) in delivering safe and equitable care during the COVID-19 pandemic. Semi-structured interviews took place during May–July 2020 among 18 Flemish and 16 Dutch GPs. Thematic analysis of the interviews demonstrated that while GPs acknowledged a smooth information flow by governments and professional organizations on care guidelines, the fast-changing information challenged them to stay up to date. Media communication facilitated information dissemination but also fueled misinformation and miscommunication, creating unrealistic patient expectations. Certain guidelines and patient reluctance delayed necessary care. A shortage of personal protective equipment made GPs concerned about patient safety during face-to-face contacts. Teleconsultations became a popular alternative, but posed increased patient safety risks. GPs struggled to identify and reach vulnerable patients. Equitable care was hindered by time constraints; thus, having the appropriate materials facilitated such care. An interprofessional collaboration involving paramedical, social, and city services benefited patient safety and equity in healthcare. However, limitations in this collaboration pressured GPs. The unprecedented and resource-constrained environment challenged GPs’ capacity to provide the healthcare quality they aspired to deliver. A well-structured collaborative network involving all stakeholders could benefit safe and equitable care in future pandemics.

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Section: Main Findingssupporting

confidence: 89%

Section: Main Findingsmentioning

confidence: 70%

Barriers and Enablers Experienced by General Practitioners in Delivering Safe and Equitable Care during COVID-19: A Qualitative Investigation in Two Countries

Van Poel,

van Loenen,

Collins

et al. 2023

Healthcare

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show abstract

“…In other nations, the observed rise of video teleconsultations was even more meaningful. A 2022 study by Groenewegen et al assessed the PRICOV-19 questionnaire data of 155 Dutch GP practices [11]; the authors found that teleconsultations increased greatly during the COVID-19 pandemic, particularly video consultations (rising from 6% to 65% of practices in pre-vs. post-pandemic levels).…”

Section: Aaem Annals Of Agricultural and Environmental Medicinementioning

confidence: 99%

The response of primary care practices in rural and urban settings in Poland to the challenges of the COVID-19 pandemic

Nessler¹,

Poel²,

Willems³

et al. 2022

Ann Agric Environ Med.

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“…This impact varies by country, providing the opportunity to learn from each other [ 2 , 3 ]. General practices (GP practices) across Europe have adapted their organization [ 4 , 5 ]. These adaptations are multiple and concern ways of dealing with specific challenges in the care for COVID-19 patients, controlling patient flows, keeping regular care going, implementing procedures for infection prevention, etc.…”

Section: Introductionmentioning

confidence: 99%

Has the COVID-19 Pandemic Led to Changes in the Tasks of the Primary Care Workforce? An International Survey among General Practices in 38 Countries (PRICOV-19)

Groenewegen

Poel

Spreeuwenberg

et al. 2022

IJERPH

Self Cite

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The COVID-19 pandemic has had a large and varying impact on primary care. This paper studies changes in the tasks of general practitioners (GPs) and associated staff during the COVID-19 pandemic. Data from the PRICOV-19 study of 5093 GPs in 38 countries were used. We constructed a scale for task changes and performed multilevel analyses. The scale was reliable at both GP and country level. Clustering of task changes at country level was considerable (25%). During the pandemic, staff members were more involved in giving information and recommendations to patients contacting the practice by phone, and they were more involved in triage. GPs took on additional responsibilities and were more involved in reaching out to patients. Problems due to staff absence, when dealt with internally, were related to more task changes. Task changes were larger in practices employing a wider range of professional groups. Whilst GPs were happy with the task changes in practices with more changes, they also felt the need for further training. A higher-than-average proportion of elderly people and people with a chronic condition in the practice were related to task changes. The number of infections in a country during the first wave of the pandemic was related to task changes. Other characteristics at country level were not associated with task changes. Future research on the sustainability of task changes after the pandemic is needed.

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Snelle aanpassing praktijkorganisatie tijdens de coronapandemie

Cited by 4 publications

References 10 publications

Barriers and Enablers Experienced by General Practitioners in Delivering Safe and Equitable Care during COVID-19: A Qualitative Investigation in Two Countries

Barriers and Enablers Experienced by General Practitioners in Delivering Safe and Equitable Care during COVID-19: A Qualitative Investigation in Two Countries

The response of primary care practices in rural and urban settings in Poland to the challenges of the COVID-19 pandemic

Has the COVID-19 Pandemic Led to Changes in the Tasks of the Primary Care Workforce? An International Survey among General Practices in 38 Countries (PRICOV-19)

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