[Population's perceptions and experiences of the changing pattern of primary care consultations during the pandemic]. / Percepciones y experiencias de la población ante la transformación de la modalidad de las consultas en atención primaria durante la pandemia.

AIM: To explore the perceptions and experiences of the general population regarding the impact of the implementation of teleconsultation in primary health care during the pandemic. DESIGN: methodology with a descriptive-interpretative approach, whose fieldwork was carried out between May and November 2020. PLACE: Study conducted in Navarra and Euskadi. Population groups with different profiles of associated and non-associated citizenship in both Autonomous Communities. A total of 62 primary health care users have participated and 10 focus groups were carried out. METHOD: The focus groups followed a semi-structured script based on the variables of analysis and dimensions of interest according to the different participant profiles and objectives. The sessions were recorded and transcribed. An inductive content analysis was performed. Data triangulation was realized in order to ensure validity. RESULTS: The perception of teleconsultation by the population has varied throughout the pandemic and has been heterogeneous. The participants consider that the non-face-to-face modality may have repercussions on the quality of care, as well as amplifying inequalities in access to primary health care. CONCLUSIONS: It is essential to carry out analyses and evaluations from a health equity perspective in order to make decisions related to the use of technology in general and teleconsultation in particular, in the post-pandemic future of primary health care.

[Covid-19 and child health: confinement and its impact according to child professionals.]

OBJECTIVE: The Covid-19 pandemic led to the establishment of the state of alarm in Spanish and the initial lockdown of the entire population. The aim of this study is to analyse the assessment of professionals working with children on the impact of quarantine on the health and health inequalities of the child population, as well as the importance given to the intermediate factors that can modulate the impact of the experience of lockdown on children's health. METHODS: A cross-sectional study was made according to an online questionnaire to professionals in health and socio-educational fields working with children (n=214) with questions concerning the potential effects of lockdown and the dimensions that could modulate those effects. For the analysis, descriptive statistics were calculated together with Chi-square tests and comparison of means to analyse differences according to professional field. RESULTS: 86% of the experts pointed out the potential negative impact of quarantine on the health of children, especially that of the most vulnerable, highlighting the adverse effects of conflict at home and exposure to tobacco smoke in this experience, which were scored in importance with more than 9 and 8.5 respectively. CONCLUSIONS: The results show how, according to child professionals, lockdown can have an impact on the health of the child population that goes beyond the direct effect of Covid-19.