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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, Peter; Van Poel, Esther; Spreeuwenberg, Peter; Batenburg, Ronald; Mallen, Christian; Murauskiene, Liubove; Peris, Antoni; Pétré, Benoit; Schaubroeck, Emmily; Stark, Stefanie; Sigurdsson, Emil L; Tatsioni, Athina; Vafeidou, Kyriaki; Willems, Sara.
  • Groenewegen P; Netherlands Institute for Health Services Research (NIVEL), 3500 BN Utrecht, The Netherlands.
  • Van Poel E; Department of Sociology, Utrecht University, 3584 CS Utrecht, The Netherlands.
  • Spreeuwenberg P; Department of Human Geography, Utrecht University, 3584 CS Utrecht, The Netherlands.
  • Batenburg R; Department of Public Health and Primary Care, Ghent University, 9000 Ghent, Belgium.
  • Mallen C; Netherlands Institute for Health Services Research (NIVEL), 3500 BN Utrecht, The Netherlands.
  • Murauskiene L; Netherlands Institute for Health Services Research (NIVEL), 3500 BN Utrecht, The Netherlands.
  • Peris A; Department of Sociology, Radboud University, 6535 XN Nijmegen, The Netherlands.
  • Pétré B; School of Medicine, Keele University, Keele ST5 5BG, UK.
  • Schaubroeck E; Department of Public Health, Faculty of Medicine, University of Vilnius, 03101 Vilnius, Lithuania.
  • Stark S; Castelldefels Agents de Salut (Casap), 08860 Castelldefels, Spain.
  • Sigurdsson EL; Department of Public Health, Faculty of Medicine, University of Liège, 4000 Liège, Belgium.
  • Tatsioni A; Institute of General Practice, Friedrich-Alexander University Erlangen-Nürnberg (FAU), 91054 Erlan-gen-Nürnberg, Germany.
  • Vafeidou K; Institute of General Practice, Friedrich-Alexander University Erlangen-Nürnberg (FAU), 91054 Erlan-gen-Nürnberg, Germany.
  • Willems S; Department of family medicine, University of Iceland, 102 Reykjavík, Iceland.
Int J Environ Res Public Health ; 19(22)2022 Nov 20.
Article in English | MEDLINE | ID: covidwho-2116057
ABSTRACT
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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Full text: Available Collection: International databases Database: MEDLINE Main subject: General Practice / COVID-19 Type of study: Experimental Studies / Observational study / Randomized controlled trials Limits: Aged / Humans Language: English Year: 2022 Document Type: Article Affiliation country: Ijerph192215329

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Full text: Available Collection: International databases Database: MEDLINE Main subject: General Practice / COVID-19 Type of study: Experimental Studies / Observational study / Randomized controlled trials Limits: Aged / Humans Language: English Year: 2022 Document Type: Article Affiliation country: Ijerph192215329