Impact of the COVID-19 pandemic on GP care: Results of a national survey in Germany

ABSTRACT

Background: GP practices in Germany are facing many challenges due to the COVID 19 pandemic. In addition to the general care of patients, infection control measures and obligations in existing testing and vaccination strategies led to an increased workload. The aim of this cross-sectional study was to assess the ongoing and new workload related to the pandemic, such as additional burden caused by booster vaccinations. Furthermore, restrictions, e.g., on GP cancer screening and treatment, were examined. Method(s) In December 2021 and January 2022, general practitioners in Germany were invited to participate in a nationwide online survey (n=3,050). The questionnaire was used to assess the impact of the pandemic on GP care. Responses were received from a total of 314 GP practices. Results were analysed descriptively. Result(s) Challenges, restrictions and burdens resulting from the pandemic were still prevalent in GP practices at the time of the survey. The additional need for the education of patients unwilling to get vaccinated because of misinformation, as well as the difficulties in the vaccination campaign, e.g. delivery problems, were considered problematic. Including vaccinations into work processes or impatience and lack of understanding on the part of the patients were seen as particularly burdensome. GPs also perceived a negative impact on cancer prevention and treatment. Discussion(s) Adequate patient education can contribute to reducing misinformation and thereby easing the workload in GP practices. Practical guidelines can help to ensure adequate health care even in times of crisis and also to protect particularly vulnerable patients.