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)

被引:22
|
作者
Groenewegen, Peter [1 ,2 ,3 ]
Van Poel, Esther [4 ]
Spreeuwenberg, Peter [1 ]
Batenburg, Ronald [1 ,5 ]
Mallen, Christian [6 ]
Murauskiene, Liubove [7 ]
Peris, Antoni [8 ]
Petre, Benoit [9 ]
Schaubroeck, Emmily [10 ]
Stark, Stefanie [10 ]
Sigurdsson, Emil L. [11 ]
Tatsioni, Athina [12 ]
Vafeidou, Kyriaki [12 ]
Willems, Sara [4 ]
机构
[1] Netherlands Inst Hlth Serv Res NIVEL, NL-3500 BN Utrecht, Netherlands
[2] Univ Utrecht, Dept Sociol, NL-3584 CS Utrecht, Netherlands
[3] Univ Utrecht, Dept Human Geog, NL-3584 CS Utrecht, Netherlands
[4] Univ Ghent, Dept Publ Hlth & Primary Care, B-9000 Ghent, Belgium
[5] Radboud Univ Nijmegen, Dept Sociol, NL-6535 XN Nijmegen, Netherlands
[6] Keele Univ, Sch Med, Keele ST5 5BG, Staffs, England
[7] Univ Vilnius, Fac Med, Dept Publ Hlth, LT-03101 Vilnius, Lithuania
[8] Castelldefels Agents Salut Casap, Castelldefels 08860, Spain
[9] Univ Liege, Fac Med, Dept Publ Hlth, B-4000 Liege, Belgium
[10] Friedrich Alexander Univ Erlangen Nurnberg FAU, Inst Gen Practice, D-91054 Erlangen, Germany
[11] Univ Iceland, Dept Family Med, IS-102 Reykjavik, Iceland
[12] Fac Med, Res Unit Gen Med & Primary Hlth Care, Ioannina 45110, Greece
关键词
primary health care; general practice; general practitioners; task changes; quality of care; primary care workforce; COVID-19; international comparison; PRICOV-19; HEALTH-CARE; PRACTITIONERS; ASSISTANTS; NURSES;
D O I
10.3390/ijerph192215329
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
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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页数:20
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