Department of General Practice, Monash University Faculty of Medicine Nursing and Health Sciences, Clayton, Victoria, Australia
Department of Family Medicine, University of Ottawa, Ottawa, Ontario, Canada.
BMJ Open. 2021 Sep 14;11(9):e046086. doi: 10.1136/bmjopen-2020-046086.
The COVID-19 pandemic has transformed healthcare systems worldwide. Primary care providers have been at the forefront of the pandemic response and have needed to rapidly adjust processes and routines around service delivery. The pandemic provides a unique opportunity to understand how general practices prepare for and respond to public health emergencies. We will follow a range of general practices to characterise the changes to, and factors influencing, modifications to clinical and organisational routines within Australian general practices amidst the COVID-19 pandemic.
This is a prospective case study of multiple general practices using a participatory approach for design, data collection and analysis. The study is informed by the sociological concept of routines and will be set in six general practices in Melbourne, Australia during the 2020-2021 COVID-19 pandemic. General practitioners associated with the Monash University Department of General Practice will act as investigators who will shape the project and contribute to the data collection and analysis. The data will include investigator diaries, an observation template and interviews with practice staff and investigators. Data will first be analysed by two external researchers using a constant comparative approach and then later refined at regular investigator meetings. Cross-case analysis will explain the implementation, uptake and sustainability of routine changes that followed the commencement of the pandemic.
Ethics approval was granted by Monash University (23950) Human Research Ethics Committees. Practice reports will be made available to all participating practices both during the data analysis process and at the end of the study. Further dissemination will occur via publications and presentations to practice staff and medical practitioners.
COVID-19 大流行已经改变了全球的医疗体系。初级保健提供者一直处于大流行应对的前沿，他们需要围绕服务提供迅速调整流程和常规。大流行提供了一个独特的机会，了解全科医生如何为公共卫生紧急情况做准备和做出响应。我们将跟踪一系列全科医生，以描述在 COVID-19 大流行期间澳大利亚全科医生临床和组织常规的变化及其影响因素。
这是一项针对多家全科医生的前瞻性案例研究，采用参与式方法进行设计、数据收集和分析。该研究受社会学常规概念的启发，将在澳大利亚墨尔本的六家全科医生中进行，时间为 2020-2021 年 COVID-19 大流行期间。与莫纳什大学全科医学系相关的全科医生将担任调查员，他们将塑造该项目并为数据收集和分析做出贡献。数据将包括调查员日记、观察模板以及对实践工作人员和调查员的访谈。数据将首先由两名外部研究人员使用恒定性比较方法进行分析，然后在定期调查员会议上进行进一步细化。跨案例分析将解释大流行开始后常规变化的实施、采用和可持续性。
莫纳什大学（23950）人类研究伦理委员会已批准该伦理。在数据分析过程中和研究结束时，将向所有参与实践的实践报告提供。进一步的传播将通过向实践工作人员和医疗从业者发表出版物和演讲来进行。
