Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.
Quality and Safety Ghent, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.
BMC Prim Care. 2022 Jan 15;23(1):11. doi: 10.1186/s12875-021-01587-6.
BACKGROUND: General practitioners (GPs) play a crucial role in the fight against the COVID-19 pandemic as the first point of contact for possibly infected patients and are responsible for short and long-term follow-up care of the majority of COVID-19 patients. Nonetheless, they experience many barriers to fulfilling this role. The PRICOV-19 study investigates how GP practices in 38 countries are organized during the COVID-19 pandemic to guarantee safe, effective, patient-centered, and equitable care. Also, the shift in roles and tasks and the wellbeing of staff members is researched. Finally, PRICOV-19 aims to study the association with practice- and health care system characteristics. It is expected that both characteristics of the GP practice and health care system features are associated with how GP practices can cope with these challenges. This paper describes the protocol of the study. METHODS: Using a cross-sectional design, data are collected through an online questionnaire sent to GP practices in 37 European countries and Israel. The questionnaire is developed in multiple phases, including a pilot study in Belgium. The final version includes 53 items divided into six sections: patient flow (including appointments, triage, and management for routine care); infection prevention; information processing; communication; collaboration and self-care; and practice and participant characteristics. In the countries where data collection is already finished, between 13 and 636 GP practices per country participated in the study. Questionnaire data are linked with OECD and HSMR data regarding national policy responses to the pandemic and analyzed using multilevel models considering the system- and practice-level. DISCUSSION: To the best of our knowledge, the PRICOV-19 study is the largest and most comprehensive study that examines how GP practices function during the COVID-19 pandemic. Its results can significantly contribute to better preparedness of primary health care systems across Europe for future major outbreaks of infectious diseases.
背景：全科医生（GP）在抗击 COVID-19 大流行中发挥着至关重要的作用，是可能感染患者的第一接触点，负责大多数 COVID-19 患者的短期和长期随访护理。尽管如此，他们在履行这一角色时面临许多障碍。PRICOV-19 研究调查了 38 个国家的全科医生实践在 COVID-19 大流行期间如何组织，以保证安全、有效、以患者为中心和公平的护理。此外，还研究了角色和任务的转变以及员工的福利。最后，PRICOV-19 旨在研究与实践和医疗保健系统特征的关联。预计全科医生实践和医疗保健系统特征都与全科医生实践如何应对这些挑战有关。本文介绍了该研究的方案。
方法：采用横断面设计，通过向 37 个欧洲国家和以色列的全科医生实践发送在线问卷收集数据。问卷经过多个阶段开发，包括在比利时进行的试点研究。最终版本包括 53 个项目，分为六个部分：患者流量（包括预约、分诊和常规护理管理）；感染预防；信息处理；沟通；协作和自我保健；以及实践和参与者特征。在数据收集已经完成的国家，每个国家有 13 至 636 个全科医生实践参与了这项研究。使用多水平模型分析问卷数据与经合组织和 HSMR 数据的关联，考虑系统和实践层面。
讨论：据我们所知，PRICOV-19 研究是规模最大、最全面的研究，调查了全科医生实践在 COVID-19 大流行期间的运作情况。其结果可以为欧洲各国的初级卫生保健系统更好地为未来传染病的大规模爆发做好准备做出重大贡献。
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