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澳大利亚全科医生在 COVID-19 大流行第一年的反思:一项定性研究。

Reflections of Australian general practitioners during the first year of the COVID-19 pandemic: a qualitative study.

机构信息

Academic Unit of General Practice, Australian National University, Canberra, ACT 2605, Australia.

Academic Unit of General Practice, Australian National University, Canberra, ACT 2605, Australia; and Curtin Health Innovation Research Institute, Curtin University, Perth, WA 6102, Australia; and Australian Centre for Evidence Based Aged Care, La Trobe University, Melbourne, Vic. 3086, Australia.

出版信息

Aust J Prim Health. 2023 Aug;29(4):395-402. doi: 10.1071/PY22047.

Abstract

BACKGROUND

General practitioners (GPs) have played an integral role in Australia's coronavirus disease 2019 (COVID-19) pandemic response. However, little is known about how GPs themselves have been impacted by the COVID-19 pandemic. This study aimed to increase our understanding of the experiences of GPs working during the COVID-19 pandemic.

METHODS

A qualitative study was conducted using semi-structured interviews. Using purposive sampling, 15 GPs from South-Eastern Australia were asked to reflect on their experiences during the first year of the COVID-19 pandemic. Interview transcripts underwent thematic analysis.

RESULTS

Five main themes were identified: fear of infection; uncertainty and information overload; impacts on the government-GP relationship; impacts on the patient-doctor relationship; and teamwork within practices and among GPs.

CONCLUSIONS

The 15 GPs interviewed in this study provided valuable insights into their experiences working during the first year of the COVID-19 pandemic. From these insights, four recommendations propose what could be done to help support GPs to respond to a pandemic while continuing to deliver primary health care.

摘要

背景

全科医生(GP)在澳大利亚 2019 年冠状病毒病(COVID-19)大流行的应对中发挥了重要作用。然而,对于全科医生自身在 COVID-19 大流行期间所受到的影响,我们知之甚少。本研究旨在增进我们对在 COVID-19 大流行期间工作的全科医生的经历的了解。

方法

采用半结构式访谈进行定性研究。通过目的抽样,邀请来自澳大利亚东南部的 15 名全科医生反思他们在 COVID-19 大流行第一年的经历。对访谈记录进行主题分析。

结果

确定了五个主要主题:感染的恐惧;不确定性和信息过载;对政府-全科医生关系的影响;对医患关系的影响;以及实践内部和全科医生之间的团队合作。

结论

在这项研究中接受采访的 15 名全科医生提供了他们在 COVID-19 大流行第一年工作的宝贵见解。从这些见解中,提出了四项建议,以帮助支持全科医生在继续提供初级卫生保健的同时应对大流行。

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