Department of Family Medicine, Centre for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland.
Public Health Service, Lausanne, Switzerland.
Int J Public Health. 2023 Jan 16;67:1605361. doi: 10.3389/ijph.2022.1605361. eCollection 2022.
During the COVID pandemic, data collected in family medicine were scarce. The COVID-FM project aimed to monitor trends of COVID-related activity in family medicine practices of the canton of Vaud, Switzerland, during the year 2021. Practitioners were invited to join an sentinel surveillance system. Online data collection was based on daily activity reports and monthly questionnaires. Participants categorized daily counts of consultations and phone calls into predefined categories. Data were reported and discussed on a weekly basis with public health authorities. On the target of 50 physicians, 37 general physicians from 32 practices finally constituted the COVID-FM sentinel network, contributing to 901 practice-weeks of surveillance in family medicine and 604 in paediatrics. In paediatrics, COVID-related activity corresponded mostly to COVID-19 diagnostic consultations (2911/25990 face-to-face consultations = 11.2%) while in family medicine, other COVID-related topics-such as questions on vaccination-predominated (4143/42221 = 9.8%). COVID-related consultations constituted an important part of primary care practices' activity in 2021. Monitoring COVID-related activity in primary care provided health authorities with valuable information to guide public health action.
在 COVID 大流行期间，家庭医学领域的数据收集较为匮乏。COVID-FM 项目旨在监测 2021 年瑞士沃州家庭医学实践中与 COVID 相关活动的趋势。医生受邀加入一个哨点监测系统。在线数据收集基于每日活动报告和每月问卷调查。参与者将每日咨询和电话次数分类到预定义的类别中。数据每周向公共卫生当局报告和讨论。在目标为 50 名医生的情况下，最终有 37 名全科医生来自 32 个实践点构成了 COVID-FM 哨点网络，为家庭医学的 901 个实践周和儿科的 604 个实践周的监测做出了贡献。在儿科，与 COVID 相关的活动主要与 COVID-19 诊断咨询有关（2911/25990 面对面咨询=11.2%），而在家庭医学中，其他与 COVID 相关的话题，如疫苗接种问题，占主导地位（4143/42221=9.8%）。与 COVID 相关的咨询构成了 2021 年初级保健实践活动的重要组成部分。监测初级保健中的 COVID 相关活动为卫生当局提供了有价值的信息，以指导公共卫生行动。
