Nivel, Netherlands Institute for Health Services Research, Utrecht, The Netherlands.
Tilburg School of Social and Behavioural Sciences, Tilburg University, Tilburg, The Netherlands.
NPJ Prim Care Respir Med. 2023 Apr 8;33(1):15. doi: 10.1038/s41533-023-00340-z.
The impact of the COVID-19 pandemic on general practitioners' (GP) care for patients with asthma and/or COPD is largely unknown. To describe the impact of the pandemic on asthma or COPD-related GP care, we analysed routinely recorded electronic health records data from Dutch general practices and out-of-hours (OOH) services. During the COVID-19 pandemic (2020), the contact rates for asthma and/or COPD were significantly lower in GP practices and OOH services compared with the pre-pandemic period (2019) (respectively, 15% lower and 28% lower). The proportion of telephone contacts increased significantly with 13%-point in GP practices and 12%-point at OOH services, while the proportion of face-to-face contacts decreased. Furthermore, the proportion of high urgent contacts with OOH services decreased by 8.5%-point. To conclude, the overall contact rates in GP practices and OOH services decreased, while more contacts were remote. Lower contact rates have, after a short follow-up, not resulted in more patients with exacerbations in OOH care. However, this might still be expected after a longer follow-up.
COVID-19 大流行对全科医生（GP）治疗哮喘和/或 COPD 患者的影响在很大程度上尚不清楚。为了描述大流行对哮喘或 COPD 相关 GP 护理的影响，我们分析了荷兰普通诊所和非工作时间（OOH）服务中常规记录的电子健康记录数据。在 COVID-19 大流行期间（2020 年），与大流行前时期（2019 年）相比，GP 诊所和 OOH 服务中哮喘和/或 COPD 的接触率显著降低（分别低 15%和 28%）。通过电话进行联系的比例在 GP 诊所和 OOH 服务中分别显著增加了 13 个百分点和 12 个百分点，而面对面接触的比例则下降。此外，OOH 服务中高紧急接触的比例下降了 8.5 个百分点。总之，GP 诊所和 OOH 服务中的总接触率下降，而远程接触的比例增加。短期随访后，接触率下降并未导致 OOH 护理中更多的患者出现恶化。然而，在更长的随访后，这可能仍然是意料之中的。
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