Nivel (Netherlands Institute for Health Services Research), Utrecht, the Netherlands.
Department of Primary Care and Community Care, Radboud University, Nijmegen, The Netherlands.
BMC Prim Care. 2023 Aug 31;24(Suppl 1):170. doi: 10.1186/s12875-023-02114-5.
General practices have adapted the practice organisation to the circumstances of the COVID-19 pandemic. In this article we describe several adjustments in general practices in the field of patient flow management, appointments, triage, referral and infection prevention. We also examined how practices relate to the policy of the government and of the professional organisations during the pandemic.
A cross-sectional online survey was conducted among a sample of 893 general practitioners (GPs) during February and March 2021. The response rate was 17%. Because the questionnaire concerns practices and not individual GPs, one practice owner per practice received an invitation with a link to the online questionnaire. One reminder has been sent.
General practices adapted their organisation during the corona pandemic, partly based on information and advice from their professional organisations. The adjustments were necessary to ensure that patient care continued as much and as safely as possible, often remotely. The use of video consultations quickly increased from 6% to 65% of the practices. The cooperation with neighbouring practices improved and practices felt supported by the professional organisations.
The pandemic itself, remote care and stricter patient flow management have put pressure on the quality of care and patient safety. The accessibility of the practices was sometimes limited. In the perception of patients, this was stronger than in reality.
全科医生已经根据 COVID-19 大流行的情况调整了实践组织。在本文中，我们描述了全科医生在患者流量管理、预约、分诊、转诊和感染预防方面的一些调整。我们还研究了在大流行期间，这些实践与政府和专业组织的政策之间的关系。
在 2021 年 2 月至 3 月期间，对 893 名全科医生（GP）进行了横断面在线调查。响应率为 17%。由于问卷涉及实践，而不是个体 GP，每个实践的一名实践所有者都会收到一份邀请，其中包含一个在线问卷的链接。还发送了一条提醒。
全科医生在冠状病毒大流行期间调整了他们的组织，部分是基于他们的专业组织的信息和建议。这些调整是必要的，以确保尽可能多地、尽可能安全地继续提供患者护理，通常是远程的。视频咨询的使用迅速从 6%增加到 65%的实践。与邻近实践的合作得到改善，实践感到得到了专业组织的支持。
大流行本身、远程护理和更严格的患者流量管理给护理质量和患者安全带来了压力。实践的可及性有时受到限制。在患者的认知中，这种情况比实际情况更为严重。
