Clinical Research Centre, School of Medicine, University College Dublin, Dublin, Ireland.
School of Medicine, University College Dublin, Dublin, Ireland.
PLoS One. 2024 Jun 26;19(6):e0306077. doi: 10.1371/journal.pone.0306077. eCollection 2024.
Research suggests that general practice can play an important role in managing long COVID. However, studies investigating the perspectives of general practitioners (GPs) and patients are lacking and knowledge regarding optimal long COVID care in general practice is therefore limited.
To investigate GPs' and patients' perspectives on the topic of long COVID and its management in general practice.
Brief questionnaires (GP n = 11, Patient n = 7) and in-depth semi-structured interviews (GP n = 10, Patient n = 7) were conducted with GPs and patients from Irish general practices during July 2022-January 2023. Interviews were conducted via telephone and audio recordings were transcribed. A phenomenological analysis involving reflexive thematic analysis and constant comparison techniques was adopted.
Analysis of interviews with GPs (male = 7, female = 3; median age = 50yrs (IQR = 39.5-56)) and patients (males = 2, female = 5; median age = 58yrs (IQR = 45-62yrs) generated four themes. These were (1) Complex presentations (2) the value of standardising care, (3) choosing the right path, and (4) supportive and collaborative doctor-patient relationships. Strong agreement was observed among GPs and patients regarding the need for holistic and integrated multidisciplinary care. Supportive and collaborative doctor-patient relationships were largely well received by GPs and patients also. GPs strongly endorsed standardising long COVID care operations.
GPs and patients indicated that structured, integrated, and collaborative care can help optimise long COVID management in general practice. GPs are advised to incorporate these elements into their long COVID care practices going forward. Future research examining stakeholder's perspectives using larger and longitudinal samples is advised to enhance the generalisability of evidence in this area.
研究表明，全科医生在管理长新冠方面可以发挥重要作用。然而，缺乏调查全科医生和患者观点的研究，因此，全科实践中长新冠最佳护理的相关知识有限。
调查全科医生和患者对长新冠及其在全科实践中管理的看法。
在 2022 年 7 月至 2023 年 1 月期间，使用简短的问卷（全科医生 n=11，患者 n=7）和深入的半结构化访谈（全科医生 n=10，患者 n=7）对爱尔兰全科医生和患者进行了调查。访谈通过电话进行，并对录音进行了转录。采用现象学分析，包括反思性主题分析和恒定性比较技术。
对全科医生（男性=7，女性=3；中位年龄=50 岁（IQR=39.5-56））和患者（男性=2，女性=5；中位年龄=58 岁（IQR=45-62 岁））的访谈分析产生了四个主题。这些主题是：（1）复杂的表现；（2）标准化护理的价值；（3）选择正确的路径；（4）支持性和协作性的医患关系。全科医生和患者之间在需要整体和综合多学科护理方面达成了强烈共识。支持性和协作性的医患关系在很大程度上受到全科医生和患者的欢迎。全科医生强烈支持标准化长新冠护理操作。
全科医生和患者表示，结构化、整合和协作的护理可以帮助优化全科实践中的长新冠管理。建议全科医生在未来的长新冠护理实践中纳入这些要素。建议未来使用更大和纵向样本的研究来检查利益相关者的观点，以提高该领域证据的普遍性。
