Kuschick Doreen, Bleidorn Jutta, Dierks Marius Tibor, Heintze Christoph, Krause Markus, Kümpel Lisa, Riens Burgi, Rost Liliana, Toutaoui Kahina, Wolf Florian, Döpfmer Susanne
Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Institut für Allgemeinmedizin, Berlin, Deutschland.
Universitätsklinikum Jena, Friedrich-Schiller-Universität Jena, Institut für Allgemeinmedizin, Jena, Deutschland.
Z Evid Fortbild Qual Gesundhwes. 2024 Aug;188:79-86. doi: 10.1016/j.zefq.2024.06.002. Epub 2024 Jul 22.
During the COVID-19 pandemic general practitioners (GP) practice teams were temporally confronted with major challenges which were accompanied by changes in practice organization and service provision. So far, little has been known about the views of patients who visited the GP practice for other than COVID-related reasons with regard to provision and use of GP services, the adjustments in the practice and the work of the practice team members.
The patient survey is a sub-study of the mixed-methods study VeCo-Praxis (GP healthcare for patients not suffering from COVID during the Corona pandemic) of the research practice network RESPoNsE (Research Practice Network East), which was conducted in the federal states of Berlin, Brandenburg and Thuringia. The questionnaire-based survey was carried out among patients who visited their GP practice in November 2022. The topics covered in the survey were developed by two focus groups consisting of 13 members of the RESPoNsE patient advisory board. The questionnaire was developed and piloted in a participatory approach with the RESPoNsE Patient Advisory Board. The results were analyzed descriptively using SPSS and discussed with the advisory board.
1,405 questionnaires from 37 practices were analyzed. 97% of respondents felt that the treatment they received at their GP practice during the COVID-19 pandemic was good. For the vast majority, appointments and acute consultations, prescriptions, laboratory tests, discussions of diagnostic results, routine follow-up check-ups and health checks were available to a sufficient extent. From the patients' perspective, the practices have successfully adapted to the challenges caused by COVID-19. Overall, the patients' trust in and their appreciation of the work of the practice staff have increased since the pandemic. Patients stated that GP practices should continue hygiene procedures, such as wearing a mask or keeping physical distance, in the future.
Despite multiple reports of a significant decline in both provision and utilization of standard care in GP practices during the pandemic, our survey showed that the majority of patients felt that they received adequate GP care and were highly satisfied. The results should be interpreted against the background of possible selection bias.
In this survey, GP patients were predominantly appreciative of GP care during the COVID-19 pandemic. The patients' assessment of the provision and use of GP services during the pandemic complements the corresponding perspective of GPs and medical practice assistants.
在新冠疫情期间，全科医生（GP）诊疗团队暂时面临重大挑战，同时诊疗机构的组织形式和服务提供方式也发生了变化。到目前为止，对于因非新冠相关原因前往全科医生诊疗机构就诊的患者，他们对全科医生服务的提供与使用、诊疗机构的调整以及诊疗团队成员工作的看法了解甚少。
患者调查是研究实践网络RESPoNsE（东部研究实践网络）的混合方法研究VeCo-Praxis（新冠疫情期间为非新冠患者提供的全科医疗服务）的一项子研究，该研究在柏林、勃兰登堡和图林根州进行。基于问卷的调查针对2022年11月前往其全科医生诊疗机构就诊的患者开展。调查涵盖的主题由两个焦点小组制定，这两个焦点小组由RESPoNsE患者咨询委员会的13名成员组成。问卷采用参与式方法与RESPoNsE患者咨询委员会共同制定并进行了预测试。结果使用SPSS进行描述性分析，并与咨询委员会进行了讨论。
分析了来自37个诊疗机构的1405份问卷。97%的受访者认为他们在新冠疫情期间在全科医生诊疗机构接受的治疗良好。对于绝大多数人来说，预约和紧急会诊、处方、实验室检查、诊断结果讨论、常规随访检查和健康检查都有足够的保障。从患者的角度来看，诊疗机构已成功应对了新冠疫情带来的挑战。总体而言，自疫情以来，患者对诊疗机构工作人员工作的信任和赞赏有所增加。患者表示，全科医生诊疗机构未来应继续保持卫生程序，如佩戴口罩或保持社交距离。
尽管有多项报告称，疫情期间全科医生诊疗机构的标准护理服务提供和使用情况均大幅下降，但我们的调查显示，大多数患者认为他们获得了足够的全科医疗服务，并且非常满意。这些结果应在可能存在的选择偏倚背景下进行解读。
在本次调查中，全科医生的患者在新冠疫情期间对全科医疗服务大多表示赞赏。患者对疫情期间全科医生服务提供与使用情况的评估补充了全科医生和医疗助理的相应观点。
