MBBS, BMedSc (Hons), MMed (Pain Mgt), DCH, FRACGP, General Practitioner, Monash University, Vic.
PhD, MPH, BA, Research Fellow in Sexual and Reproductive Health and Rights, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria.
Aust J Gen Pract. 2024 Oct;53(10):764-770. doi: 10.31128/AJGP-04-23-6795.
The UK provided guidance for general practitioners (GPs) to deliver essential care services during the COVID-19 pandemic. Our objective was to describe local GP experiences and approaches to delivering care while similar formal guidance in Australia was unavailable.
Two hundred and ninety-one GPs who practised during the March 2020 to December 2021 COVID-19 lockdowns in Melbourne and Sydney undertook an electronic survey exploring perceptions of essential care service delivery. The provision of care by Australian practices was compared to UK Royal College of General Practitioners' recommendations.
Of 274 completed surveys, Australian GP practices were 60% concordant with UK guideline recommendations. There was a large shift towards telehealth service provision across the board, from diagnosis to follow-up. Most care continued if it was deliverable through telehealth or had urgent or time-sensitive need.
Local guidance for delivery of essential care services should be developed for future calamities, informed by GPs' experience practising during the COVID 19 pandemic and considering Australian contextual factors.
在 COVID-19 大流行期间，英国为全科医生（GP）提供了提供基本医疗服务的指导。我们的目的是描述当地 GP 提供医疗服务的经验和方法，因为在澳大利亚没有类似的正式指导。
在墨尔本和悉尼 2020 年 3 月至 2021 年 12 月 COVID-19 封锁期间执业的 291 名全科医生参加了一项电子调查，以了解他们对基本医疗服务提供的看法。将澳大利亚实践提供的医疗服务与英国皇家全科医生学院的建议进行了比较。
在 274 份完成的调查中，澳大利亚全科医生实践与英国指南建议的一致性为 60%。从诊断到随访，远程医疗服务的提供全面转向。如果通过远程医疗可以提供的或具有紧急或时间敏感性需求的，大多数医疗服务都在继续。
未来的灾难需要制定基本医疗服务的提供指南，该指南应根据全科医生在 COVID-19 大流行期间的实践经验，并考虑澳大利亚的背景因素来制定。
