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Experiences and management strategies of Norwegian GPs during the COVID-19 pandemic: a longitudinal interview study

OBJECTIVE: When the COVID-19 pandemic reached Norway, primary health care had to reorganize to ensure safe patient treatment and maintain infection control. General practitioners (GPs) are key health care providers in the municipalities. Our aim was to explore the experiences and management strategi...

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Autores principales: Heltveit-Olsen, Silje Rebekka, Lunde, Lene, Brænd, Anja Maria, Spehar, Ivan, Høye, Sigurd, Skoglund, Ingmarie, Sundvall, Pär-Daniel, Fossum, Guro Haugen, Straand, Jørund, Risør, Mette Bech
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10088916/
https://www.ncbi.nlm.nih.gov/pubmed/36350846
http://dx.doi.org/10.1080/02813432.2022.2142796
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author Heltveit-Olsen, Silje Rebekka
Lunde, Lene
Brænd, Anja Maria
Spehar, Ivan
Høye, Sigurd
Skoglund, Ingmarie
Sundvall, Pär-Daniel
Fossum, Guro Haugen
Straand, Jørund
Risør, Mette Bech
author_facet Heltveit-Olsen, Silje Rebekka
Lunde, Lene
Brænd, Anja Maria
Spehar, Ivan
Høye, Sigurd
Skoglund, Ingmarie
Sundvall, Pär-Daniel
Fossum, Guro Haugen
Straand, Jørund
Risør, Mette Bech
author_sort Heltveit-Olsen, Silje Rebekka
collection PubMed
description OBJECTIVE: When the COVID-19 pandemic reached Norway, primary health care had to reorganize to ensure safe patient treatment and maintain infection control. General practitioners (GPs) are key health care providers in the municipalities. Our aim was to explore the experiences and management strategies of Norwegian GPs during the COVID-19 pandemic - over time, and in the context of a sudden organizational change. DESIGN: Longitudinal qualitative interview study with two interview rounds. The first round of interviews was conducted from September–December 2020, the second round from January–April 2021. In the first interview round, we performed eight semi-structured interviews with GPs from eight municipalities in Norway. In the second round, five of the GPs were re-interviewed. Consecutive interviews were performed 2–4 months apart. To analyze the data, we used thematic analysis. RESULTS: The COVID-19 pandemic required GPs to balance several concerns, such as continuity of care and their own professional efforts. Several GPs experienced challenges in the collaboration with the municipality and in relation to defining their own professional position. Guided by The Norwegian Association of General practitioners, The Norwegian College of General Practice and collegial support, they found viable solutions and ended up with a feeling of having adapted to a new normal. CONCLUSIONS: Although our study demonstrates that the GPs adapted to the changing conditions, the current municipal health care models are not ideal. There is a need for clarification of responsibilities between GPs and the municipality to facilitate a more coordinated future pandemic response. KEY POINTS: Facing the COVID-19 pandemic, the primary health care service in Norway had to reorganize to ensure safe patient treatment and maintain infection control. Several GPs experienced challenges in collaboration with the municipalities. There is a need for clarification of responsibilities between GPs and the municipality.
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spelling pubmed-100889162023-04-12 Experiences and management strategies of Norwegian GPs during the COVID-19 pandemic: a longitudinal interview study Heltveit-Olsen, Silje Rebekka Lunde, Lene Brænd, Anja Maria Spehar, Ivan Høye, Sigurd Skoglund, Ingmarie Sundvall, Pär-Daniel Fossum, Guro Haugen Straand, Jørund Risør, Mette Bech Scand J Prim Health Care Research Articles OBJECTIVE: When the COVID-19 pandemic reached Norway, primary health care had to reorganize to ensure safe patient treatment and maintain infection control. General practitioners (GPs) are key health care providers in the municipalities. Our aim was to explore the experiences and management strategies of Norwegian GPs during the COVID-19 pandemic - over time, and in the context of a sudden organizational change. DESIGN: Longitudinal qualitative interview study with two interview rounds. The first round of interviews was conducted from September–December 2020, the second round from January–April 2021. In the first interview round, we performed eight semi-structured interviews with GPs from eight municipalities in Norway. In the second round, five of the GPs were re-interviewed. Consecutive interviews were performed 2–4 months apart. To analyze the data, we used thematic analysis. RESULTS: The COVID-19 pandemic required GPs to balance several concerns, such as continuity of care and their own professional efforts. Several GPs experienced challenges in the collaboration with the municipality and in relation to defining their own professional position. Guided by The Norwegian Association of General practitioners, The Norwegian College of General Practice and collegial support, they found viable solutions and ended up with a feeling of having adapted to a new normal. CONCLUSIONS: Although our study demonstrates that the GPs adapted to the changing conditions, the current municipal health care models are not ideal. There is a need for clarification of responsibilities between GPs and the municipality to facilitate a more coordinated future pandemic response. KEY POINTS: Facing the COVID-19 pandemic, the primary health care service in Norway had to reorganize to ensure safe patient treatment and maintain infection control. Several GPs experienced challenges in collaboration with the municipalities. There is a need for clarification of responsibilities between GPs and the municipality. Taylor & Francis 2022-11-09 /pmc/articles/PMC10088916/ /pubmed/36350846 http://dx.doi.org/10.1080/02813432.2022.2142796 Text en © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Articles
Heltveit-Olsen, Silje Rebekka
Lunde, Lene
Brænd, Anja Maria
Spehar, Ivan
Høye, Sigurd
Skoglund, Ingmarie
Sundvall, Pär-Daniel
Fossum, Guro Haugen
Straand, Jørund
Risør, Mette Bech
Experiences and management strategies of Norwegian GPs during the COVID-19 pandemic: a longitudinal interview study
title Experiences and management strategies of Norwegian GPs during the COVID-19 pandemic: a longitudinal interview study
title_full Experiences and management strategies of Norwegian GPs during the COVID-19 pandemic: a longitudinal interview study
title_fullStr Experiences and management strategies of Norwegian GPs during the COVID-19 pandemic: a longitudinal interview study
title_full_unstemmed Experiences and management strategies of Norwegian GPs during the COVID-19 pandemic: a longitudinal interview study
title_short Experiences and management strategies of Norwegian GPs during the COVID-19 pandemic: a longitudinal interview study
title_sort experiences and management strategies of norwegian gps during the covid-19 pandemic: a longitudinal interview study
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10088916/
https://www.ncbi.nlm.nih.gov/pubmed/36350846
http://dx.doi.org/10.1080/02813432.2022.2142796
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