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Reorganisation of GP surgeries during the COVID-19 outbreak: analysis of guidelines from 15 countries

BACKGROUND: General practitioners (GPs) play a key role in managing the COVID-19 outbreak. However, they may encounter difficulties adapting their practices to the pandemic. We provide here an analysis of guidelines for the reorganisation of GP surgeries during the beginning of the pandemic from 15...

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Autores principales: Tsopra, Rosy, Frappe, Paul, Streit, Sven, Neves, Ana Luisa, Honkoop, Persijn J., Espinosa-Gonzalez, Ana Belen, Geroğlu, Berk, Jahr, Tobias, Lingner, Heidrun, Nessler, Katarzyna, Pesolillo, Gabriella, Sivertsen, Øyvind Stople, Thulesius, Hans, Zoitanu, Raluca, Burgun, Anita, Kinouani, Shérazade
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8127252/
https://www.ncbi.nlm.nih.gov/pubmed/34000985
http://dx.doi.org/10.1186/s12875-021-01413-z
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author Tsopra, Rosy
Frappe, Paul
Streit, Sven
Neves, Ana Luisa
Honkoop, Persijn J.
Espinosa-Gonzalez, Ana Belen
Geroğlu, Berk
Jahr, Tobias
Lingner, Heidrun
Nessler, Katarzyna
Pesolillo, Gabriella
Sivertsen, Øyvind Stople
Thulesius, Hans
Zoitanu, Raluca
Burgun, Anita
Kinouani, Shérazade
author_facet Tsopra, Rosy
Frappe, Paul
Streit, Sven
Neves, Ana Luisa
Honkoop, Persijn J.
Espinosa-Gonzalez, Ana Belen
Geroğlu, Berk
Jahr, Tobias
Lingner, Heidrun
Nessler, Katarzyna
Pesolillo, Gabriella
Sivertsen, Øyvind Stople
Thulesius, Hans
Zoitanu, Raluca
Burgun, Anita
Kinouani, Shérazade
author_sort Tsopra, Rosy
collection PubMed
description BACKGROUND: General practitioners (GPs) play a key role in managing the COVID-19 outbreak. However, they may encounter difficulties adapting their practices to the pandemic. We provide here an analysis of guidelines for the reorganisation of GP surgeries during the beginning of the pandemic from 15 countries. METHODS: A network of GPs collaborated together in a three-step process: (i) identification of key recommendations of GP surgery reorganisation, according to WHO, CDC and health professional resources from health care facilities; (ii) collection of key recommendations included in the guidelines published in 15 countries; (iii) analysis, comparison and synthesis of the results. RESULTS: Recommendations for the reorganisation of GP surgeries of four types were identified: (i) reorganisation of GP consultations (cancelation of non-urgent consultations, follow-up via e-consultations), (ii) reorganisation of GP surgeries (area partitioning, visual alerts and signs, strict hygiene measures), (iii) reorganisation of medical examinations by GPs (equipment, hygiene, partial clinical examinations, patient education), (iv) reorganisation of GP staff (equipment, management, meetings, collaboration with the local community). CONCLUSIONS: We provide here an analysis of guidelines for the reorganisation of GP surgeries during the beginning of the COVID-19 outbreak from 15 countries. These guidelines focus principally on clinical care, with less attention paid to staff management, and the area of epidemiological surveillance and research is largely neglected. The differences of guidelines between countries and the difficulty to apply them in routine care, highlight the need of advanced research in primary care. Thereby, primary care would be able to provide recommendations adapted to the real-world settings and with stronger evidence, which is especially necessary during pandemics. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12875-021-01413-z.
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spelling pubmed-81272522021-05-17 Reorganisation of GP surgeries during the COVID-19 outbreak: analysis of guidelines from 15 countries Tsopra, Rosy Frappe, Paul Streit, Sven Neves, Ana Luisa Honkoop, Persijn J. Espinosa-Gonzalez, Ana Belen Geroğlu, Berk Jahr, Tobias Lingner, Heidrun Nessler, Katarzyna Pesolillo, Gabriella Sivertsen, Øyvind Stople Thulesius, Hans Zoitanu, Raluca Burgun, Anita Kinouani, Shérazade BMC Fam Pract Research Article BACKGROUND: General practitioners (GPs) play a key role in managing the COVID-19 outbreak. However, they may encounter difficulties adapting their practices to the pandemic. We provide here an analysis of guidelines for the reorganisation of GP surgeries during the beginning of the pandemic from 15 countries. METHODS: A network of GPs collaborated together in a three-step process: (i) identification of key recommendations of GP surgery reorganisation, according to WHO, CDC and health professional resources from health care facilities; (ii) collection of key recommendations included in the guidelines published in 15 countries; (iii) analysis, comparison and synthesis of the results. RESULTS: Recommendations for the reorganisation of GP surgeries of four types were identified: (i) reorganisation of GP consultations (cancelation of non-urgent consultations, follow-up via e-consultations), (ii) reorganisation of GP surgeries (area partitioning, visual alerts and signs, strict hygiene measures), (iii) reorganisation of medical examinations by GPs (equipment, hygiene, partial clinical examinations, patient education), (iv) reorganisation of GP staff (equipment, management, meetings, collaboration with the local community). CONCLUSIONS: We provide here an analysis of guidelines for the reorganisation of GP surgeries during the beginning of the COVID-19 outbreak from 15 countries. These guidelines focus principally on clinical care, with less attention paid to staff management, and the area of epidemiological surveillance and research is largely neglected. The differences of guidelines between countries and the difficulty to apply them in routine care, highlight the need of advanced research in primary care. Thereby, primary care would be able to provide recommendations adapted to the real-world settings and with stronger evidence, which is especially necessary during pandemics. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12875-021-01413-z. BioMed Central 2021-05-17 /pmc/articles/PMC8127252/ /pubmed/34000985 http://dx.doi.org/10.1186/s12875-021-01413-z Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Tsopra, Rosy
Frappe, Paul
Streit, Sven
Neves, Ana Luisa
Honkoop, Persijn J.
Espinosa-Gonzalez, Ana Belen
Geroğlu, Berk
Jahr, Tobias
Lingner, Heidrun
Nessler, Katarzyna
Pesolillo, Gabriella
Sivertsen, Øyvind Stople
Thulesius, Hans
Zoitanu, Raluca
Burgun, Anita
Kinouani, Shérazade
Reorganisation of GP surgeries during the COVID-19 outbreak: analysis of guidelines from 15 countries
title Reorganisation of GP surgeries during the COVID-19 outbreak: analysis of guidelines from 15 countries
title_full Reorganisation of GP surgeries during the COVID-19 outbreak: analysis of guidelines from 15 countries
title_fullStr Reorganisation of GP surgeries during the COVID-19 outbreak: analysis of guidelines from 15 countries
title_full_unstemmed Reorganisation of GP surgeries during the COVID-19 outbreak: analysis of guidelines from 15 countries
title_short Reorganisation of GP surgeries during the COVID-19 outbreak: analysis of guidelines from 15 countries
title_sort reorganisation of gp surgeries during the covid-19 outbreak: analysis of guidelines from 15 countries
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8127252/
https://www.ncbi.nlm.nih.gov/pubmed/34000985
http://dx.doi.org/10.1186/s12875-021-01413-z
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