Cargando…
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...
Autores principales: | , , , , , , , , , , , , , , , |
---|---|
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 |
_version_ | 1783693918817222656 |
---|---|
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. |
format | Online Article Text |
id | pubmed-8127252 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT tsoprarosy reorganisationofgpsurgeriesduringthecovid19outbreakanalysisofguidelinesfrom15countries AT frappepaul reorganisationofgpsurgeriesduringthecovid19outbreakanalysisofguidelinesfrom15countries AT streitsven reorganisationofgpsurgeriesduringthecovid19outbreakanalysisofguidelinesfrom15countries AT nevesanaluisa reorganisationofgpsurgeriesduringthecovid19outbreakanalysisofguidelinesfrom15countries AT honkooppersijnj reorganisationofgpsurgeriesduringthecovid19outbreakanalysisofguidelinesfrom15countries AT espinosagonzalezanabelen reorganisationofgpsurgeriesduringthecovid19outbreakanalysisofguidelinesfrom15countries AT gerogluberk reorganisationofgpsurgeriesduringthecovid19outbreakanalysisofguidelinesfrom15countries AT jahrtobias reorganisationofgpsurgeriesduringthecovid19outbreakanalysisofguidelinesfrom15countries AT lingnerheidrun reorganisationofgpsurgeriesduringthecovid19outbreakanalysisofguidelinesfrom15countries AT nesslerkatarzyna reorganisationofgpsurgeriesduringthecovid19outbreakanalysisofguidelinesfrom15countries AT pesolillogabriella reorganisationofgpsurgeriesduringthecovid19outbreakanalysisofguidelinesfrom15countries AT sivertsenøyvindstople reorganisationofgpsurgeriesduringthecovid19outbreakanalysisofguidelinesfrom15countries AT thulesiushans reorganisationofgpsurgeriesduringthecovid19outbreakanalysisofguidelinesfrom15countries AT zoitanuraluca reorganisationofgpsurgeriesduringthecovid19outbreakanalysisofguidelinesfrom15countries AT burgunanita reorganisationofgpsurgeriesduringthecovid19outbreakanalysisofguidelinesfrom15countries AT kinouanisherazade reorganisationofgpsurgeriesduringthecovid19outbreakanalysisofguidelinesfrom15countries |