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United, can we be stronger? Did French general practitioners in multi-professional groups provide more chronic care follow-up during lockdown?

BACKGROUND: Given the importance of the continuous follow-up of chronic patients, we evaluated the performance of French private practice general practitioners (GPs) practicing in multi-professional group practices (MGP) regarding chronic care management during the first Covid-19 lockdown in Spring...

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Autores principales: Zaytseva, Anna, Verger, Pierre, Ventelou, Bruno
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9016683/
https://www.ncbi.nlm.nih.gov/pubmed/35440039
http://dx.doi.org/10.1186/s12913-022-07937-z
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author Zaytseva, Anna
Verger, Pierre
Ventelou, Bruno
author_facet Zaytseva, Anna
Verger, Pierre
Ventelou, Bruno
author_sort Zaytseva, Anna
collection PubMed
description BACKGROUND: Given the importance of the continuous follow-up of chronic patients, we evaluated the performance of French private practice general practitioners (GPs) practicing in multi-professional group practices (MGP) regarding chronic care management during the first Covid-19 lockdown in Spring 2020 compared to GPs not in MGP. We consider two outcomes: continuity of care provision for chronic patients and proactivity in contacting these patients. METHODS: The cross-sectional web questionnaire of 1191 GPs took place in April 2020. We exploit self-reported data on: 1) the frequency of consultations for chronic patients during lockdown compared to their “typical” week before the pandemic, along with 2) GPs’ proactive behaviour when contacting their chronic patients. We use probit and bivariate probit models (adjusted for endogeneity of choice of engagement in MGP) to test whether GPs in MGP had significantly different responses to the Covid-19 crisis compared to those practicing outside MGP. RESULTS: Out of 1191 participants (response rate: 43.1%), around 40% of GPs were female and 34% were younger than 50 years old. Regression results indicate that GPs in MGP were less likely to experience a drop in consultations related to complications of chronic diseases (− 45.3%). They were also more proactive (+ 13.4%) in contacting their chronic patients compared to their peers practicing outside MGP. CONCLUSION: We demonstrate that the MGP organisational formula was beneficial to the follow-up of patients with chronic conditions during the lockdown; therefore, it appears beneficial to expand integrated practices, since they perform better when facing a major shock. Further research is needed to confirm the efficiency of these integrated practices outside the particular pandemic setup. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-07937-z.
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spelling pubmed-90166832022-04-19 United, can we be stronger? Did French general practitioners in multi-professional groups provide more chronic care follow-up during lockdown? Zaytseva, Anna Verger, Pierre Ventelou, Bruno BMC Health Serv Res Research BACKGROUND: Given the importance of the continuous follow-up of chronic patients, we evaluated the performance of French private practice general practitioners (GPs) practicing in multi-professional group practices (MGP) regarding chronic care management during the first Covid-19 lockdown in Spring 2020 compared to GPs not in MGP. We consider two outcomes: continuity of care provision for chronic patients and proactivity in contacting these patients. METHODS: The cross-sectional web questionnaire of 1191 GPs took place in April 2020. We exploit self-reported data on: 1) the frequency of consultations for chronic patients during lockdown compared to their “typical” week before the pandemic, along with 2) GPs’ proactive behaviour when contacting their chronic patients. We use probit and bivariate probit models (adjusted for endogeneity of choice of engagement in MGP) to test whether GPs in MGP had significantly different responses to the Covid-19 crisis compared to those practicing outside MGP. RESULTS: Out of 1191 participants (response rate: 43.1%), around 40% of GPs were female and 34% were younger than 50 years old. Regression results indicate that GPs in MGP were less likely to experience a drop in consultations related to complications of chronic diseases (− 45.3%). They were also more proactive (+ 13.4%) in contacting their chronic patients compared to their peers practicing outside MGP. CONCLUSION: We demonstrate that the MGP organisational formula was beneficial to the follow-up of patients with chronic conditions during the lockdown; therefore, it appears beneficial to expand integrated practices, since they perform better when facing a major shock. Further research is needed to confirm the efficiency of these integrated practices outside the particular pandemic setup. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-07937-z. BioMed Central 2022-04-19 /pmc/articles/PMC9016683/ /pubmed/35440039 http://dx.doi.org/10.1186/s12913-022-07937-z Text en © The Author(s) 2022 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
Zaytseva, Anna
Verger, Pierre
Ventelou, Bruno
United, can we be stronger? Did French general practitioners in multi-professional groups provide more chronic care follow-up during lockdown?
title United, can we be stronger? Did French general practitioners in multi-professional groups provide more chronic care follow-up during lockdown?
title_full United, can we be stronger? Did French general practitioners in multi-professional groups provide more chronic care follow-up during lockdown?
title_fullStr United, can we be stronger? Did French general practitioners in multi-professional groups provide more chronic care follow-up during lockdown?
title_full_unstemmed United, can we be stronger? Did French general practitioners in multi-professional groups provide more chronic care follow-up during lockdown?
title_short United, can we be stronger? Did French general practitioners in multi-professional groups provide more chronic care follow-up during lockdown?
title_sort united, can we be stronger? did french general practitioners in multi-professional groups provide more chronic care follow-up during lockdown?
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9016683/
https://www.ncbi.nlm.nih.gov/pubmed/35440039
http://dx.doi.org/10.1186/s12913-022-07937-z
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