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Responding to COVID-19: The Suitability of Primary Care Infrastructure in 33 Countries

COVID-19 proved that primary care (PC) providers have an important role in managing health emergencies, such as epidemics. Little is known about the preparedness of primary care practice infrastructure to continue providing high quality care during this crisis. The aim of this paper is to describe t...

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Autores principales: Windak, Adam, Nessler, Katarzyna, Van Poel, Esther, Collins, Claire, Wójtowicz, Ewa, Murauskiene, Liubove, Hoffmann, Kathryn, Willems, Sara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9779330/
https://www.ncbi.nlm.nih.gov/pubmed/36554901
http://dx.doi.org/10.3390/ijerph192417015
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author Windak, Adam
Nessler, Katarzyna
Van Poel, Esther
Collins, Claire
Wójtowicz, Ewa
Murauskiene, Liubove
Hoffmann, Kathryn
Willems, Sara
author_facet Windak, Adam
Nessler, Katarzyna
Van Poel, Esther
Collins, Claire
Wójtowicz, Ewa
Murauskiene, Liubove
Hoffmann, Kathryn
Willems, Sara
author_sort Windak, Adam
collection PubMed
description COVID-19 proved that primary care (PC) providers have an important role in managing health emergencies, such as epidemics. Little is known about the preparedness of primary care practice infrastructure to continue providing high quality care during this crisis. The aim of this paper is to describe the perceived limitations to the infrastructure of PC practices during COVID-19 and to determine the factors associated with a higher likelihood of infrastructural barriers in providing high quality care. This paper presents the results of an online survey conducted between November 2020 and November 2021 as a part of PRICOV-19 study. Data from 4974 practices in 33 countries regarding perceived limitations and intentions to make future adjustments to practice infrastructure as a result of the COVID-19 pandemic were collected. Approximately 58% of practices experienced limitations to the building or other practice infrastructure to provide high-quality and safe care during the COVID-19 pandemic, and in 54% making adjustments to the building or the infrastructure was considered. Large variations between the countries were found. The results show that infrastructure constraints were directly proportional to the size of the practice. Better pandemic infection control equipment, governmental support, and a fee-for-service payment system were found to be associated with a lower perceived need for infrastructural changes. The results of the study indicate the need for systematic support for the development of practice infrastructure in order to provide high-quality, safe primary care in the event of future crises similar to the COVID-19 pandemic.
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spelling pubmed-97793302022-12-23 Responding to COVID-19: The Suitability of Primary Care Infrastructure in 33 Countries Windak, Adam Nessler, Katarzyna Van Poel, Esther Collins, Claire Wójtowicz, Ewa Murauskiene, Liubove Hoffmann, Kathryn Willems, Sara Int J Environ Res Public Health Article COVID-19 proved that primary care (PC) providers have an important role in managing health emergencies, such as epidemics. Little is known about the preparedness of primary care practice infrastructure to continue providing high quality care during this crisis. The aim of this paper is to describe the perceived limitations to the infrastructure of PC practices during COVID-19 and to determine the factors associated with a higher likelihood of infrastructural barriers in providing high quality care. This paper presents the results of an online survey conducted between November 2020 and November 2021 as a part of PRICOV-19 study. Data from 4974 practices in 33 countries regarding perceived limitations and intentions to make future adjustments to practice infrastructure as a result of the COVID-19 pandemic were collected. Approximately 58% of practices experienced limitations to the building or other practice infrastructure to provide high-quality and safe care during the COVID-19 pandemic, and in 54% making adjustments to the building or the infrastructure was considered. Large variations between the countries were found. The results show that infrastructure constraints were directly proportional to the size of the practice. Better pandemic infection control equipment, governmental support, and a fee-for-service payment system were found to be associated with a lower perceived need for infrastructural changes. The results of the study indicate the need for systematic support for the development of practice infrastructure in order to provide high-quality, safe primary care in the event of future crises similar to the COVID-19 pandemic. MDPI 2022-12-18 /pmc/articles/PMC9779330/ /pubmed/36554901 http://dx.doi.org/10.3390/ijerph192417015 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Windak, Adam
Nessler, Katarzyna
Van Poel, Esther
Collins, Claire
Wójtowicz, Ewa
Murauskiene, Liubove
Hoffmann, Kathryn
Willems, Sara
Responding to COVID-19: The Suitability of Primary Care Infrastructure in 33 Countries
title Responding to COVID-19: The Suitability of Primary Care Infrastructure in 33 Countries
title_full Responding to COVID-19: The Suitability of Primary Care Infrastructure in 33 Countries
title_fullStr Responding to COVID-19: The Suitability of Primary Care Infrastructure in 33 Countries
title_full_unstemmed Responding to COVID-19: The Suitability of Primary Care Infrastructure in 33 Countries
title_short Responding to COVID-19: The Suitability of Primary Care Infrastructure in 33 Countries
title_sort responding to covid-19: the suitability of primary care infrastructure in 33 countries
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9779330/
https://www.ncbi.nlm.nih.gov/pubmed/36554901
http://dx.doi.org/10.3390/ijerph192417015
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