Reorganisation of primary care for older adults during COVID-19: a cross-sectional database study in the UK.
Aged
Betacoronavirus
COVID-19
Coronavirus Infections
/ epidemiology
Cross-Sectional Studies
Female
General Practitioners
/ organization & administration
House Calls
/ statistics & numerical data
Humans
Male
Pandemics
Pneumonia, Viral
/ epidemiology
Primary Health Care
/ organization & administration
SARS-CoV-2
United Kingdom
/ epidemiology
COVID-19
frailty
polypharmacy
remote consultation
workload
Journal
The British journal of general practice : the journal of the Royal College of General Practitioners
ISSN: 1478-5242
Titre abrégé: Br J Gen Pract
Pays: England
ID NLM: 9005323
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
received:
01
06
2020
accepted:
23
06
2020
pubmed:
15
7
2020
medline:
21
8
2020
entrez:
15
7
2020
Statut:
epublish
Résumé
The coronavirus disease 2019 (COVID-19) pandemic has resulted in a rapid change in workload across healthcare systems. Factors related to this adaptation in UK primary care have not yet been examined. To assess the responsiveness and prioritisation of primary care consultation type for older adults during the COVID-19 pandemic. A cross-sectional database study examining consultations between 17 February and 10 May 2020 for patients aged ≥65 years, drawn from primary care practices within the Oxford Royal College of General Practitioners (RCGP) Research and Surveillance Centre (RSC) sentinel network, UK. The authors reported the proportion of consultation type across five categories: clinical administration, electronic/video, face-to-face, telephone, and home visits. Temporal trends in telephone and face-to-face consultations were analysed by polypharmacy, frailty status, and socioeconomic group using incidence rate ratios (IRR). Across 3 851 304 consultations, the population median age was 75 years (interquartile range [IQR] 70-82); and 46% ( Primary care has undergone an unprecedented in-pandemic reorganisation while retaining focus on patients with increased complexity.
Sections du résumé
BACKGROUND
The coronavirus disease 2019 (COVID-19) pandemic has resulted in a rapid change in workload across healthcare systems. Factors related to this adaptation in UK primary care have not yet been examined.
AIM
To assess the responsiveness and prioritisation of primary care consultation type for older adults during the COVID-19 pandemic.
DESIGN AND SETTING
A cross-sectional database study examining consultations between 17 February and 10 May 2020 for patients aged ≥65 years, drawn from primary care practices within the Oxford Royal College of General Practitioners (RCGP) Research and Surveillance Centre (RSC) sentinel network, UK.
METHOD
The authors reported the proportion of consultation type across five categories: clinical administration, electronic/video, face-to-face, telephone, and home visits. Temporal trends in telephone and face-to-face consultations were analysed by polypharmacy, frailty status, and socioeconomic group using incidence rate ratios (IRR).
RESULTS
Across 3 851 304 consultations, the population median age was 75 years (interquartile range [IQR] 70-82); and 46% (
CONCLUSION
Primary care has undergone an unprecedented in-pandemic reorganisation while retaining focus on patients with increased complexity.
Identifiants
pubmed: 32661009
pii: bjgp20X710933
doi: 10.3399/bjgp20X710933
pmc: PMC7363277
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e540-e547Informations de copyright
©The Authors.
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