Teachings After COVID-19 Outbreak From a Survey of Family Physicians.
COVID-19
Delivery of Health Care
Family Medicine
Pandemics
Personal Satisfaction
Physicians
Prospective Studies
Surveys and Questionnaires
Telemedicine
Journal
Journal of the American Board of Family Medicine : JABFM
ISSN: 1558-7118
Titre abrégé: J Am Board Fam Med
Pays: United States
ID NLM: 101256526
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
received:
31
05
2020
revised:
13
06
2020
accepted:
31
07
2020
entrez:
24
2
2021
pubmed:
25
2
2021
medline:
10
3
2021
Statut:
ppublish
Résumé
Since December 2019, the dramatic escalation in coronavirus (COVID-19) cases worldwide has had a significant impact on health care systems. Family physicians (FPs) have played a critical role in the coordination of care. In April 2020, we performed an online prospective survey to assess the impact of the pandemic on FPs' practices. Three hundred FPs were included. Mean age was 53.6 ± 13.5 years. Before the pandemic, 60.2% reported >75 outpatient visits/week, which reduced down to an average of <20/week for 79.8% of FPs; 24.2% of FPs discontinued home visits, while for 94.7% of FPs there was a >50% increase in the number of telephone consultations. Concern related to the risk of contagion was elevated (≥3/5 in 74.6%) and even higher to the risk of infecting relatives and patients (≥3/5 in 93.3%). The majority of FPs (87%) supported the role of telemedicine in the near future. Satisfaction regarding the network with hospitals/COVID-19-dedicated wards received a score ≤2/5 in 46.9% of cases. The COVID-19 pandemic has had a significant impact on the working practices of FPs. A collaboration is needed with well-established networks between FPs and referral centers to provide new insights and opportunities to inform future working practices.
Sections du résumé
BACKGROUND
BACKGROUND
Since December 2019, the dramatic escalation in coronavirus (COVID-19) cases worldwide has had a significant impact on health care systems. Family physicians (FPs) have played a critical role in the coordination of care.
MATERIALS AND METHODS
METHODS
In April 2020, we performed an online prospective survey to assess the impact of the pandemic on FPs' practices.
RESULTS
RESULTS
Three hundred FPs were included. Mean age was 53.6 ± 13.5 years. Before the pandemic, 60.2% reported >75 outpatient visits/week, which reduced down to an average of <20/week for 79.8% of FPs; 24.2% of FPs discontinued home visits, while for 94.7% of FPs there was a >50% increase in the number of telephone consultations. Concern related to the risk of contagion was elevated (≥3/5 in 74.6%) and even higher to the risk of infecting relatives and patients (≥3/5 in 93.3%). The majority of FPs (87%) supported the role of telemedicine in the near future. Satisfaction regarding the network with hospitals/COVID-19-dedicated wards received a score ≤2/5 in 46.9% of cases.
CONCLUSIONS
CONCLUSIONS
The COVID-19 pandemic has had a significant impact on the working practices of FPs. A collaboration is needed with well-established networks between FPs and referral centers to provide new insights and opportunities to inform future working practices.
Identifiants
pubmed: 33622842
pii: 34/Supplement/S222
doi: 10.3122/jabfm.2021.S1.200267
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
S222-S224Informations de copyright
© Copyright 2021 by the American Board of Family Medicine.
Déclaration de conflit d'intérêts
Conflicts of interest: None declared.