ArticlePloS one2008
General practice and pandemic influenza: a framework for planning and comparison of plans in five countries.
Article in PloS one, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The role and response of primary healthcare services in the delivery of palliative care in epidemics and pandemics: A rapid review to inform practice and service delivery during the COVID-19 pandemic.Palliative medicine · 2020Pooled it
- COVI-Prim survey: Challenges for Austrian and German general practitioners during initial phase of COVID-19.PloS one · 2021Trial
- Service continuity of community-based health and social care organisations in times of disaster and health emergencies: a mapping review.BMC health services research · 2026Article
- Pandemic planning for primary care in Southwestern Ontario: protocol for a sequential multiple-methods design.BMJ open · 2025Article
- Evaluating COVID-19 Response Within a Tribal Health Care Organization.The Permanente journal · 2023Article
- Strengthening the integration of primary care in pandemic response plans: a qualitative interview study of Canadian family physicians.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Article
- The roles of family physicians during a pandemic.Healthcare management forum · 2023Article
- Preparedness and management during the first phase of the COVID-19 outbreak - a survey among emergency primary care services in Norway.BMC health services research · 2022Article
- The experience of delayed health care access during the COVID 19 pandemic in Australian women: A mixed methods exploration.Health & social care in the community · 2022Article
- Service change and innovation in community end-of-life care during the COVID-19 pandemic: Qualitative analysis of a nationwide primary care survey.Palliative medicine · 2022Article
- How are reasons for encounter associated with influenza-like illness and acute respiratory infection diagnoses and interventions? A cohort study in eight Italian general practice populations.BMC family practice · 2021Article
- Community end-of-life care during the COVID-19 pandemic: findings of a UK primary care survey.BJGP open · 2021Article
- Family medicine practitioners' stress during the COVID-19 pandemic: a cross-sectional survey.BMC family practice · 2021Article
- Article
- The impact of COVID-19 on primary care: Insights from the National Health Service (NHS) and future recommendations.Journal of family medicine and primary care · 2021Article
- Review
- The Experiences of Primary Healthcare Nurses During the COVID-19 Pandemic in Australia.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2020Article
- Australia's national COVID-19 primary care response.The Medical journal of Australia · 2020Article
- Ethics-sensitivity of the Ghana national integrated strategic response plan for pandemic influenza.BMC medical ethics · 2015Article
- How infectious disease outbreaks affect community-based primary care physicians: comparing the SARS and H1N1 epidemics.Canadian family physician Medecin de famille canadien · 2014Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough primary health care, and in particular, general practice will be at the frontline in the response to pandemic influenza, there are no frameworks to guide systematic planning for this task or to appraise available plans for their relevance to general practice. We aimed to develop a framework that will facilitate planning for general practice, and used it to appraise pandemic plans from Australia, England, USA, New Zealand and Canada. METHODOLOGY/PRINCIPAL
findingsWe adapted the Haddon matrix to develop the framework, populating its cells through a multi-method study that incorporated the peer-reviewed and grey literature, interviews with general practitioners, practice nurses and senior decision-makers, and desktop simulation exercises. We used the framework to analyse 89 publicly-available jurisdictional plans at similar managerial levels in the five countries. The framework identifies four functional domains: clinical care for influenza and other needs, public health responsibilities, the internal environment and the macro-environment of general practice. No plan addressed all four domains. Most plans either ignored or were sketchy about non-influenza clinical needs, and about the contribution of general practice to public health beyond surveillance. Collaborations between general practices were addressed in few plans, and inter-relationships with the broader health system, even less frequently.
conclusionsThis is the first study to provide a framework to guide general practice planning for pandemic influenza. The framework helped identify critical shortcomings in available plans. Engaging general practice effectively in planning is challenging, particularly where governance structures for primary health care are weak. We identify implications for practice and for research.
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