ArticlePloS one2013
Capacity and adaptations of general practice during an influenza pandemic.
Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 29 citations in OpenAlex.
- COVI-Prim survey: Challenges for Austrian and German general practitioners during initial phase of COVID-19.PloS one · 2021Trial
- Impact of the COVID-19 pandemic on antibiotic treatment for respiratory tract infections in Norwegian primary care.Scandinavian journal of primary health care · 2026Article
- Impact of the Swine flu pandemic on General Practitioner (GP) visits in Finland: sex and age differences.BMC primary care · 2024Observational
- Primary care gatekeeping during the COVID-19 pandemic: a survey of 1234 Norwegian regular GPs.BJGP open · 2024Article
- The impact on primary care of a large waterborne campylobacter outbreak in Norway: a controlled observational study.Scandinavian journal of primary health care · 2024Observational
- The association between municipal pandemic response and COVID-19 contacts to emergency primary health care services: an observational study.BMC health services research · 2023Observational
- Experiences and management strategies of Norwegian GPs during the COVID-19 pandemic: a longitudinal interview study.Scandinavian journal of primary health care · 2023Article
- Pandemic preparedness and management in European out-of-hours primary care services - a descriptive study.BMC health services research · 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
- Respiratory tract infections in Norwegian primary care 2006-2015: a registry-based study.Scandinavian journal of primary health care · 2022Article
- Increasing workload in Norwegian general practice - a qualitative study.BMC family practice · 2019Article
- Pandemic influenza and subsequent risk of type 1 diabetes: a nationwide cohort study.Diabetologia · 2018Article
- Point-of-care testing with CRP in primary care: a registry-based observational study from Norway.BMC family practice · 2015Observational
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGPs play a major role in influenza epidemics, and most patients with influenza-like-illness (ILI) are treated in general practice or by primary care doctors on duty in out-of-hours services (OOH). Little is known about the surge capacity in primary care services during an influenza pandemic, and how the relationship between them changes.
aimTo investigate how general practice and OOH services were used by patients during the 2009 pandemic in Norway and the impact of the pandemic on primary care services in comparison to a normal influenza season. MATERIALS: Data from electronic remuneration claims from all OOH doctors and regular GPs for 2009.
methodsWe conducted a registry-based study of all ILI consultations in the 2009 pandemic with the 2008/09 influenza season (normal season) as baseline for comparison.
resultsThe majority (82.2%) of ILI consultations during the 2009 pandemic took place in general practice. The corresponding number in the 2008/09 season was 89.3%. Compared with general practice, the adjusted odds ratio for ILI with all other diagnoses as reference in OOH services was 1.23 (95% CI, 1.18, 1.27) for the 2008/2009 season and 1.87 (95% CI, 1.84, 1.91) for the pandemic influenza season. In total there was a 3.3-fold increase in ILI consultations during the pandemic compared to the 2008/09 season. A 5.5-fold increase of ILI consultations were observed in OOH services in comparison to the 2008/09 season. Children and young adults with ILI were the most frequent users of OOH services during influenza periods.
conclusionsThe autumn pandemic wave resulted in a significantly increased demand on primary care services. However, GPs in primary care services in Norway showed the ability to increase capacity in a situation with increased patient demand.
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