Observational studyBMJ open2020
How GPs adapted their practices and organisations at the beginning of COVID-19 outbreak: a French national observational survey.
Observational study in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
45 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Ten pressure points in primary care during COVID-19: findings from an international narrative review.BMC primary care · 2025Pooled it
- Trial
- Trial
- Family health coverage and care reorganization during the COVID-19 pandemic.Revista latino-americana de enfermagem · 2026Article
- GP characteristics and video use in out-of-hours primary care: a register-based study.BJGP open · 2025Article
- Impact of video service failure on triage outcomes in Danish out-of-hours primary care: a register-based study across four regions.BMJ open · 2025Observational
- Association between video consultation use and general practitioner and practice characteristics: a cross-sectional survey in Denmark.BJGP open · 2025Article
- How Austrian primary care physicians evaluated their available resources and quality of care during the first year of COVID-19: a repeated cross-sectional survey study.BMC primary care · 2025Article
- General practitioners' perceptions of interprofessional collaboration in Belgium: a qualitative study.BMC primary care · 2025Article
- The Added Value of Using Video in Out-of-Hours Primary Care Telephone Triage Among General Practitioners: Cross-Sectional Survey Study.JMIR human factors · 2024Article
- Adaptation of French general practitioners for the management of nursing home patients during COVID-19 in 2020: a multilevel analysis.BMC primary care · 2024Article
- Modelling efficiency in primary healthcare using the DEA methodology: an empirical analysis in a healthcare district.BMC health services research · 2024Article
- Medical specialists' use and opinion of video consultation in Denmark: a survey study.BMC health services research · 2024Article
- Use of Video in Telephone Triage in Out-of-Hours Primary Care: Register-Based Study.JMIR medical informatics · 2024Article
- Outreach work in Belgian primary care practices during COVID-19: results from the cross-sectional PRICOV-19 study.BMC primary care · 2024Article
- Primary care gatekeeping during the COVID-19 pandemic: a survey of 1234 Norwegian regular GPs.BJGP open · 2024Article
- Quality of care in Belgian general practices during the COVID-19 pandemic: results of the cross-sectional PRICOV-19 study.BMC primary care · 2024Article
- Use of telemedicine in general practice in Europe since the COVID-19 pandemic: A scoping review of patient and practitioner perspectives.PLOS digital health · 2024Article
- How Primary Healthcare Sector is Organized at the Territorial Level in France? A Typology of Territorial Structuring.International journal of health policy and management · 2024Article
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Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo describe how general practitioners (GPs) adapted their practices to secure and maintain access to care in the epidemic phase. A secondary objective was to explore if GPs' individual characteristics and type of practice determined their adaptation.
designObservational study using an online questionnaire. Organisational changes were measured by a main question and detailed in two specific outcomes. To identify which GPs' characteristics impacted organisational changes, successive multivariate logistic modelling was performed. First, we identified the GPs' characteristics related to organisational changes with a univariate analysis. Then, we tested the adjusted associations between this variable and the following GPs' characteristics: age, gender and type of practice.
settingThe questionnaire was administered online between 14 March and 21 March 2020. Practitioners were recruited by email using the contact lists of different French scientific GP societies.
participantsThe target population was GPs currently practising in France (n=46 056). We obtained a total of 7481 responses. PRIMARY AND SECONDARY OUTCOME MEASURES: Primary outcome: Proportion of GPs who adapted their practice. Secondary outcome: GPs' characteristics related to organisational changes.
resultsAmong the 7481 responses, 5425 were complete and were analysed. 3849 GPs (70.9%) changed their activity, 3605 GPs (66.5%) increased remote consultations and 2315 GPs (42.7%) created a specific pathway for probable patients with COVID-19. Among the 3849 GPs (70.9%) who changed their practice, 3306 (91.7%) gave more answers by phone, 996 (27.6%) by email and 1105 (30.7%) increased the use of video consultations. GPs working in multi-professional group practices were more likely to have changed their activity since the beginning of the epidemic wave than GPs working in mono-professional group or single medical practices (adjusted OR: 1.32, 95% CI 1.12 to 1.56, p=0.001).
conclusionsFrench GPs adapted their practices regarding access to care for patients in the context of the COVID-19 epidemic. This adaptation was higher in multi-professional group practices.
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