ArticleBMC family practice2020
The impact of COVID-19 on chronic care according to providers: a qualitative study among primary care practices in Belgium.
Article in BMC family practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05904249 (Investigation of the Effectiveness of Telerehabilitation in Individuals With Rotator Cuff Tear), which is not on this map. Cited by 104 papers, 2 of them syntheses that pooled it.
What it found
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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.
The trial behind it
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.
Investigation of the Effectiveness of Telerehabilitation in Individuals With Rotator Cuff Tear
Who cites it
104 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Evaluating home injection compared with healthcare-setting injection of somatostatin analogs: a systematic literature review.Endocrine · 2023Pooled it
- Complex advance care planning intervention in general practice (ACP-GP): a cluster-randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Trial
- Trial
- Vaccination Uptake and Pandemic-Related Healthcare Experiences Among People Living with HIV in Romania: A Cross-Sectional Study.Vaccines · 2026Article
- Covid-19 and chronic conditions: lessons to strengthen care in primary health care.Revista de saude publica · 2026Article
- Impact of COVID-19 and lockdown on outcomes of COPD patients in Turkey: lessons for the future.BMC pulmonary medicine · 2025Article
- Pathways to myeloproliferative neoplasm presentation and time to diagnosis: results from a cross-sectional study.BJGP open · 2025Article
- Association of COVID-19 'circuit breaker' with higher rates of elderly trauma admissions.Singapore medical journal · 2025Observational
- Association of Polypharmacy and Burden of Comorbidities on COVID-19 Adverse Outcomes in People with Type 1 or Type 2 Diabetes.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2025Article
- The impact of the Covid-19 pandemic on outpatient visits for patients with cancer in Iran: an interrupted time series analysis.Archives of public health = Archives belges de sante publique · 2025Article
- Impact of the COVID-19 pandemic on health services utilisation and mortality in Ontario, Canada: an interrupted time series analysis.BMJ public health · 2025Article
- Strategies to strengthen the resilience of primary health care in the COVID-19 pandemic: a scoping review.BMC health services research · 2024Article
- Patients' and professionals' experiences with remote care during COVID-19: a qualitative study in general practices in low-income neighborhoods.Primary health care research & development · 2024Article
- Outreach work in Belgian primary care practices during COVID-19: results from the cross-sectional PRICOV-19 study.BMC primary care · 2024Article
- Chronic Obstructive Pulmonary Disease Mortality and Hospitalization during the COVID-19 Pandemic Compared with before the Pandemic: A Systematic Review and Meta-Analysis.Journal of personalized medicine · 2024Review
- Quality of care in Belgian general practices during the COVID-19 pandemic: results of the cross-sectional PRICOV-19 study.BMC primary care · 2024Article
- Factors disrupting the continuity of care for patients with chronic disease during the pandemics: A systematic review.Health science reports · 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
- Technologies and main functionalities of the telemonitoring application reCOVeryaID.Frontiers in big data · 2024Article
44 more citing papers are in PubMed but not listed here.
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe COVID-19 pandemic affects the processes of routine care for chronic patients. A better understanding helps to increase resilience of the health system and prepare adequately for next waves of the pandemic.
methodsA qualitative study was conducted in 16 primary care practices: 6 solo working, 4 monodisciplinary and 7 multidisciplinary. Twenty-one people (doctors, nurses, dieticians) were interviewed, using semi-structured video interviews. A thematic analysis was done using the domains of the Chronic Care Model (CCM).
resultsThree themes emerged: changes in health care organization, risk stratification and self-management support. All participating practices reported drastic changes in organization with a collective shift towards COVID-19 care, and reduction of chronic care activities, less consultations, and staff responsible for self-management support put on hold. A transition to digital support did not occur. Few practitioners had a systematic approach to identify and contact high-risk patients for early follow-up. A practice with a pre-established structured team collaboration managed to continue most chronic care elements. Generally, practitioners expected no effects of the temporary disruption for patients, although they expressed concern about patients already poorly regulated.
conclusionOur findings show a disruption of the delivery of chronic care in the Belgium prim care context. In such contexts, the establishment of the CCM can facilitate continuity of care in crisis times. Short term actions should be directed to facilitate identifying high-risk patients and to develop a practice organization plan to organize chronic care and use digital channels for support, especially to vulnerable patients, during next waves of the epidemic.
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