Evidence map›Paper›PMID 34000985›Full record

ArticleBMC family practice2021

Reorganisation of GP surgeries during the COVID-19 outbreak: analysis of guidelines from 15 countries.

Rosy Tsopra, Paul Frappe, Sven Streit, Ana Luisa Neves, Persijn J Honkoop, Ana Belen Espinosa-Gonzalez, Berk Geroğlu, Tobias Jahr, Heidrun Lingner, Katarzyna Nessler and 6 more

Open access · goldAbstract read
In one paragraph

Article in BMC family practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
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  13. French General Practitioners' Adaptations for Patients with Suspected COVID-19 in May 2020.International journal of environmental research and public health · 2023
    Article
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  16. Responding to COVID-19: The Suitability of Primary Care Infrastructure in 33 Countries.International journal of environmental research and public health · 2022
    Article
  17. Article
  18. Rapidly adapting primary care sentinel surveillance across seven countries in Europe for COVID-19 in the first half of 2020: strengths, challenges, and lessons learned.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 13 institutions in 11 countries.

Rosy TsopraINSERM, Université de Paris, Sorbonne Université, Centre de Recherche des Cordeliers, Information Sciences to support Personalized Medicine, F-75006, Paris, France. rosy.tsopra@nhs.net.ORCID 0000-0002-9406-5547
Paul FrappeDepartment of general practice, Faculty of medicine Jacques Lisfranc, University of Lyon, Saint-Etienne, France.
Sven StreitInstitute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland.
Ana Luisa NevesPatient Safety Translational Research Centre, Institute of Global Health Innovation, Imperial College London, London, UK.
Persijn J HonkoopDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Ana Belen Espinosa-GonzalezImperial College London, London, UK.
Berk Geroğluİzmir Karşıyaka District Health Directorate, İzmir, Turkey.
Tobias JahrMedizinische Hochschule Hannover, OE 5430, Carl Neuberg Str. 1, 30625, Hannover, Germany.
Heidrun LingnerMedizinische Hochschule Hannover, Medizinische Psychologie, OE 5430, Hannover, Germany.
Katarzyna NesslerDepartment of Family Medicine, Jagiellonian University Medical College, Kraków, Poland.
Gabriella PesolilloASL Teramo, Abruzzo, Italy.
Øyvind Stople SivertsenTorshovdalen Health Center, Oslo, Norway.
Hans ThulesiusLund University and Linneaus University, Lund, Sweden.
Raluca ZoitanuNational Federation of Family Medicine Employers in Romania (FNPMF), București, Romania.
Anita BurgunINSERM, Université de Paris, Sorbonne Université, Centre de Recherche des Cordeliers, Information Sciences to support Personalized Medicine, F-75006, Paris, France.
Shérazade KinouaniINSERM, Bordeaux Population Health Research Center, team HEALTHY, UMR 1219, university of Bordeaux, F-33000, Bordeaux, France.
Inserm · FRMedizinische Hochschule Hannover · DEImperial College London · GBIzmir University · TRJagiellonian University · PLLeiden University Medical Center · NLLund University · SENorwegian Medical Association · NOUniversidade do Porto · PTUniversité Claude Bernard Lyon 1 · FRUniversité de Bordeaux · FRUniversity of Bern · CHUniversity of Teramo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGeneral practitioners (GPs) play a key role in managing the COVID-19 outbreak. However, they may encounter difficulties adapting their practices to the pandemic. We provide here an analysis of guidelines for the reorganisation of GP surgeries during the beginning of the pandemic from 15 countries.

methodsA network of GPs collaborated together in a three-step process: (i) identification of key recommendations of GP surgery reorganisation, according to WHO, CDC and health professional resources from health care facilities; (ii) collection of key recommendations included in the guidelines published in 15 countries; (iii) analysis, comparison and synthesis of the results.

resultsRecommendations for the reorganisation of GP surgeries of four types were identified: (i) reorganisation of GP consultations (cancelation of non-urgent consultations, follow-up via e-consultations), (ii) reorganisation of GP surgeries (area partitioning, visual alerts and signs, strict hygiene measures), (iii) reorganisation of medical examinations by GPs (equipment, hygiene, partial clinical examinations, patient education), (iv) reorganisation of GP staff (equipment, management, meetings, collaboration with the local community).

conclusionsWe provide here an analysis of guidelines for the reorganisation of GP surgeries during the beginning of the COVID-19 outbreak from 15 countries. These guidelines focus principally on clinical care, with less attention paid to staff management, and the area of epidemiological surveillance and research is largely neglected. The differences of guidelines between countries and the difficulty to apply them in routine care, highlight the need of advanced research in primary care. Thereby, primary care would be able to provide recommendations adapted to the real-world settings and with stronger evidence, which is especially necessary during pandemics.

Indexed as

COVID-19Guidelines as TopicGeneral PracticeHumansInternationalityPrimary Health CareClinical Practice GuidelinesCOVID-19General PractitionerPandemicPrimary care

Identifiers

PMID34000985
PMCPMC8127252
OpenAlexW3161198070

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.