Evidence map›Paper›PMID 34474684›Full record

ArticleBMC family practice2021

Primary care professionals' experiences during the first wave of the COVID-19 pandemic in Greece: a qualitative study.

Emmanouil Smyrnakis, Despoina Symintiridou, Martha Andreou, Michael Dandoulakis, Elias Theodoropoulos, Stamatia Kokkali, Chrysanthi Manolaki, Dimitra Iosifina Papageorgiou, Charis Birtsou, Aristofanis Paganas and 12 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 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
8.9field-weighted citation impact, top 2% 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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. 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 · 2023
    Article
  19. Article
  20. Article
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

22 authors at 6 institutions in 3 countries.

Emmanouil SmyrnakisLaboratory of Primary Health Care, General Practice and Health Services Research, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Despoina Symintiridou1st TOMY Serron, Prefecture of Serres, Greece.
Martha AndreouAvdira Health Center, Prefecture of Xanthi, Greece.
Michael DandoulakisVari Health Center, Prefecture of Attica, Greece.
Elias TheodoropoulosPirgi Health Center, Prefecture of Chios, Greece.
Stamatia KokkaliNea Kallikratia Health Center, Prefecture of Halkidiki, Greece.
Chrysanthi ManolakiRodolivos Health Center, Prefecture of Serres, Greece.
Dimitra Iosifina PapageorgiouAristotle University of Thessaloniki Primary Health Care Research Network, Thessaloniki, Greece.
Charis BirtsouRegional Practice of Lagadikia, Zagliveri Health Center, Prefecture of Thessaloniki, Greece.
Aristofanis PaganasLitochoro Health Center, Prefecture of Pieria, Greece.
Panagiotis StachteasLaboratory of Primary Health Care, General Practice and Health Services Research, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Nikolaos Vlachopoulos251 Hellenic Air Force General Hospital, Athens, Greece.
Ilias PagkozidisAristotle University of Thessaloniki Primary Health Care Research Network, Thessaloniki, Greece.
Akis ZeimbekisKalloni Health Center, Prefecture of Lesvos, Greece.
Violeta RokaFarkadona Health Center, Prefecture of Trikala, Greece.
Anastasios GiakoumisKato Achaea Health Center, Prefecture of Achaea, Greece.
Marina KotsaniUniversité de Lorraine, CHRU-Nancy, Pôle "Maladies du Vieillissement, Gérontologie et Soins Palliatifs", F-54000, Nancy, France.
Ioanna AvakianRegional Practice of Zappeio, Farsala Health Center, Prefecture of Larissa, Greece.
Efthymia MakridouLaboratory of Primary Health Care, General Practice and Health Services Research, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Magda GavanaLaboratory of Primary Health Care, General Practice and Health Services Research, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Anna-Bettina HaidichLaboratory of Hygiene, Social and Preventive Medicine, and Medical Statistics, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Christina AvgerinouDepartment of Primary Care and Population Health, University College London, Royal Free Campus, Rowland Hill Street, London, NW3 2PF, UK. c.avgerinou@ucl.ac.uk.
Aristotle University of Thessaloniki · GRGeneral Hospital of Serres · GRHellenic Agency for Local Development and Local Government · GRHellenic Air Force · GRRoland Hill (United Kingdom) · GBUniversité de Lorraine · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe coronavirus outbreak (COVID-19) tested health care systems worldwide. This qualitative study aimed to explore and understand the experiences, beliefs and concerns of Primary Care Professionals (PCPs) regarding the preparedness and response of primary care to the first wave of the pandemic in Greece, a country where a public structured primary care system has been developing.

methodsWe conducted semi-structured telephone interviews with 33 PCPs (General Practitioners, community General Internal Medicine Specialists, community Paediatricians and nurses) recruited from all regions of Greece after the first wave of the pandemic (June 2020). Interviews were transcribed verbatim, data were anonymised and analysed. Thematic analysis was applied developing a conceptual framework.

resultsFour main themes were identified: a) Primary care unit adaptation and issues faced during the pandemic; b) Management of suspected COVID-19 cases; c) Management of non-suspected cases; d) Consequences of the pandemic. In the first phase of the pandemic, remote management of suspected cases and their referral to the hospital were preferred as a result of a shortage of personal protective equipment and inaccessibility to coronavirus testing in primary care. Due to the discontinuation of regular medical services and the limited in-person contact between doctors and patients, chronic disease management and prevention programmes were left behind. Social and emotional consequences of the pandemic, such as workplace stigma, isolation and social seclusion, deriving from fear of viral transmission, as well as burnout symptoms and exhaustion were commonly experienced among PCPs. Positive consequences of the pandemic were considered to be the recognition of the importance of an empowered public healthcare system by citizens and the valuable insight, knowledge and experience professionals gained in times of crisis.

conclusionsPrimary care has a key role to play during and after the pandemic by using its information infrastructure to identify at-risk groups, detect new cases of COVID-19, provide care according to needs, and carry out vaccination programmes. Central coordination and empowerment of primary care will increase its effectiveness, via public awareness, holistic patient management, and unburdening of hospitals.

Indexed as

COVID-19PandemicsCOVID-19 TestingGreeceHumansPrimary Health CareSARS-CoV-2Covid-19GreeceManagementPandemicPrimary health care

Identifiers

PMID34474684
PMCPMC8412972
OpenAlexW3196593382

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.