Evidence map›Paper›PMID 34489126›Full record

ArticleHealth policy (Amsterdam, Netherlands)2022

Transformations in the landscape of primary health care during COVID-19: Themes from the European region.

Stephanie Kumpunen, Erin Webb, Govin Permanand, Evgeny Zheleznyakov, Nigel Edwards, Ewout van Ginneken, Melitta Jakab

Erratum issuedAbstract read
In one paragraph

Article in Health policy (Amsterdam, Netherlands), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
–field-weighted citation impact
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

39 citing papers in PubMed.

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  9. Non-dispensed prescriptions - A nationwide descriptive study.Exploratory research in clinical and social pharmacy · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Stephanie KumpunenNuffield Trust, London, UK. Electronic address: stephanie.kumpunen@nuffieldtrust.org.uk.
Erin WebbDepartment of Health Care Management, Technical University of Berlin and European Observatory on Health Systems and Policies, Berlin, Germany.
Govin PermanandWHO Regional Office for Europe, Copenhagen, Denmark.
Evgeny ZheleznyakovWHO European Centre for Primary Health Care, Almaty, Kazakhstan.
Nigel EdwardsNuffield Trust, London, UK.
Ewout van GinnekenDepartment of Health Care Management, Technical University of Berlin and European Observatory on Health Systems and Policies, Berlin, Germany.
Melitta JakabWHO European Centre for Primary Health Care, Almaty, Kazakhstan.

Funding

World Health Organization 001
6 · The paper itself

Abstract

The COVID-19 pandemic has dramatically impacted primary health care (PHC) across Europe. Since March 2020, the COVID-19 Health System Response Monitor (HSRM) has documented country-level responses using a structured template distributed to country experts. We extracted all PHC-relevant data from the HSRM and iteratively developed an analysis framework examining the models of PHC delivery employed by PHC providers in response to the pandemic, as well as the government enablers supporting these models. Despite the heterogenous PHC structures and capacities across European countries, we identified three prevalent models of PHC delivery employed: (1) multi-disciplinary primary care teams coordinating with public health to deliver the emergency response and essential services; (2) PHC providers defining and identifying vulnerable populations for medical and social outreach; and (3) PHC providers employing digital solutions for remote triage, consultation, monitoring and prescriptions to avoid unnecessary contact. These were supported by government enablers such as increasing workforce numbers, managing demand through public-facing risk communications, and prioritising pandemic response efforts linked to vulnerable populations and digital solutions. We discuss the importance of PHC systems maintaining and building on these models of PHC delivery to strengthen preparedness for future outbreaks and better respond to the contemporary health challenges.

Indexed as

COVID-19Delivery of Health CareGovernment ProgramsHumansPandemicsPrimary Health CareCOVID-19Health systemPandemicPrimary health care

Identifiers

PMID34489126
PMCPMC8364142

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.