Evidence map›Paper›PMID 34537836›Full record

ArticleFamily practice2022

The role of general practitioners in managing the COVID-19 pandemic in a private healthcare system.

Christine Cohidon, Fatima El Hakmaoui, Nicolas Senn

Abstract read
In one paragraph

Article in Family practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

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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

3 authors.

Christine CohidonDepartment of Family Medicine, Center for Primary Care and Public Health, University of Lausanne, Lausanne, Switzerland.ORCID 0000-0003-2343-500X
Fatima El HakmaouiDepartment of Family Medicine, Center for Primary Care and Public Health, University of Lausanne, Lausanne, Switzerland.ORCID 0000-0001-8410-0073
Nicolas SennDepartment of Family Medicine, Center for Primary Care and Public Health, University of Lausanne, Lausanne, Switzerland.ORCID 0000-0002-9986-3249

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe canton of Vaud's public health authorities, in Switzerland, invited general practitioners (GPs) to participate in managing suspected COVID-19 patients and continue caring for their non-COVID-19 patients. However, this course of action was not mandatory. The present study's objective was to describe and understand how involved GPs were in dealing with the COVID-19 pandemic's first wave.

methodsThis mixed-methods study combined a retrospective quantitative survey and a qualitative explanatory investigation. All of the canton's GPs were invited to participate in the quantitative survey via an online questionnaire including sections on: specific organization regarding COVID-19 activities and suspected COVID-19 patients, activities relating to non-COVID-19 patients, consequences on the practice's professional staff, and opinions about the public health authorities' pandemic crisis management. The qualitative investigation involved interviews with 10 volunteer GPs.

resultsThe participation rate was 41%. One third of GPs chose not to reorganize their practice for the specific management of suspected COVID-19 patients. The number of weekly activities and interventions decreased by over 50% at 44% of practices, mostly due to a lack of patients. Even in an extraordinary crisis, GPs maintained their choice of whether to become involved, as their private and independent status allowed them to do. However, those who chose to be involved felt frustrated that the public health authorities did not recognize them as major health providers in the management of the pandemic.

conclusionThis study illustrated the complexity and limitations of a primary care system based completely on private healthcare providers.

Indexed as

COVID-19General PractitionersDelivery of Health CareHumansPandemicsRetrospective Studiesacknowledgment of rolecommunicationCOVID-19 pandemic managementgeneral practitionersprivate healthcare systempublic health authorities

Identifiers

PMID34537836
PMCPMC9295602

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Registered trials

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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.