Evidence map›Paper›PMID 36270671›Full record

ArticleBJGP open2022

Patient experiences during the COVID-19 pandemic: a qualitative study in Dutch primary care.

Maarten Homburg, Daan Brandenbarg, Tim Olde Hartman, Lotte Ramerman, Gina Beugel, Corinne Rijpkema, Robert Verheij, Marjolein Berger, Lilian Peters

Abstract read
In one paragraph

Article in BJGP open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

9 authors.

Maarten HomburgDepartment of General Practice and Elderly Care Medicine, University of Groningen, University Medical Center Groningen (UMCG), Groningen, The Netherlands t.m.homburg@umcg.nl.ORCID https://orcid.org/0000-0002-3295-4656
Daan BrandenbargDepartment of General Practice and Elderly Care Medicine, University of Groningen, University Medical Center Groningen (UMCG), Groningen, The Netherlands.
Tim Olde HartmanDepartment of Primary and Community Care, Radboud University Nijmegen Medical Center, Radboud institute of Health Sciences, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0003-2078-1206
Lotte RamermanNivel, Netherlands Institute for Health Services Research (Nivel), Utrecht, The Netherlands.
Gina BeugelDepartment of General Practice and Elderly Care Medicine, University of Groningen, University Medical Center Groningen (UMCG), Groningen, The Netherlands.
Corinne RijpkemaNivel, Netherlands Institute for Health Services Research (Nivel), Utrecht, The Netherlands.
Robert VerheijNivel, Netherlands Institute for Health Services Research (Nivel), Utrecht, The Netherlands.
Marjolein BergerDepartment of General Practice and Elderly Care Medicine, University of Groningen, University Medical Center Groningen (UMCG), Groningen, The Netherlands.
Lilian PetersDepartment of General Practice and Elderly Care Medicine, University of Groningen, University Medical Center Groningen (UMCG), Groningen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChanges in primary care provision during the COVID-19 pandemic could have affected patient experience of primary care both positively and negatively.

aimTo assess the experiences of patients in primary care during the COVID-19 pandemic. DESIGN &

settingA qualitative study of patients from regions with high and low COVID-19 prevalence in the Netherlands.

methodA qualitative study using a phenomenological framework was performed among purposively sampled patients. Individual semi-structured interviews were performed and transcribed. Data were thematically analysed by means of an inductive approach.

resultsTwenty-eight patients were interviewed (13 men and 15 women, aged 27-91 years). After thematic analysis, two main themes emerged: accessibility and continuity of primary care. Changes considered positive during the pandemic regarding accessibility and continuity of primary care included having a quieter practice, having more time for consultations, and the use of remote care for problems with low complexity. However, patients also experienced decreases in both care accessibility and continuity, such as feeling unwelcome, the GP postponing chronic care, seeing unfamiliar doctors, and care being segregated.

conclusionDespite bringing several benefits, patients indicated that the changes to primary care provision during the COVID-19 pandemic could have threatened care accessibility and continuity, which are core values of primary care. These insights can guide primary care provision not only in this and future pandemics, but also when implementing permanent changes to care provision in primary care.

Indexed as

continuity of patient careCOVID-19healthcare utilisationhealth services accessibilityprimary health care

Identifiers

PMID36270671
PMCPMC9904784

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LicenceCC BY
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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.