Evidence map›Paper›PMID 37053207›Full record

ArticlePloS one2023

Changes to utilization and provision of health care in German GP practices during the COVID 19-pandemic: Protocol for a mixed methods study on the viewpoint of GPs, medical practice assistants, and patients.

Susanne Doepfmer, Kemal Akdenizli, Hiwa Dashti, Christoph Heintze, Frank Kaden, Lisa Kuempel, Doreen Kuschick, Natascha Medrow, Andrea Neidhardt-Akdenizli, Susanna Otto-Gogoll and 3 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. 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

13 authors at 1 institution in 1 country.

Susanne DoepfmerInstitute of General Practice, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Germany.ORCID 0000-0003-4263-2682
Kemal AkdenizliMember of the RESPoNsE Practice Advisory Board, Practice in Berlin, Germany.
Hiwa DashtiMember of the RESPoNsE Practice Advisory Board, Practice in Brandenburg, Germany.
Christoph HeintzeInstitute of General Practice, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Germany.
Frank KadenMember of the RESPoNsE Practice Advisory Board, Practice in Berlin, Germany.
Lisa KuempelInstitute of General Practice, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Germany.
Doreen KuschickInstitute of General Practice, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Germany.ORCID 0000-0003-0840-1098
Natascha MedrowMember of the RESPoNsE Practice Advisory Board, Practice in Brandenburg, Germany.
Andrea Neidhardt-AkdenizliMember of the RESPoNsE Practice Advisory Board, Practice in Berlin, Germany.
Susanna Otto-GogollMember of the RESPoNsE Practice Advisory Board, Practice in Berlin, Germany.
Isabelle ReicherdtMember of the RESPoNsE Practice Advisory Board, Practice in Brandenburg, Germany.
Lydia SteenwegMember of the RESPoNsE Practice Advisory Board, Practice in Berlin, Germany.
Kahina ToutaouiInstitute of General Practice, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Germany.
Humboldt-Universität zu Berlin · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDuring the COVID-19 pandemic, general practitioners (GPs) continued to be a main point of contact for patients. For GP practices, it was and still is a challenge to meet constantly changing requirements due to the various phases of the pandemic. The aim of the study is to explore retrospectively the subjective experience with supply and utilization of health care services from the perspective of general practitioners, medical practice assistants and patients, in particular regarding instances of underutilization of services for non-Covid related conditions, adjustments due to the pandemic, and the appropriateness of care.

methodsThe study is carried out within the RESPoNsE research practice network in three of Germany's federal states: Berlin, Brandenburg, and Thuringia (RESPoNsE-Research practice network east). The study follows a convergent mixed method design, and consists of the following sections: a) two anonymous paper-based questionnaires filled out by GPs and medical practice assistants (MPAs), at an interval of 12 to 18 months; b) in-depth qualitative interviews conducted among a subgroup of GPs and MPAs; c) anonymous paper-based questionnaires among patients of participating practices. The idea for the study was derived from discussions with the practice advisory board of the RESPoNsE network. The themes and issues to be explored in the surveys and interviews are developed and discussed in the practice advisory board, the patient advisory board, and with interested MPAs. The questionnaires will be analyzed descriptively, exploring the effect of demographic variables. Qualitative content analysis is used to analyze the data from the interviews and focus groups. DISCUSSION: The study focuses on the conditions of GP care during the COVID-19 pandemic. A broad insight is provided as GPs and MPAs, as well as patients, are involved. It provides the opportunity to express needs and concerns. The results can support future discussions on lessons learned from the pandemic and necessary changes in health care delivery.

trial registrationTrial registration at the German Clinical Trials Register: DRKS00028095.

Indexed as

COVID-19General PracticeGeneral PractitionersDelivery of Health CareHumansPandemicsRetrospective Studies

Identifiers

PMID37053207
PMCPMC10101402
OpenAlexW4365442836

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.