Evidence map›Paper›PMID 38721347›Full record

ArticleFrontiers in medicine2024

Resilience of the primary healthcare system: perspectives of German stakeholders at primary care interfaces during the second wave of the COVID-19 pandemic.

Nicola Litke, Sophia Weber, Amanda Breckner, Catharina Roth, Frank Peters-Klimm, Michel Wensing, Sandra Stengel

Abstract read
In one paragraph

Article in Frontiers in medicine, 2024. 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
–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

2 citing papers in PubMed.

  1. Augmenting healthcare systems for pandemic preparedness: a Lean Six Sigma perspective.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026
    Review
  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

7 authors.

Nicola LitkeDepartment of General Practice and Health Services Research, Heidelberg University Hospital, Faculty of Medicine, Heidelberg University, Heidelberg, Germany.
Sophia WeberDepartment of General Practice and Health Services Research, Heidelberg University Hospital, Faculty of Medicine, Heidelberg University, Heidelberg, Germany.
Amanda BrecknerDepartment of General Practice and Health Services Research, Heidelberg University Hospital, Faculty of Medicine, Heidelberg University, Heidelberg, Germany.
Catharina RothDepartment of General Practice and Health Services Research, Heidelberg University Hospital, Faculty of Medicine, Heidelberg University, Heidelberg, Germany.
Frank Peters-KlimmDepartment of General Practice and Health Services Research, Heidelberg University Hospital, Faculty of Medicine, Heidelberg University, Heidelberg, Germany.
Michel WensingDepartment of General Practice and Health Services Research, Heidelberg University Hospital, Faculty of Medicine, Heidelberg University, Heidelberg, Germany.
Sandra StengelDepartment of General Practice and Health Services Research, Heidelberg University Hospital, Faculty of Medicine, Heidelberg University, Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Worldwide, the primary care sector played a key role in coping with the challenges of the SARS-CoV-2 pandemic. Methods: The aim of this study was to explore the resilience of the German primary healthcare system during the second wave of the pandemic from the perspective of identified interface stakeholders, i.e., representatives of hospitals, district offices, and medical associations. Qualitative data from interviews and focus groups were analyzed according to a resilience framework. Results: The main findings include a gap in knowledge transfer, unstructured allocation of responsibilities, and a resulting unregulated flow of patients. Social brokers supported care coordination and knowledge transfer. The response to the capacity to cope with uncertainties was slow and chaotic at the system level and heterogeneous at the individual level. Building on previous relationships fostered functioning communication, while competition in primary care was identified as a barrier to resilience. Conclusion: Implications for further research and for strengthening the resilience of primary care can be derived based on this study.

Indexed as

coordinationCOVID-19 pandemicinterfaceprimary careprimary health careresilience

Identifiers

PMID38721347
PMCPMC11076821

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.