Evidence map›Paper›PMID 38877434›Full record

ArticleBMC health services research2024

Did the organization of primary care practices during the COVID-19 pandemic influence quality and safety? - an international survey.

Mats Eriksson, Karin Blomberg, Eva Arvidsson, Esther Van Poel, Sara Ares-Blanco, Maria Pilar Astier-Peña, Claire Collins, Jonila Gabrani, Neophytos Stylianou, Victoria Tkachenko and 1 more

Abstract read
In one paragraph

Article in BMC health services research, 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. Article
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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

11 authors.

Mats ErikssonFaculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden. mats.h.eriksson@oru.se.
Karin BlombergFaculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.
Eva ArvidssonFuturum, Region Jönköping County, Jönköping, Sweden.
Esther Van PoelDepartment of Public Health and Primary Care, Ghent University, Ghent, Belgium.
Sara Ares-BlancoFederica Montseny Health Centre, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Madrid, Spain.
Maria Pilar Astier-PeñaHealthcare Quality Territorial Unit, Territorial Health Directorate, Institute of Health of Catalonia, Camp de Tarragona, Barcelona, Spain.
Claire CollinsDepartment of Public Health and Primary Care, Ghent University, Ghent, Belgium.
Jonila GabraniUniversity of Medicine, Tirana, Albania.
Neophytos StylianouDepartment of data analysis, NS Intelligence Solutions Ltd, Nicosia, Cyprus.
Victoria TkachenkoDepartment of Family Medicine, Shupyk National Healthcare University of Ukraine, Kyiv, Ukraine.
Sara WillemsDepartment of Public Health and Primary Care, Ghent University, Ghent, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChanges in demographics with an older population, the illness panorama with increasing prevalence of non-communicable diseases, and the shift from hospital care to home-based care place demand on primary health care, which requires multiprofessional collaboration and team-based organization of work. The COVID-19 pandemic affected health care in various ways, such as heightened infection control measures, changing work practices, and increased workload.

objectivesThis study aimed to investigate the association between primary care practices' organization, and quality and safety changes during the COVID-19 pandemic.

designData were collected from 38 countries in a large online survey, the PRICOV-19 study. For this paper, the participating practices were categorized as "Only GPs", comprising practices with solely general practitioners (GPs) and/or GP trainees, without any other health care professionals (n = 1,544), and "Multiprofessional," comprising practices with at least one GP or GP trainee and one or more other health professionals (n = 3,936).

resultsBoth categories of practices improved in infection control routines when compared before and during the COVID-19 pandemic. A larger proportion of the multiprofessional practices changed their routines to protect vulnerable patients. Telephone triage was used in more "Multiprofessional" practices, whereas "Only GPs" were more likely to perform video consultations as an alternative to physical visits. Both types of practices reported that the time to review new guidelines and scientific literature decreased during the pandemic. However, both had more meetings to discuss directives than before the pandemic.

conclusionsMultiprofessional teams were keener to introduce changes to the care organization to protect vulnerable patients. However, practices with only GPs were found to be more aligned with video consultations, perhaps reflecting the close patient-doctor relationship. In contrast, telephone triage was used more in multiprofessional teams.

Indexed as

COVID-19Primary Health CareHumansInfection ControlInternationalityPandemicsPatient SafetyQuality of Health CareSARS-CoV-2Surveys and QuestionnairesCOVID-19Infection prevention and controlInternational comparisonInterprofessional collaborationMultiprofessionalPricov-19Quality of care

Identifiers

PMID38877434
PMCPMC11179335

What OpenQuestion holds

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LicenceCC BY
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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.