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Differences between rural and urban practices in the response to the COVID-19 pandemic : outcomes from the PRICOV-19 study in 38 countries

Ferdinando Petrazzuoli, Claire Collins (UGent) , Esther Van Poel (UGent) , Athina Tatsioni, Sven Streit, Gazmend Bojaj, Radost Asenova, Kathryn Hoffmann, Jonila Gabrani, Zalika Klemenc-Ketis, et al.
(2023) INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH. 20(4).
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Abstract
This paper explores the differences between rural and urban practices in the response to the COVID-19 pandemic, emphasizing aspects such as management of patient flow, infection prevention and control, information processing, communication and collaboration. Using a cross-sectional design, data were collected through the online PRICOV-19 questionnaire sent to general practices in 38 countries. Rural practices in our sample were smaller than urban-based practices. They reported an above-average number of old and multimorbid patients and a below-average number of patients with a migrant background or financial problems. Rural practices were less likely to provide leaflets and information, but were more likely to have ceased using the waiting room or to have made structural changes to their waiting room and to have changed their prescribing practices in terms of patients attending the practices. They were less likely to perform video consultations or use electronic prescription methods. Our findings show the existence of certain issues that could impact patient safety in rural areas more than in urban areas due to the underlying differences in population profile and supports. These could be used to plan the organization of care for similar future pandemic situations.
Keywords
primary health care, general practice, urban, rural, quality of care, international comparison, pricov-19, covid-19

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MLA
Petrazzuoli, Ferdinando, et al. “Differences between Rural and Urban Practices in the Response to the COVID-19 Pandemic : Outcomes from the PRICOV-19 Study in 38 Countries.” INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, vol. 20, no. 4, MDPI AG, 2023, doi:10.3390/ijerph20043674.
APA
Petrazzuoli, F., Collins, C., Van Poel, E., Tatsioni, A., Streit, S., Bojaj, G., … Willems, S. (2023). Differences between rural and urban practices in the response to the COVID-19 pandemic : outcomes from the PRICOV-19 study in 38 countries. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 20(4). https://doi.org/10.3390/ijerph20043674
Chicago author-date
Petrazzuoli, Ferdinando, Claire Collins, Esther Van Poel, Athina Tatsioni, Sven Streit, Gazmend Bojaj, Radost Asenova, et al. 2023. “Differences between Rural and Urban Practices in the Response to the COVID-19 Pandemic : Outcomes from the PRICOV-19 Study in 38 Countries.” INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 20 (4). https://doi.org/10.3390/ijerph20043674.
Chicago author-date (all authors)
Petrazzuoli, Ferdinando, Claire Collins, Esther Van Poel, Athina Tatsioni, Sven Streit, Gazmend Bojaj, Radost Asenova, Kathryn Hoffmann, Jonila Gabrani, Zalika Klemenc-Ketis, Andrée Rochfort, Limor Adler, Adam Windak, Katarzyna Nessler, and Sara Willems. 2023. “Differences between Rural and Urban Practices in the Response to the COVID-19 Pandemic : Outcomes from the PRICOV-19 Study in 38 Countries.” INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 20 (4). doi:10.3390/ijerph20043674.
Vancouver
1.
Petrazzuoli F, Collins C, Van Poel E, Tatsioni A, Streit S, Bojaj G, et al. Differences between rural and urban practices in the response to the COVID-19 pandemic : outcomes from the PRICOV-19 study in 38 countries. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH. 2023;20(4).
IEEE
[1]
F. Petrazzuoli et al., “Differences between rural and urban practices in the response to the COVID-19 pandemic : outcomes from the PRICOV-19 study in 38 countries,” INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, vol. 20, no. 4, 2023.
@article{01GSSG9ZVV84SM129NJCCP5WFJ,
  abstract     = {{This paper explores the differences between rural and urban practices in the response to the COVID-19 pandemic, emphasizing aspects such as management of patient flow, infection prevention and control, information processing, communication and collaboration. Using a cross-sectional design, data were collected through the online PRICOV-19 questionnaire sent to general practices in 38 countries. Rural practices in our sample were smaller than urban-based practices. They reported an above-average number of old and multimorbid patients and a below-average number of patients with a migrant background or financial problems. Rural practices were less likely to provide leaflets and information, but were more likely to have ceased using the waiting room or to have made structural changes to their waiting room and to have changed their prescribing practices in terms of patients attending the practices. They were less likely to perform video consultations or use electronic prescription methods. Our findings show the existence of certain issues that could impact patient safety in rural areas more than in urban areas due to the underlying differences in population profile and supports. These could be used to plan the organization of care for similar future pandemic situations.}},
  articleno    = {{3674}},
  author       = {{Petrazzuoli, Ferdinando and Collins, Claire and Van Poel, Esther and Tatsioni, Athina and Streit, Sven and Bojaj, Gazmend and Asenova, Radost and Hoffmann, Kathryn and Gabrani, Jonila and Klemenc-Ketis, Zalika and Rochfort, Andrée and Adler, Limor and Windak, Adam and Nessler, Katarzyna and Willems, Sara}},
  issn         = {{1660-4601}},
  journal      = {{INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH}},
  keywords     = {{primary health care,general practice,urban,rural,quality of care,international comparison,pricov-19,covid-19}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{13}},
  publisher    = {{MDPI AG}},
  title        = {{Differences between rural and urban practices in the response to the COVID-19 pandemic : outcomes from the PRICOV-19 study in 38 countries}},
  url          = {{http://doi.org/10.3390/ijerph20043674}},
  volume       = {{20}},
  year         = {{2023}},
}
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