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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 (UGent) , Sara Ares-Blanco, Maria Pilar Astier-Peña, Claire Collins (UGent) , Jonila Gabrani, Neophytos Stylianou, Victoria Tkachenko, et al.
(2024) BMC HEALTH SERVICES RESEARCH. 24(1).
Author
Organization
Abstract
Background: Changes 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. Objectives: This study aimed to investigate the association between primary care practices’ organization, and quality and safety changes during the COVID-19 pandemic. Design: Data 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 (<jats:italic>n</jats:italic> = 1,544), and “Multiprofessional,” comprising practices with at least one GP or GP trainee and one or more other health professionals (<jats:italic>n</jats:italic> = 3,936).</jats:p> Results: Both 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. Conclusions: Multiprofessional 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.
Keywords
PRICOV-19, interdisciplinarity, patient safety, equity, quality of healthcare, multi-country, infectious diseases, COVID-19, family medicine, primary care, general practice, International comparison, Interprofessional collaboration, Multiprofessional, Infection prevention and control, Pricov-19, Quality of care, PHYSICIANS, COUNTRIES, IMPACT

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Citation

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MLA
Eriksson, Mats, et al. “Did the Organization of Primary Care Practices during the COVID-19 Pandemic Influence Quality and Safety? An International Survey.” BMC HEALTH SERVICES RESEARCH, vol. 24, no. 1, 2024, doi:10.1186/s12913-024-11173-y.
APA
Eriksson, M., Blomberg, K., Arvidsson, E., Van Poel, E., Ares-Blanco, S., Astier-Peña, M. P., … Willems, S. (2024). Did the organization of primary care practices during the COVID-19 pandemic influence quality and safety? An international survey. BMC HEALTH SERVICES RESEARCH, 24(1). https://doi.org/10.1186/s12913-024-11173-y
Chicago author-date
Eriksson, Mats, Karin Blomberg, Eva Arvidsson, Esther Van Poel, Sara Ares-Blanco, Maria Pilar Astier-Peña, Claire Collins, et al. 2024. “Did the Organization of Primary Care Practices during the COVID-19 Pandemic Influence Quality and Safety? An International Survey.” BMC HEALTH SERVICES RESEARCH 24 (1). https://doi.org/10.1186/s12913-024-11173-y.
Chicago author-date (all authors)
Eriksson, Mats, Karin Blomberg, Eva Arvidsson, Esther Van Poel, Sara Ares-Blanco, Maria Pilar Astier-Peña, Claire Collins, Jonila Gabrani, Neophytos Stylianou, Victoria Tkachenko, and Sara Willems. 2024. “Did the Organization of Primary Care Practices during the COVID-19 Pandemic Influence Quality and Safety? An International Survey.” BMC HEALTH SERVICES RESEARCH 24 (1). doi:10.1186/s12913-024-11173-y.
Vancouver
1.
Eriksson M, Blomberg K, Arvidsson E, Van Poel E, Ares-Blanco S, Astier-Peña MP, et al. Did the organization of primary care practices during the COVID-19 pandemic influence quality and safety? An international survey. BMC HEALTH SERVICES RESEARCH. 2024;24(1).
IEEE
[1]
M. Eriksson et al., “Did the organization of primary care practices during the COVID-19 pandemic influence quality and safety? An international survey,” BMC HEALTH SERVICES RESEARCH, vol. 24, no. 1, 2024.
@article{01J0EPMGVJS1PZJK14Y9WPTSE5,
  abstract     = {{Background: Changes 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. Objectives: This study aimed to investigate the association between primary care practices’ organization, and quality and safety changes during the COVID-19 pandemic. Design: Data 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 (<jats:italic>n</jats:italic> = 1,544), and “Multiprofessional,” comprising practices with at least one GP or GP trainee and one or more other health professionals (<jats:italic>n</jats:italic> = 3,936).</jats:p>
Results: Both 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. Conclusions: Multiprofessional 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.}},
  articleno    = {{737}},
  author       = {{Eriksson, Mats and Blomberg, Karin and Arvidsson, Eva and Van Poel, Esther and Ares-Blanco, Sara and Astier-Peña, Maria Pilar and Collins, Claire and Gabrani, Jonila and Stylianou, Neophytos and Tkachenko, Victoria and Willems, Sara}},
  issn         = {{1472-6963}},
  journal      = {{BMC HEALTH SERVICES RESEARCH}},
  keywords     = {{PRICOV-19,interdisciplinarity,patient safety,equity,quality of healthcare,multi-country,infectious diseases,COVID-19,family medicine,primary care,general practice,International comparison,Interprofessional collaboration,Multiprofessional,Infection prevention and control,Pricov-19,Quality of care,PHYSICIANS,COUNTRIES,IMPACT}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{9}},
  title        = {{Did the organization of primary care practices during the COVID-19 pandemic influence quality and safety? An international survey}},
  url          = {{http://doi.org/10.1186/s12913-024-11173-y}},
  volume       = {{24}},
  year         = {{2024}},
}
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