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2. Exploring the accessibility of primary health care data in Europe's COVID-19 response: developing key indicators for managing future pandemics (Eurodata study)

Author

Ares-Blanco, Sara, Guisado-Clavero, Marina, Lygidakis, Charilaos, Fernández-García, María, Petek, Davorina, Vinker, Shlomo, Li, Donald, Stadval, Anna, Solves, José Joaquín Mira, Del Rio, Lourdes Ramos, Larrondo, Ileana Gefaell, Fitzgerald, Louise, Adler, Limor, Assenova, Radost, Bakola, Maria, Bayen, Sabine, Brutskaya-Stempkovskaya, Elena, Busneag, Iliana-Carmen, Divjak, Asja Ćosić, Peña, Maryher Delphin, Domeyer, Philippe-Richard, Gjorgjievski, Dragan, Gómez-Johansson, Mila, Hanževački, Miroslav, Hoffmann, Kathryn, Iлькoв, Oкcaнa, Ivanna, Shushman, Jandrić-Kočić, Marijana, Karathanos, Vasilis Trifon, Kirkovski, Aleksandar, Knežević, Snežana, Korkmaz, Büsra Çimen, Kostić, Milena, Krztoń-Królewiecka, Anna, Heleno, Bruno, Nessler, Katarzyna, Lingner, Heidrun, Murauskienė, Liubovė, Neves, Ana Luisa, López, Naldy Parodi, Perjés, Ábel, Petrazzuoli, Ferdinando, Petricek, Goranka, Sattler, Martin, Saurek-Aleksandrovska, Natalija, Seifert, Bohumil, Serafini, Alicia, Sentker, Theresa, Tiili, Paula, Torzsa, Péter, Valtonen, Kirsi, Vaes, Bert, van Pottebergh, Gijs, Gómez-Bravo, Raquel, and Astier-Peña, Maria Pilar

Published
2024
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16. MACCABI-RED, community emergency care at the press of a button: a descriptive study.

Author

Bar-Yishay, Mattan, Adler, Limor, El, Alon Bar, Faran, Limor Boker, Reuveni, Miri Mizrahi, Sternberg, Shelley A, Schejter, Eduardo, Radomyslsky, Zorian, Segal, Yakov, Azuri, Joseph, and Yehoshua, Ilan

Subjects
*EMERGENCY room visits, *FAMILY medicine, *MEDICAL care, *PEDIATRICS, *PHYSICIANS
Abstract

Background Maccabi-RED is a new service developed in Israel that allows primary care staff to direct urgent cases to specialists in the community for evaluation in their local clinics on the same day as an alternative to an emergency department (ED) visit. A primary care physician or a nurse can activate the service, and all nearby specialists receive "a call" and can decide if they are willing to accept it, thus allowing the patient to avoid an unnecessary visit to the ED. Aim To quantify and characterize the medical care provided by this service in a large national healthcare system. Design and Setting Multicenter, community-based, retrospective cohort study. Methods All Maccabi-RED visits recorded between September 2021 and August 2022 were included. Patient characteristics were compared to national demographics. Descriptive statistics were used to present data regarding recorded diagnoses, treating physicians, treatments or referrals provided, and subsequent emergency department admissions or hospitalizations. Results 31831 visits were recorded. Most frequent diagnoses were musculoskeletal pain (12.1%), otitis or otalgia (7.8%), contusions (7.6%), fractures (7.1%), foreign body (6.7%), pregnancy-related symptoms (6.3%), and upper-respiratory or unspecified viral infection (6.3%). The most common treatments reported were foreign body removal (5%) and cast application (3.5%). Only 7.8% of visits resulted in emergency department admission within seven days (any cause). The average time from patient request to physician treatment was 91 min. Conclusions Maccabi-RED is being widely used by patients nationwide. Additional studies are needed to investigate whether Maccabi-RED reduces emergency department visits and costs. [ABSTRACT FROM AUTHOR]

Published
2024
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18. Primary care indicators for disease burden, monitoring and surveillance of COVID-19 in 31 European countries: Eurodata Study

Author

Ares-Blanco, Sara; https://orcid.org/0000-0002-4984-8788, Guisado-Clavero, Marina, Del Rio, Lourdes Ramos; https://orcid.org/0000-0003-4850-2053, Larrondo, Ileana Gefaell, Fitzgerald, Louise; https://orcid.org/0009-0009-8039-3097, Murauskienė, Liubovė; https://orcid.org/0000-0002-6625-8843, López, Naldy Parodi; https://orcid.org/0000-0001-6367-9389, Perjés, Ábel; https://orcid.org/0000-0002-7176-1275, Petek, Davorina; https://orcid.org/0000-0002-0151-4463, Petrazzuoli, Ferdinando; https://orcid.org/0000-0003-1058-492X, Petricek, Goranka; https://orcid.org/0000-0002-6614-3085, Sattler, Martin, Saurek-Aleksandrovska, Natalija, Senn, Oliver; https://orcid.org/0000-0003-4422-7250, Seifert, Bohumil; https://orcid.org/0000-0002-6881-8840, Serafini, Alice; https://orcid.org/0000-0002-7396-2839, Sentker, Theresa; https://orcid.org/0000-0003-1162-310X, Ticmane, Gunta, Tiili, Paula; https://orcid.org/0000-0002-7916-7262, Torzsa, Péter; https://orcid.org/0000-0002-8148-4961, Valtonen, Kirsi, Vaes, Bert; https://orcid.org/0000-0001-5244-1930, Vinker, Shlomo; https://orcid.org/0000-0001-9804-7103, Adler, Limor; https://orcid.org/0000-0002-9335-6596, Assenova, Radost; https://orcid.org/0000-0003-2158-5792, Bakola, Maria; https://orcid.org/0000-0002-9016-9322, Bayen, Sabine; https://orcid.org/0000-0002-3334-9394, Brutskaya-Stempkovskaya, Elena, Busneag, Iliana-Carmen, Divjak, Asja Ćosić, et al, Ares-Blanco, Sara; https://orcid.org/0000-0002-4984-8788, Guisado-Clavero, Marina, Del Rio, Lourdes Ramos; https://orcid.org/0000-0003-4850-2053, Larrondo, Ileana Gefaell, Fitzgerald, Louise; https://orcid.org/0009-0009-8039-3097, Murauskienė, Liubovė; https://orcid.org/0000-0002-6625-8843, López, Naldy Parodi; https://orcid.org/0000-0001-6367-9389, Perjés, Ábel; https://orcid.org/0000-0002-7176-1275, Petek, Davorina; https://orcid.org/0000-0002-0151-4463, Petrazzuoli, Ferdinando; https://orcid.org/0000-0003-1058-492X, Petricek, Goranka; https://orcid.org/0000-0002-6614-3085, Sattler, Martin, Saurek-Aleksandrovska, Natalija, Senn, Oliver; https://orcid.org/0000-0003-4422-7250, Seifert, Bohumil; https://orcid.org/0000-0002-6881-8840, Serafini, Alice; https://orcid.org/0000-0002-7396-2839, Sentker, Theresa; https://orcid.org/0000-0003-1162-310X, Ticmane, Gunta, Tiili, Paula; https://orcid.org/0000-0002-7916-7262, Torzsa, Péter; https://orcid.org/0000-0002-8148-4961, Valtonen, Kirsi, Vaes, Bert; https://orcid.org/0000-0001-5244-1930, Vinker, Shlomo; https://orcid.org/0000-0001-9804-7103, Adler, Limor; https://orcid.org/0000-0002-9335-6596, Assenova, Radost; https://orcid.org/0000-0003-2158-5792, Bakola, Maria; https://orcid.org/0000-0002-9016-9322, Bayen, Sabine; https://orcid.org/0000-0002-3334-9394, Brutskaya-Stempkovskaya, Elena, Busneag, Iliana-Carmen, Divjak, Asja Ćosić, and et al

Abstract

BACKGROUND During the COVID-19 pandemic, the majority of patients received ambulatory treatment, highlighting the importance of primary health care (PHC). However, there is limited knowledge regarding PHC workload in Europe during this period. The utilization of COVID-19 PHC indicators could facilitate the efficient monitoring and coordination of the pandemic response. The objective of this study is to describe PHC indicators for disease surveillance and monitoring of COVID-19's impact in Europe. METHODS Descriptive, cross-sectional study employing data obtained through a semi-structured ad hoc questionnaire, which was collectively agreed upon by all participants. The study encompasses PHC settings in 31 European countries from March 2020 to August 2021. Key-informants from each country answered the questionnaire. Main outcome: the identification of any indicator used to describe PHC COVID-19 activity. RESULTS Out of the 31 countries surveyed, data on PHC information were obtained from 14. The principal indicators were: total number of cases within PHC (Belarus, Cyprus, Italy, Romania and Spain), number of follow-up cases (Croatia, Cyprus, Finland, Spain and Turkey), GP's COVID-19 tests referrals (Poland), proportion of COVID-19 cases among respiratory illnesses consultations (Norway and France), sick leaves issued by GPs (Romania and Spain) and examination and complementary tests (Cyprus). All COVID-19 cases were attended in PHC in Belarus and Italy. CONCLUSIONS The COVID-19 pandemic exposes a crucial deficiency in preparedness for infectious diseases in European health systems highlighting the inconsistent recording of indicators within PHC organizations. PHC standardized indicators and public data accessibility are urgently needed, conforming the foundation for an effective European-level health services response framework against future pandemics.

Published
2024

19. The Use of COVID-19 Mobile Apps in Connecting Patients with Primary Healthcare in 30 Countries: Eurodata Study.

Author

Gómez-Bravo, Raquel, Ares-Blanco, Sara, Gefaell Larrondo, Ileana, Ramos Del Rio, Lourdes, Adler, Limor, Assenova, Radost, Bakola, Maria, Bayen, Sabine, Brutskaya-Stempkovskaya, Elena, Busneag, Iliana-Carmen, Divjak, Asja Ćosić, Peña, Maryher Delphin, Domeyer, Philippe-Richard, Feldmane, Sabine, Fitzgerald, Louise, Gjorgjievski, Dragan, Gómez-Johansson, Mila, Hanževački, Miroslav, Ilkov, Oksana, and Ivanna, Shushman

Subjects
MOBILE apps, DIGITAL technology, SELF-evaluation, CONTACT tracing, HELPLINES, RESEARCH funding, PRIMARY health care, INTERVIEWING, QUESTIONNAIRES, CERTIFICATION, RETROSPECTIVE studies, INFORMATION technology, POPULATION geography, DESCRIPTIVE statistics, TELEMEDICINE, RESEARCH methodology, MEDICAL appointments, HEALTH outcome assessment, MAPS, TEXT messages, COVID-19 pandemic
Abstract

Background: The COVID-19 pandemic has necessitated changes in European healthcare systems, with a significant proportion of COVID-19 cases being managed on an outpatient basis in primary healthcare (PHC). To alleviate the burden on healthcare facilities, many European countries developed contact-tracing apps and symptom checkers to identify potential cases. As the pandemic evolved, the European Union introduced the Digital COVID-19 Certificate for travel, which relies on vaccination, recent recovery, or negative test results. However, the integration between these apps and PHC has not been thoroughly explored in Europe. Objective: To describe if governmental COVID-19 apps allowed COVID-19 patients to connect with PHC through their apps in Europe and to examine how the Digital COVID-19 Certificate was obtained. Methodology: Design and setting: Retrospective descriptive study in PHC in 30 European countries. An ad hoc, semi-structured questionnaire was developed to collect country-specific data on primary healthcare activity during the COVID-19 pandemic and the use of information technology tools to support medical care from 15 March 2020 to 31 August 2021. Key informants belong to the WONCA Europe network (World Organization of Family Doctors). The data were collected from relevant and reliable official sources, such as governmental websites and guidelines. Main outcome measures: Patient's first contact with health system, governmental COVID-19 app (name and function), Digital COVID-19 Certification, COVID-19 app connection with PHC. Results: Primary care was the first point of care for suspected COVID-19 patients in 28 countries, and 24 countries developed apps to complement classical medical care. The most frequently developed app was for tracing COVID-19 cases (24 countries), followed by the Digital COVID-19 Certificate app (17 countries). Bulgaria, Italy, Serbia, North Macedonia, and Romania had interoperability between PHC and COVID-19 apps, and Poland and Romania's apps considered social needs. Conclusions: COVID-19 apps were widely created during the first pandemic year. Contact tracing was the most frequent function found in the registered apps. Connection with PHC was scarcely developed. In future pandemics, connections between health system levels should be guaranteed to develop and implement effective strategies for managing diseases. [ABSTRACT FROM AUTHOR]

Published
2024
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20. Primary care indicators for disease burden, monitoring and surveillance of COVID-19 in 31 European countries: Eurodata Study

Author

Ares-Blanco, Sara, primary, Guisado-Clavero, Marina, additional, Del Rio, Lourdes Ramos, additional, Larrondo, Ileana Gefaell, additional, Fitzgerald, Louise, additional, Murauskienė, Liubovė, additional, López, Naldy Parodi, additional, Perjés, Ábel, additional, Petek, Davorina, additional, Petrazzuoli, Ferdinando, additional, Petricek, Goranka, additional, Sattler, Martin, additional, Saurek-Aleksandrovska, Natalija, additional, Senn, Oliver, additional, Seifert, Bohumil, additional, Serafini, Alice, additional, Sentker, Theresa, additional, Ticmane, Gunta, additional, Tiili, Paula, additional, Torzsa, Péter, additional, Valtonen, Kirsi, additional, Vaes, Bert, additional, Vinker, Shlomo, additional, Adler, Limor, additional, Assenova, Radost, additional, Bakola, Maria, additional, Bayen, Sabine, additional, Brutskaya-Stempkovskaya, Elena, additional, Busneag, Iliana-Carmen, additional, Divjak, Asja Ćosić, additional, Peña, Maryher Delphin, additional, Díaz, Esperanza, additional, Domeyer, Philippe-Richard, additional, Feldmane, Sabine, additional, Gjorgjievski, Dragan, additional, Gómez-Johansson, Mila, additional, de la Fuente, Ángel Gónzalez, additional, Hanževački, Miroslav, additional, Hoffmann, Kathryn, additional, Ільков, Оксана, additional, Ivanna, Shushman, additional, Jandrić-Kočić, Marijana, additional, Karathanos, Vasilis Trifon, additional, Üçüncü, Erva Kirkoç, additional, Kirkovski, Aleksandar, additional, Knežević, Snežana, additional, Korkmaz, Büsra Çimen, additional, Kostić, Milena, additional, Krztoń-Królewiecka, Anna, additional, Kozlovska, Liga, additional, Nessler, Katarzyna, additional, Gómez-Bravo, Raquel, additional, Peña, María Pilar Astier, additional, and Lingner, Heidrun, additional

Published
2024
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24. Clinical pathway of COVID-19 patients in primary health care in 30 European countries: Eurodata study

Author

Ares-Blanco, Sara, Guisado-Clavero, Marina, Ramos Del Rio, Lourdes, Gefaell Larrondo, Ileana, Fitzgerald, Louise, Adler, Limor, Assenova, Radost, Bakola, Maria, Bayen, Sabine, Brutskaya-Stempkovskaya, Elena, Busneag, Iliana-Carmen, Domeyer, Philippe-Richard, Gjorgjievski, Dragan, Hoffmann, Kathryn, Trifon Karathanos, Vasilis, Kirkovski, Aleksandar, Knežević, Snežana, Çimen Korkmaz, Büsra, Heleno, Bruno, Nessler, Katarzyna, Murauskienė, Liubovė, Neves, Ana Luisa, Parodi López, Naldy, Perjés, Ábel, Petek, Davorina, Petrazzuoli, Ferdinando, Petricek, Goranka, Seifert, Bohumil, Serafini, Alice, Sentker, Theresa, Tiili, Paula, Torzsa, Péter, Vaes, Bert, van Pottebergh, Gijs, Vinker, Shlomo, Astier-Peña, María Pilar, Gómez-Bravo, Raquel, Lingner, Heidrun, Clinical investigators†, and Clinical investigators

Subjects
Europe, primary health care, patient care management, Cross-Sectional Studies, standard of care, Critical Pathways, COVID-19, Humans, Pandemics, policy
Abstract

BACKGROUND: Most COVID-19 patients were treated in primary health care (PHC) in Europe. OBJECTIVES: To demonstrate the scope of PHC workflow during the COVID-19 pandemic emphasising similarities and differences of patient's clinical pathways in Europe. METHODS: Descriptive, cross-sectional study with data acquired through a semi-structured questionnaire in PHC in 30 European countries, created ad hoc and agreed upon among all researchers who participated in the study. GPs from each country answered the approved questionnaire. Main variable: PHC COVID-19 acute clinical pathway. All variables were collected from each country as of September 2020. RESULTS: COVID-19 clinics in PHC facilities were organised in 8/30. Case detection and testing were performed in PHC in 27/30 countries. RT-PCR and lateral flow tests were performed in PHC in 23/30, free of charge with a medical prescription. Contact tracing was performed mainly by public health authorities. Mandatory isolation ranged from 5 to 14 days. Sick leave certification was given exclusively by GPs in 21/30 countries. Patient hotels or other resources to isolate patients were available in 12/30. Follow-up to monitor the symptoms and/or new complementary tests was made mainly by phone call (27/30). Chest X-ray and phlebotomy were performed in PHC in 18/30 and 23/30 countries, respectively. Oxygen and low-molecular-weight heparin were available in PHC (21/30). CONCLUSION: In Europe PHC participated in many steps to diagnose, treat and monitor COVID-19 patients. Differences among countries might be addressed at European level for the management of future pandemics. ispartof: Eur J Gen Pract vol:29 issue:2 pages:2182879- ispartof: location:England status: published

Published
2023

25. Harnessing innovation to help meet the needs of elders: field testing an electronic tool to streamline geriatric assessments across healthcare settings.

Author

Adler, Limor, Radomyslsky, Zorian, Reuveni, Miri Mizrahi, Schejter, Eduardo, Yehoshua, Ilan, Segal, Yakov, Kivity, Sara, Naimi, Etti, and Saban, Mor

Subjects
*INTEGRATED health care delivery, *ELECTRONIC health records, *PRIMARY care, *LONG-term health care, *HIP fractures
Abstract

Background As populations age globally, effectively managing geriatric health poses challenges for primary care. Comprehensive geriatric assessments (CGAs) aim to address these challenges through multidisciplinary screening and coordinated care planning. However, most CGA tools and workflows have not been optimised for routine primary care delivery. Objective This study aimed to evaluate the impact of a computerised CGA tool, called the Golden Age Visit, implemented in primary care in Israel. Methods This study employed a quasiexperimental mixed-methods design to evaluate outcomes associated with the Golden Age electronic health assessment tool. Quantitative analysis used electronic medical records data from Maccabi Healthcare Services, the second largest health management organisation (HMO) in Israel. Patients aged 75 and older were included in analyses from January 2017 to December 2019 and January 2021 to December 2022. For patients, data were also collected on controls who did not participate in the Golden Age Visit programme during the same time period, to allow for comparison of outcomes. For physicians, qualitative data were collected via surveys and interviews with primary care physicians who used the Golden Age Visit SMARTEST e-assessment tool. Results A total of 9022 community-dwelling adults aged 75 and older were included in the study: 1421 patients received a Golden Age Visit CGA (intervention group), and 7601 patients did not receive the assessment (control group). After CGAs, diagnosis rates increased significantly for neuropsychiatric conditions and falls. Referrals to physiotherapy, occupational therapy, dietetics and geriatric outpatient clinics also rose substantially. However, no differences were found in rates of hip fracture or relocation to long-term care between groups. Surveys among physicians (n=151) found high satisfaction with the programme. Conclusion Implementation of a large-scale primary care CGA programme was associated with improved diagnosis and management of geriatric conditions. Physicians were also satisfied, suggesting good uptake and feasibility within usual care. Further high-quality studies are still needed but these results provide real-world support for proactively addressing geriatric health needs through structured screening models. [ABSTRACT FROM AUTHOR]

Published
2024
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33. Differences between Rural and Urban Practices in the Response to the COVID-19 Pandemic: Outcomes from the PRICOV-19 Study in 38 Countries

Author

Petrazzuoli, Ferdinando, primary, Collins, Claire, additional, Van Poel, Esther, additional, Tatsioni, Athina, additional, Streit, Sven, additional, Bojaj, Gazmend, additional, Asenova, Radost, additional, Hoffmann, Kathryn, additional, Gabrani, Jonila, additional, Klemenc-Ketis, Zalika, additional, Rochfort, Andrée, additional, Adler, Limor, additional, Windak, Adam, additional, Nessler, Katarzyna, additional, and Willems, Sara, additional

Published
2023
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35. The role of primary health care in long-term care facilities during the COVID-19 pandemic in 30 European countries: a retrospective descriptive study (Eurodata study)

Author

Guisado-Clavero, Marina, primary, Ares-Blanco, Sara, additional, Serafini, Alice, additional, Del Rio, Lourdes Ramos, additional, Larrondo, Ileana Gefaell, additional, Fitzgerald, Louise, additional, Vinker, Shlomo, additional, van Pottebergh, Gijs, additional, Valtonen, Kirsi, additional, Vaes, Bert, additional, Yilmaz, Canan Tuz, additional, Torzsa, Péter, additional, Tilli, Paula, additional, Sentker, Theresa, additional, Seifert, Bohumil, additional, Saurek-Aleksandrovska, Natalija, additional, Sattler, Martin, additional, Petricek, Goranka, additional, Petrazzuoli, Ferdinando, additional, Petek, Davorina, additional, Perjés, Ábel, additional, López, Naldy Parodi, additional, Neves, Ana Luisa, additional, Murauskienė, Liubovė, additional, Lingner, Heidrun, additional, Nessler, Katarzyna, additional, Heleno, Bruno, additional, Krztoń-Królewiecka, Anna, additional, Kostić, Milena, additional, Korkmaz, Büsra Çimen, additional, Knežević, Snežana, additional, Kirkovski, Aleksandar, additional, Karathanos, Vasilis Trifon, additional, Jandrić-Kočić, Marijana, additional, Ivanna, Shushman, additional, Ільков, Оксана, additional, Hoffmann, Kathryn, additional, Hanževački, Miroslav, additional, Gómez-Johansson, Mila, additional, Gjorgjievski, Dragan, additional, Domeyer, Philippe-Richard J., additional, Peña, Maryher Delphin, additional, Divjak, Asja Ćosić, additional, Busneag, Iliana-Carmen, additional, Brutskaya-Stempkovskaya, Elena, additional, Bayen, Sabine, additional, Bakola, Maria, additional, Adler, Limor, additional, Assenova, Radost, additional, Astier-Peña, María Pilar, additional, and Gómez Bravo, Raquel, additional

Published
2023
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39. Intermediate care in caring for dementia, the point of view of general practitioners: A key informant survey across Europe

Author

Dibao-Dina, Clarisse, primary, Oger, Caroline, additional, Foley, Tony, additional, Torzsa, Péter, additional, Lazic, Vanja, additional, Kreitmayer Peštiae, Sanda, additional, Adler, Limor, additional, Kareli, Ana, additional, Mallen, Christian, additional, Heaster, Cindy, additional, Dumitra, Gindrovel, additional, Kurpas, Donata, additional, Viegas, Rita, additional, Giezendanner, Stéphanie, additional, Tkachenko, Victoria, additional, De Lepeleire, Jan, additional, Falanga, Rosario, additional, Missiou, Aristea, additional, Jennings, Aisling, additional, and Petrazzuoli, Ferdinando, additional

Published
2022
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40. Association Between AZD7442 (Tixagevimab-Cilgavimab) Administration and Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection, Hospitalization, and Mortality

Author

Kertes, Jennifer, primary, Shapiro Ben David, Shirley, additional, Engel-Zohar, Noya, additional, Rosen, Keren, additional, Hemo, Beatriz, additional, Kantor, Avner, additional, Adler, Limor, additional, Shamir Stein, Naama, additional, Mizrahi Reuveni, Miri, additional, and Shahar, Arnon, additional

Published
2022
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43. Practice and System Factors Impact on Infection Prevention and Control in General Practice during COVID-19 across 33 Countries: Results of the PRICOV Cross-Sectional Survey

Author

Collins, Claire, primary, Van Poel, Esther, additional, Šantrić Milićević, Milena, additional, Tripkovic, Katica, additional, Adler, Limor, additional, Bjerve Eide, Torunn, additional, Murauskiene, Liubove, additional, Windak, Adam, additional, Nessler, Katarzyna, additional, Tahirbegolli, Bernard, additional, and Willems, Sara, additional

Published
2022
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45. Distress and wellbeing among general practitioners during COVID 19: supports required based on the results from the cross sectional PRICOV 19 study.

Author

UCL - SSS/IRSS - Institut de recherche santé et société, UCL - MD/RMED/CAMG - Centre académique de médecine générale, Collins, Claire, Clays, Els, Van Poel, Esther, Cholewa, Joanna, Ponsar, Cécile, Murauskiene, Liubove, Ožvačić, Zlata, Šantrić Milićević, Milena, Adler, Limor, Tripkovic, Katica, Bukumiric, Zoran, de Rouffignac, Ségolène, Windak, Adam, Asenova, Radost, Nessler, Katarzyna, Willems, Sara, 60th EQuiP Virtual Conference, UCL - SSS/IRSS - Institut de recherche santé et société, UCL - MD/RMED/CAMG - Centre académique de médecine générale, Collins, Claire, Clays, Els, Van Poel, Esther, Cholewa, Joanna, Ponsar, Cécile, Murauskiene, Liubove, Ožvačić, Zlata, Šantrić Milićević, Milena, Adler, Limor, Tripkovic, Katica, Bukumiric, Zoran, de Rouffignac, Ségolène, Windak, Adam, Asenova, Radost, Nessler, Katarzyna, Willems, Sara, and 60th EQuiP Virtual Conference

Abstract

Introduction: Emerging literature from all around the world is highlighting the huge toll of the COVID-19 pandemic on frontline health workers. However, prior the crisis, the wellbeing of this group was already of concern. Burnout is the most extreme form of this lack of wellbeing and its symptoms not only has a direct impact on the physician, but also on patients. Some studies have shown that, among physicians who report experiencing at least some signs of burnout, family medicine and emergency medicine physicians are among those at highest risk. [...]

Published
2022

46. Distress and wellbeing among general practitioners during COVID 19 results from the cross sectional PRICOV 19 study.

Author

UCL - SSS/IRSS - Institut de recherche santé et société, UCL - MD/RMED/CAMG - Centre académique de médecine générale, Collins, Claire, Clays, Els, Van Poel, Esther, Cholewa, Joanna, Ponsar, Cécile, Murauskiene, Liubove, Ožvačić, Zlata, Šantrić Milićević, Milena, Adler, Limor, Tripkovic, Katica, Bukumiric, Zoran, de Rouffignac, Ségolène, Windak, Adam, Asenova, Radost, Nessler, Katarzyna, Willems, Sara, UCL - SSS/IRSS - Institut de recherche santé et société, UCL - MD/RMED/CAMG - Centre académique de médecine générale, Collins, Claire, Clays, Els, Van Poel, Esther, Cholewa, Joanna, Ponsar, Cécile, Murauskiene, Liubove, Ožvačić, Zlata, Šantrić Milićević, Milena, Adler, Limor, Tripkovic, Katica, Bukumiric, Zoran, de Rouffignac, Ségolène, Windak, Adam, Asenova, Radost, Nessler, Katarzyna, and Willems, Sara

Published
2022

47. Distress and Wellbeing among General Practitioners in 33 Countries during COVID-19: Results from the Cross-Sectional PRICOV-19 Study to Inform Health System Interventions.

Author

UCL - SSS/IRSS - Institut de recherche santé et société, UCL - MD/RMED/CAMG - Centre académique de médecine générale, Collins, Claire, Clays, Els, Van Poel, Esther, Cholewa, Joanna, Tripkovic, Katica, Nessler, Katarzyna, de Rouffignac, Ségolène, Šantrić Milićević, Milena, Bukumiric, Zoran, Adler, Limor, Ponsar, Cécile, Murauskiene, Liubove, Ožvačić Adžić, Zlata, Windak, Adam, Asenova, Radost, Willems, Sara, UCL - SSS/IRSS - Institut de recherche santé et société, UCL - MD/RMED/CAMG - Centre académique de médecine générale, Collins, Claire, Clays, Els, Van Poel, Esther, Cholewa, Joanna, Tripkovic, Katica, Nessler, Katarzyna, de Rouffignac, Ségolène, Šantrić Milićević, Milena, Bukumiric, Zoran, Adler, Limor, Ponsar, Cécile, Murauskiene, Liubove, Ožvačić Adžić, Zlata, Windak, Adam, Asenova, Radost, and Willems, Sara

Abstract

Emerging literature is highlighting the huge toll of the COVID-19 pandemic on frontline health workers. However, prior to the crisis, the wellbeing of this group was already of concern. The aim of this paper is to describe the frequency of distress and wellbeing, measured by the expanded 9-item Mayo Clinic Wellbeing Index (eWBI), among general practitioners/family physicians during the COVID-19 pandemic and to identify levers to mitigate the risk of distress. Data were collected by means of an online self-reported questionnaire among GP practices. Statistical analysis was performed using SPSS software using Version 7 of the database, which consisted of the cleaned data of 33 countries available as of 3 November 2021. Data from 3711 respondents were included. eWBI scores ranged from -2 to 9, with a median of 3. Using a cutoff of ≥2, 64.5% of respondents were considered at risk of distress. GPs with less experience, in smaller practices, and with more vulnerable patient populations were at a higher risk of distress. Significant differences in wellbeing scores were noted between countries. Collaboration from other practices and perception of having adequate governmental support were significant protective factors for distress. It is necessary to address practice- and system-level organizational factors in order to enhance wellbeing and support primary care physicians.

Published
2022

49. Distress and Wellbeing among General Practitioners in 33 Countries during COVID-19: Results from the Cross-Sectional PRICOV-19 Study to Inform Health System Interventions

Author

Collins, Claire, primary, Clays, Els, additional, Van Poel, Esther, additional, Cholewa, Joanna, additional, Tripkovic, Katica, additional, Nessler, Katarzyna, additional, de Rouffignac, Ségolène, additional, Šantrić Milićević, Milena, additional, Bukumiric, Zoran, additional, Adler, Limor, additional, Ponsar, Cécile, additional, Murauskiene, Liubove, additional, Ožvačić Adžić, Zlata, additional, Windak, Adam, additional, Asenova, Radost, additional, and Willems, Sara, additional

Published
2022
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