Moving forward after the COVID-19 pandemic: Lessons learned in primary care from the multi-country PRICOV-19 study.

IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL European Journal of General Practice Pub Date : 2024-12-01 Epub Date: 2024-03-21 DOI:10.1080/13814788.2024.2328716
Sara Willems, Pierre Vanden Bussche, Esther Van Poel, Claire Collins, Zalika Klemenc-Ketis
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引用次数: 0

Abstract

Background: The COVID-19 pandemic has accentuated the indispensable role of primary care. Objectives: Recognising this, the PRICOV-19 study investigated how 5,489 GP practices across 38 countries (Austria, Belgium, Bosnia and Herzegovina, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Israel, Italy, Kosovo*, Latvia, Lithuania, Luxembourg, Malta, Republic of Moldova, Netherlands, North Macedonia, Norway, Poland, Portugal, Romania, Serbia, Slovenia, Spain, Sweden, Switzerland, Turkey, Ukraine, and United Kingdom) adapted their care delivery during the pandemic.

Methods: Based on a series of discussions on the results of the PRICOV-19 study group, eight recommendations to enhance primary care's preparedness for future crises were formulated and endorsed by EQuiP and WONCA Europe.

Results: The recommendations underscore the importance of recognising and sustaining the substantial strides made in patient safety within GP practices during the pandemic in current daily practices; acknowledging and supporting the pivotal role of GP practices in addressing health inequalities during crises; adopting interprofessional care models to enhance practices' resilience and adaptability to change; supporting training practices; creating healthy working environments; investing in infrastructure that supports adequate and safe care; and increasing funding for research on patient safety and primary care quality to inform evidence-based health policies and fostering international knowledge exchange among healthcare professionals and policymakers.

Conclusion: Policymakers, primary care associations, and the broader healthcare system are urged to collaboratively take responsibility and increase support for GP practices to enhance their resilience, adaptability, and capacity to deliver safe and equitable healthcare during future crises.

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在 COVID-19 大流行后继续前进:从多国 PRICOV-19 研究中吸取的初级保健经验教训。
背景:COVID-19 大流行凸显了初级保健不可或缺的作用。研究目的有鉴于此,PRICOV-19 研究调查了 38 个国家(奥地利、比利时、波斯尼亚和黑塞哥维那、保加利亚、克罗地亚、塞浦路斯、捷克共和国、丹麦、爱沙尼亚、芬兰、法国、德国、希腊、匈牙利、冰岛、爱尔兰、以色列、意大利、科索沃*、拉脱维亚、立陶宛、卢森堡、马耳他、摩尔多瓦共和国、荷兰、北马其顿、挪威、波兰、葡萄牙、罗马尼亚、塞尔维亚、斯洛文尼亚、西班牙、瑞典、瑞士、土耳其、乌克兰和英国)的 5,489 家全科医生诊所在大流行期间如何调整其医疗服务:方法:根据 PRICOV-19 研究小组的一系列讨论结果,EQuiP 和 WONCA Europe 制定并批准了八项建议,以加强基层医疗机构对未来危机的准备:结果:这些建议强调了以下几点的重要性:在当前的日常实践中,承认并保持全科医生诊所在大流行病期间在患者安全方面取得的长足进步;承认并支持全科医生诊所在危机期间解决健康不平等问题方面的关键作用;采用跨专业护理模式,以提高诊所的应变能力和对变化的适应能力;支持培训实践;创造健康的工作环境;投资于支持充分和安全护理的基础设施;以及增加对患者安全和初级护理质量研究的资助,以便为循证卫生政策提供信息,并促进医疗保健专业人员和政策制定者之间的国际知识交流。结论:我们敦促政策制定者、初级医疗协会和更广泛的医疗保健系统共同承担起责任,加大对全科医疗机构的支持力度,以提高它们的应变能力、适应能力以及在未来危机中提供安全、公平的医疗保健服务的能力。
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来源期刊
European Journal of General Practice
European Journal of General Practice PRIMARY HEALTH CARE-MEDICINE, GENERAL & INTERNAL
CiteScore
5.10
自引率
5.90%
发文量
31
审稿时长
>12 weeks
期刊介绍: The EJGP aims to: foster scientific research in primary care medicine (family medicine, general practice) in Europe stimulate education and debate, relevant for the development of primary care medicine in Europe. Scope The EJGP publishes original research papers, review articles and clinical case reports on all aspects of primary care medicine (family medicine, general practice), providing new knowledge on medical decision-making, healthcare delivery, medical education, and research methodology. Areas covered include primary care epidemiology, prevention, diagnosis, pharmacotherapy, non-drug interventions, multi- and comorbidity, palliative care, shared decision making, inter-professional collaboration, quality and safety, training and teaching, and quantitative and qualitative research methods.
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