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).

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

Background and aim: Primary health care (PHC) supported long-term care facilities (LTCFs) in attending COVID-19 patients. The aim of this study is to describe the role of PHC in LTCFs in Europe during the early phase of the pandemic.

Methods: Retrospective descriptive study from 30 European countries using data from September 2020 collected with an ad hoc semi-structured questionnaire. Related variables are SARS-CoV-2 testing, contact tracing, follow-up, additional testing, and patient care.

Results: Twenty-six out of the 30 European countries had PHC involvement in LTCFs during the COVID-19 pandemic. PHC participated in initial medical care in 22 countries, while, in 15, PHC was responsible for SARS-CoV-2 test along with other institutions. Supervision of individuals in isolation was carried out mostly by LTCF staff, but physical examination or symptom's follow-up was performed mainly by PHC.

Conclusion: PHC has participated in COVID-19 pandemic assistance in LTCFs in coordination with LTCF staff, public health officers, and hospitals.

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新冠肺炎大流行期间30个欧洲国家初级卫生保健在长期护理机构中的作用:一项回顾性描述性研究(欧洲数据研究)。
背景和目的:初级卫生保健(PHC)支持长期护理机构(LTCF)照顾新冠肺炎患者。本研究的目的是描述PHC在大流行早期欧洲LTCF中的作用。方法:对30个欧洲国家进行回顾性描述性研究,使用2020年9月收集的数据,采用临时半结构化问卷。相关变量包括严重急性呼吸系统综合征冠状病毒2型检测、接触者追踪、随访、额外检测和患者护理。结果:在新冠肺炎大流行期间,30个欧洲国家中有20个国家的PHC参与了LTCF。PHC参与了22个国家的初步医疗保健,而在15个国家,PHC与其他机构一起负责严重急性呼吸系统综合征冠状病毒2型检测。对隔离人员的监督主要由LTCF工作人员进行,但体检或症状随访主要由PHC进行。结论:PHC与LTCF工作人员、公共卫生官员和医院协调,参与了LTCF的新冠肺炎大流行援助。
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