Patients' and clinicians' perspectives on the primary care consultations for acute respiratory infections during the first wave of the COVID-19 pandemic: an eight-country qualitative study in Europe.

Autor:	Wanat M; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK., Hoste ME; Department of Family Medicine and Population Health, University of Antwerp, Antwerp, Belgium melanie.hoste@uantwerpen.be.; Laboratory of Medical Microbiology, Vaccine & Infectious Disease Institute, University of Antwerp, Antwerp, Belgium., Gobat NH; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK., Anastasaki M; Clinic of Social and Family Medicine, Faculty of Medicine, University of Crete, Crete, Greece., Böhmer F; Institute of General Practice, Rostock University Medical Centre, Rostock, Germany., Chlabicz S; Department of Family Medicine, Medical University of Bialystok, Bialystok, Poland., Colliers A; Department of Family Medicine and Population Health, University of Antwerp, Antwerp, Belgium., Farrell K; School of Medicine, National University of Ireland, Galway, Ireland., Hollerbach S; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK., Karkana MN; Clinic of Social and Family Medicine, Faculty of Medicine, University of Crete, Crete, Greece., Kinsman J; European Centre for Disease Prevention and Control, Solna, Sweden., Lionis C; Clinic of Social and Family Medicine, Faculty of Medicine, University of Crete, Crete, Greece., Marcinowicz L; Department of Obstetrics, Gynaecology and Maternity Care, Medical University of Bialystok, Bialystok, Poland., Reinhardt K; Institute of General Practice, Rostock University Medical Centre, Rostock, Germany., Skoglund I; General Practice/Family Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Sweden, Sweden.; Research, Education, Development & Innovation, Primary Health Care, Region Västra Götaland, Sweden., Sundvall PD; General Practice/Family Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Sweden, Sweden.; Research, Education, Development & Innovation, Primary Health Care, Region Västra Götaland, Sweden., Vellinga A; School of Medicine, National University of Ireland, Galway, Ireland.; HRB Primary Care Clinical Trials Network, Ireland., Goossens H; Laboratory of Medical Microbiology, Vaccine & Infectious Disease Institute, University of Antwerp, Antwerp, Belgium.; Laboratory of Clinical Microbiology, Antwerp University Hospital, Edegem, Belgium., Butler CC; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.; National Institute for Health Research Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance, University of Oxford in Partnership with Public Health England, Oxford, UK., van der Velden A; Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, the Netherlands., Anthierens S; Department of Family Medicine and Population Health, University of Antwerp, Antwerp, Belgium., Tonkin-Crine S; Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.; National Institute for Health Research Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance, University of Oxford in Partnership with Public Health England, Oxford, UK.
Jazyk:	angličtina
Zdroj:	BJGP open [BJGP Open] 2022 Aug 30; Vol. 6 (2). Date of Electronic Publication: 2022 Aug 30 (Print Publication: 2022).
DOI:	10.3399/BJGPO.2021.0172
Abstrakt:	Background: The impact of the COVID-19 pandemic on patients' and clinicians' perceptions of healthcare-seeking behaviour and delivery of care is unclear. The pandemic accelerated the use of remote care, and understanding its benefits and drawbacks may inform its implementation during current and future healthcare emergencies. Aim: To explore patients' and primary care professionals' (PCPs) experiences of primary care delivery in the first wave of the pandemic. Design & Setting: Qualitative study using semi-structured interviews in primary care in eight European countries (England, Ireland, Belgium, the Netherlands, Greece, Poland, Sweden, and Germany). Method: A total of 146 interviews were conducted with 80 PCPs and 66 patients consulting for respiratory tract infection (RTI) symptoms, in eight European countries. Data were collected between April and July 2020, and analysed using thematic analysis. Results: It was found that patients accepted telemedicine when PCPs spent time to understand and address their concerns, but a minority preferred in-person consultations. PCPs felt that remote consultations created emotional distance between themselves and patients, and they reported having to manage diverse COVID-19-related medical and social concerns. Conclusion: Remote consultations for RTI symptoms may be acceptable long term if both groups are happy to use this format, but it is important that PCPs take time to address patients' concerns and provide safety-netting advice. (Copyright © 2022, The Authors.)
Databáze:	MEDLINE
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