Impact of COVID-19 on Primary Care Practice Sites and Their Vulnerable Patients
| Autor: | Scott Thomas, Bianca Mulaney, Jennifer L Hefner, Alan Glaseroff, Ingrid M Nembhard, Sara S Kelly, Sara J. Singer, Jill R. Glassman, Adam Jauregui, Maike Tietschert, Stacie Vilendrer, Grace Joseph |
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| Přispěvatelé: | Organization Sciences, Network Institute, Organization & Processes of Organizing in Society (OPOS), Hefner, Jennifer L., Nembhard, Ingrid M. |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Variables
Emergency management Coronavirus disease 2019 (COVID-19) virtual visits business.industry Financial risk media_common.quotation_subject emergency preparedness Primary care Explained variation Preference process innovation primary care Nursing SDG 3 - Good Health and Well-being Psychology business Survey Reimbursement media_common vulnerable populations |
| Zdroj: | The Contributions of Health Care Management to Grand Health Care Challenges Singer, S, Glassman, J, Joseph, G, Jauregui, A, Mulaney, B, Kelly, S, Thomas, S, Vilendrer, S & Tietschert, M 2021, Impact of COVID-19 on Primary Care Practice Sites and Their Vulnerable Patients . in J L Hefner & I M Nembhard (eds), The Contributions of Health Care Management to Grand Health Care Challenges . Advances in Health Care Management, vol. 20, Emerald Publishing Limited . https://doi.org/10.1108/S1474-823120210000020009 |
| DOI: | 10.1108/S1474-823120210000020009 |
| Popis: | Purpose: While COVID-19 has upended lives, it has also catalyzed innovation with potential to advance health delivery. Yet, we know little about how the delivery system, and primary care in particular, has responded and how this has impacted vulnerable patients. We aimed to understand the impact of COVID-19 on primary care practice sites and their vulnerable patients and to identify explanations for variation. Approach: We developed and administered a survey to practice managers and physician leaders from 173 primary care practice sites, October-November 2020. We report and graphically depict results from univariate analysis and examine potential explanations for variation in practices' process innovations in response to COVID-19 by assessing bivariate relationships between seven dependent variables and four independent variables. Findings: Among 96 (55.5%) respondents, primary care practice sites on average took more safety (8.5 of 12) than financial (2.5 of 17) precautions in response to COVID-19. Practice sites varied in their efforts to protect patients with vulnerabilities, providing care initially postponed, and experience with virtual visits. Financial risk, practice size, practitioner age, and emergency preparedness explained variation in primary care practices' process innovations. Many practice sites plan to sustain virtual visits, dependent mostly on patient and provider preference and continued reimbursement. Value: While findings indicate rapid and substantial innovation, conditions must enable primary care practice sites to build on and sustain innovations, to support care for vulnerable populations, including those with multiple chronic conditions and socio-economic barriers to health, and to prepare primary care for future emergencies. |
| Databáze: | OpenAIRE |
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