Triage of patients and remote consultations in primary care facilities during the COVID-19 pandemic in France (PRICOV-19 study)

IF 0.3 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Sante Publique Pub Date : 2023-12-11 DOI:10.3917/spub.234.0393

Laura Viegas, Isabelle Dupie, Laurent Rigal, Esther Van Poel, Sara Willems, Alain Beaupin, Hector Falcoff

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引用次数: 0

Abstract

Introduction: PRICOV-19 is a European cross-sectional study based on an online questionnaire, describing the impact of the pandemic on primary care structures (PCS). In France, PCS are solo practices (SP), single or multi-professional group practices (GP), coordinated practice structures (CPS): health houses and health centers. Triage, whether it is digital (TD), by telephone (TT) or at the reception (TR), is essential to reduce the risk of infection, and is part of recommended organizational practices.

Purpose of research: Based on French data from the PRICOV-19 study, the objective is to describe the frequency and factors associated with triage in PCSs during the COVID 19 pandemic.

Results: 1100 structures responded to the survey. The TD was implemented in 64% of PCSs (53.3% of SPs, 64.9% of GPs, 73.2% of CPSs). The TT was implemented in 76% of structures (72.7% of SPs, 75.4% of GPs and 81% of CPSs). Finally, TR was implemented in 52% of structures (37.7% of SPs, 52% of GPs and 67% of CPSs). The other positively associated factors are the urban territory and the lower workload for the TD, and the presence of a receptionist for the TR.

Conclusions: Triage practices seem to be clearly associated with the organization and working conditions in the PCSs, and first and foremost with the type of structure.

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法国 COVID-19 大流行期间基层医疗机构的病人分流和远程会诊（PRICOV-19 研究）

介绍：PRICOV-19 是一项基于在线问卷的欧洲横断面研究，描述了大流行病对初级医疗机构 (PCS) 的影响。在法国，初级医疗机构包括个体诊所 (SP)、单个或多个专业团体诊所 (GP)、协调诊所 (CPS)：医疗之家和医疗中心。无论是数字分诊（TD）、电话分诊（TT）还是前台分诊（TR），都是降低感染风险的关键，也是推荐的组织实践的一部分：研究目的：根据法国 PRICOV-19 研究的数据，目的是描述在 COVID 19 大流行期间 PCS 分流的频率和相关因素：结果：1100 家机构对调查做出了回应。64%的PCS（53.3%的SP、64.9%的GP、73.2%的CPS）实施了TD。76%的机构（72.7%的专业人员、75.4%的一般事务人员和 81%的社区专业人员）实施了 TT。最后，52%的机构采用了 TR（37.7%的 SP、52%的 GP 和 67%的 CPS）。其他正相关因素包括城市地区、分诊医生工作量较少以及分诊医生有接待员：分诊实践似乎与 PCS 的组织和工作条件明显相关，首先是与结构类型相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

0.40

自引率

33.30%

发文量

252

审稿时长

>12 weeks

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