General practitioners' experiences delivering essential care services during the 2020 and 2021 COVID-19-related lockdowns.

IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Pallavi Prathivadi, Mridula Shankar, Asvini Subasinghe, Jennie Raymond, Cathy Grech, Danielle Mazza
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引用次数: 0

Abstract

Background and objectives: The UK provided guidance for general practitioners (GPs) to deliver essential care services during the COVID-19 pandemic. Our objective was to describe local GP experiences and approaches to delivering care while similar formal guidance in Australia was unavailable.

Method: Two hundred and ninety-one GPs who practised during the March 2020 to December 2021 COVID-19 lockdowns in Melbourne and Sydney undertook an electronic survey exploring perceptions of essential care service delivery. The provision of care by Australian practices was compared to UK Royal College of General Practitioners' recommendations.

Results: Of 274 completed surveys, Australian GP practices were 60% concordant with UK guideline recommendations. There was a large shift towards telehealth service provision across the board, from diagnosis to follow-up. Most care continued if it was deliverable through telehealth or had urgent or time-sensitive need.

Discussion: Local guidance for delivery of essential care services should be developed for future calamities, informed by GPs' experience practising during the COVID 19 pandemic and considering Australian contextual factors.

全科医生在 2020 年和 2021 年与 COVID-19 相关的封锁期间提供基本医疗服务的经验。
背景和目标:英国为全科医生(GP)在 COVID-19 大流行期间提供基本护理服务提供了指导。我们的目标是在澳大利亚没有类似正式指南的情况下,描述当地全科医生提供医疗服务的经验和方法:我们对墨尔本和悉尼在 2020 年 3 月至 2021 年 12 月 COVID-19 封锁期间执业的 291 名全科医生进行了电子调查,以了解他们对提供基本医疗服务的看法。澳大利亚医疗机构提供的医疗服务与英国皇家全科医师学院的建议进行了比较:结果:在完成的 274 份调查中,澳大利亚全科医生诊所有 60% 符合英国指南的建议。从诊断到随访,全面转向了远程医疗服务。如果可以通过远程医疗提供服务,或者有紧急或时间敏感的需求,大多数护理都会继续:讨论:应借鉴全科医生在 COVID 19 大流行期间的执业经验,并考虑澳大利亚的背景因素,为未来的灾难制定提供基本医疗服务的地方指南。
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来源期刊
Australian Journal of General Practice
Australian Journal of General Practice Medicine-Family Practice
CiteScore
2.80
自引率
4.50%
发文量
284
期刊介绍: The Australian Journal of General Practice (AJGP) aims to provide relevant, evidence-based, clearly articulated information to Australian general practitioners (GPs) to assist them in providing the highest quality patient care, applicable to the varied geographic and social contexts in which GPs work and to all GP roles as clinician, researcher, educator, practice team member and opinion leader. All articles are subject to peer review before they are accepted for publication.
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