A reflection on the impact of COVID-19 on primary care in the United Kingdom

Gray, Richard; Sanders, Chris

doi:10.1080/13561820.2020.1823948

Cited by 73 publications

(80 citation statements)

References 17 publications

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“…Moreover, under the COVID-19 pandemic, physicians caring for COVID-19-infected patients have been endangered by the risk of contagion and possible mortality. Actually, the deaths of medical staff have been increasingly reported worldwide [17], and the lack of personal protective equipment was considered as a common cause [18]. These negative psychological changes were also mentioned by the participants in our study as "feeling unsafe on the job".…”

Section: Comparison With Existing Literaturesupporting

confidence: 55%

General practitioner trainees’ career perspectives after COVID-19: a qualitative study in China

et al. 2021

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Background The coronavirus disease 2019 (COVID-19) has been a worldwide public health emergency that has put great pressure on medical workers and the medical system. General Practitioners (GPs) played an important role in controlling the epidemic, and GP trainees also took an active part in this approach. This study was to explore Chinese GP trainees’ career perspectives after COVID-19. Methods We conducted a qualitative research study which included 12 GP trainees from three teaching hospitals in China. Semi-structured telephone interviews were conducted. Grounded theory and thematic analysis were used to code the data and identify categories and factors. Results Eleven participants chose to continue a GP career after COVID-19, and nearly half of the participants strengthened their determination to dedicate themselves to this career. Only one participant decided to change the career choice because of interest in another specialty. Four main themes influencing GP trainees’ perceptions of career development after COVID-19 emerged from the interviews: changes of GPs’ work content in COVID-19, challenges of being a GP, psychological changes of the career, how to provide better primary care. Although some negative psychological changes existed, most of participants were inspired by role models and medical colleagues. They had more in-depth understanding of GPs’ role and responsibility during COVID-19, and exhibited intensions for self-improvement in career development, especially in public health education and self-protection in preventing infectious diseases. In addition, the wide use of telemedicine provided a new work way for GP trainees. However, challenges, such as increased workloads, low income, lack of resources in primary medical institutions, and distrust of GPs are faced by trainees during the outbreak. Conclusions Overall, no substantial changes were seen in the career choice of GP trainees after COVID-19 outbreak. However, they were inspired and had an in-depth understanding about the GP’s work and responsibility during an epidemic. Owing to the challenges faced by the GPs, measures are needed to improve the GP education and work environment in the training phase.

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Section: Comparison With Existing Literaturesupporting

confidence: 55%

General practitioner trainees’ career perspectives after COVID-19: a qualitative study in China

et al. 2021

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“…Telehealth, particularly in times of pandemic, has a prominent place in the training process in health sciences, it constitutes the ideal tool to show its curricular content in circumstances that highlight the true value of this aspect of health care In this sense, the student learns that primary care allows the coordination, continuity and integration of health systems by promoting teamwork between specialists and general practitioners, and between different fields of medicine, it also encourages greater community participation in the care and administration of their health, all this from the comfort of their homes and without the risk of contagion, on the basis that digital education is as effective as traditional learning in the formation of communication skills, supporting the promotion of health. In general terms, it is a redesign or reinvention of primary care training just when it is most useful, in the midst of the COVID-19 pandemic, consequently students learn by doing [17,18].…”

Section: Preparation In Primary Care Of Health Sciences Students Based On Telehealth and Covid-19mentioning

confidence: 99%

Telehealth in Education and Research in Primary Care in Pandemic: COVID-19 Case

Bastidas¹,

Baez²,

Bastidas³

2021

IJCEMR

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The use of electronic services through a wide range of communication platforms to provide knowledge in order to provide health to populations, in what is known as telehealth. This article shows scientific evidence of the merit of the use of telehealth in the education of health sciences students and in primary care research during the COVID-19 pandemic as central axes for the success of health control programs in the approach to this emerging disease, based on the review of scientific studies in digital format published up to May 2021 that met the inclusion criteria (originality, adequate conclusions and no duplication). The information found is organized into three sections to facilitate reading and understanding, namely: telehealth in the COVID-19 pandemic; preparation in primary care of health sciences students based on telehealth and COVID-19; and research in primary care in times of information and communication technology and the COVID-19 pandemic. Finally, as a product of the analysis, the authors provide conclusions.

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“…Esos resultados serían mejores que los que se obtuvieron con la estrategia centrada en la hegemonía hospitalaria que se llevó adelante en casi todos los países, y que obligó a que los pacientes sintomáticos consultaran directamente en el hospital (y en el trayecto hacia la consulta diseminaran el virus), en vez de ser visitados en sus domicilios para una detección precoz que evitara la multiplicación de contagios. En Italia e Inglaterra llegan a conclusiones similares vinculadas a la experiencia con la pandemia (15,16) .…”

Section: Fundamentosunclassified

Construir una nueva hegemonía institucional en el campo de la salud

Spinelli

2020

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Este texto propone la construcción de una nueva hegemonía institucional de configuración rizomática basada en los centros de salud y en relación directa con una red hospitalaria de complejidad creciente al servicio de estos centros de salud y no a la inversa. Propone equipos de trabajadores para esos centros con anclaje territorial, que desarrollen prácticas humanizadas centradas en el paso de la atención al cuidado en cada territorio, respetando las singularidades e idiosincrasia de los habitantes y sus culturas. En primer lugar, se realiza una breve síntesis histórica del devenir de los centros de salud y de los hospitales. En segundo lugar, se realizan propuestas técnicas para reformular los modelos de atención y organización en las instituciones del campo de la salud y propuestas tecno-políticas para la nueva hegemonía institucional, que se desarrolla en tres dimensiones: organización, políticas y procesos de atención y cuidado. Por último, se identifican obstáculos en la construcción de esta nueva hegemonía.

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A reflection on the impact of COVID-19 on primary care in the United Kingdom

Cited by 73 publications

References 17 publications

General practitioner trainees’ career perspectives after COVID-19: a qualitative study in China

General practitioner trainees’ career perspectives after COVID-19: a qualitative study in China

Telehealth in Education and Research in Primary Care in Pandemic: COVID-19 Case

Construir una nueva hegemonía institucional en el campo de la salud

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