Five Primary care teams facing the Covid Pandemic :        analysis of territorial mobilizations

Schweyer, François‐Xavier; Fiquet, Laure; Fleuret, Sébastien; Blois, Marie; Garnier, Marie; Géal, Antoine; Ramond-Roquin, Aline

doi:10.4000/rfst.1268

Cited by 1 publication

(3 citation statements)

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“…This increased collaboration may also have been facilitated by sharing of resources (financial means, protocols, workforce), prior to the pandemic, that could be rapidly mobilized during the pandemic. The role of interprofessional practice, in France, during the pandemic has been documented in some qualitative studies [16,47]. Moreover, we have reported that interdisciplinary practice played an essential role for assuring care continuity for frail patients during the pandemic [48].…”

Section: Discussionmentioning

confidence: 77%

“…In France, some centers were closed after only a few months, whereas others evolved to offer diagnostic tests and vaccinations. Overall, centers organized within pre-existing primary care structures seemed to be more efficient in adapting their resources to the pandemic and healthcare needs (e.g., pandemic waves and vaccination strategies) [16]. They also tended to exist for longer.…”

Section: Discussionmentioning

confidence: 99%

“…In France, the primary healthcare mobilization, during the COVID pandemic, was reported to be heterogeneous by some exploratory studies [16]. The French interdisciplinary primary care research network ("Assembler, Coordonner, COmprendre, Rechercher, Débattre en soin primaires [ACCORD]") performed two national surveys to assess how primary care professionals, in particular general practitioners (GPs) adapted to the pandemic, and to identify the factors, particularly organizational factors, associated with these adaptions [17].…”

Section: Introductionmentioning

confidence: 99%

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French General Practitioners’ Adaptations for Patients with Suspected COVID-19 in May 2020

Ramond-Roquin

Gautier

Breton

et al. 2023

IJERPH

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In France, towards the end of the first lockdown, COVID-19 management was largely transferred from hospitals to primary care. Primary care actors adapted their practices to ensure patients’ access to care, while limiting contamination. In this study, we aimed to identify patterns of adaptations implemented by French general practitioners (GPs) in May 2020 for outpatients with confirmed or suspected COVID-19, and factors associated with these adaptions. A French survey concerning care organization adaptations, and individual, organizational, and territorial characteristics, was sent to GPs. Data were analyzed by multiple correspondence analysis followed by agglomerative hierarchical clustering to identify GPs’ adaptation clusters. A multinomial logistic regression model estimated the associations between clusters and individual, organizational, and territorial factors. Finally, 3068 surveys were analyzed (5.8% of French GPs). Four GPs’ adaptation clusters were identified: autonomous medical reorganization (64.2% of responders), interprofessional reorganization (15.9%), use of hospital (5.1%), and collaboration with COVID-19 outpatient centers (14.8%). Age, practice type and size, and territorial features were significantly associated with adaptation clusters. Our results suggest that healthcare systems should consider organizational features of primary care to effectively deal with future challenges, including healthcare crises, such as the COVID-19 pandemic, but also those linked to epidemiologic and societal changes.

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Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 99%