How COVID-19 has affected general practice consultations and income: general practitioner cross-sectional population survey evidence from Ireland

Homeniuk, Robyn; Collins, Claire

doi:10.1136/bmjopen-2020-044685

Cited by 53 publications

(54 citation statements)

References 17 publications

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“…First, the COVID-19 crisis has negatively impacted the activity of general and specialized practices. For example, a survey of approximately 530 general practitioners from Ireland revealed that the number of face-to-face consultations went from 32,160 in February 2020 to 10,484 in June 2020 (Homeniuk and Collins 2021 ). Another study including 678 dermatologists surveyed between April and May 2020 showed that daily clinical activity had reduced by more than 75% during the pandemic for almost half of the sample, while approximately 40% of participants reported working fewer days per week compared with before the COVID-19 pandemic (Conforti et al 2021 ).…”

Section: Discussionmentioning

confidence: 99%

Decrease in the number of patients diagnosed with cancer during the COVID-19 pandemic in Germany

Jacob

Kalder

Kostev³

2022

J Cancer Res Clin Oncol

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Purpose Little is known on how coronavirus disease 2019 (COVID-19) has impacted cancer diagnosis in Germany since the first lockdown in March 2020. Therefore, this retrospective study aimed to compare the number of patients newly diagnosed with cancer in general and specialized practices in Germany between April 2020–March 2021 and April 2019–March 2020. Methods Patients aged ≥ 18 years with at least 1 visit to 1 of 1403 general and specialized practices in Germany in April 2020–March 2021 ( n = 3,804,596) and April 2019–March 2020 ( n = 3,913,386) were included in this retrospective study. Specialized practices were composed of gynecology, dermatology and urology practices. Cancer diagnoses included all types of cancer documented using the International Classification of Diseases, 10th revision (ICD-10 codes: C00-C97). The number of patients newly diagnosed with cancer per practice was compared between April 2020–March 2021 and April 2019–March 2020 using Wilcoxon tests. Results There were 126,379 and 138,996 patients diagnosed with cancer in April 2020–March 2021 and April 2019–March 2020, respectively. The number of patients diagnosed with cancer decreased in all types of practice, and this decrease was significant in general practices (− 7.1%, p value = 0.038). In terms of cancer type, this decrease was particularly pronounced for skin cancers (− 12.8%, p value = 0.025). Conclusion The COVID-19 pandemic has been associated with a decrease in the number of patients newly diagnosed with cancer in general and specialized practices in Germany. Public health interventions are urgently warranted to mitigate the deleterious effects of this health crisis on cancer diagnosis.

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Section: Discussionmentioning

confidence: 99%

Decrease in the number of patients diagnosed with cancer during the COVID-19 pandemic in Germany

Jacob

Kalder

Kostev³

2022

J Cancer Res Clin Oncol

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“…Given that the data from this survey were collected during the peak of the pandemic in Italy, it is also likely that this number might be due to the difficulties in mobility experienced by citizens while the lockdown measures were being implemented, as well as the fear of being infected by the virus by visiting clinics and hospitals [ 27 ], even though telephone consultations were generally available at the time. However, this may also be symptomatic of a lack of patient trust in their primary doctor and of the perception of hindrances in the direct communication with him/her [ 28 , 29 ]. Doctor-patient communication has been largely demonstrated to be a crucial factor of sustaining patient engagement in self-management [ 30 , 31 , 32 ].…”

Section: Discussionmentioning

confidence: 99%

Patients’ Engagement in Early Detection of COVID-19 Symptoms: An Observational Study in the Very Early Peak of the Pandemic in Italy in 2020

Palamenghi

Giudici

Graffigna

et al. 2022

IJERPH

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COVID-19 exerted a strong impact on the Italian healthcare systems, which in turn resulted in a reduction in the citizens’ trust towards healthcare authorities. Moreover, the focused attention on the typical COVID-19 symptoms (fever, cough) has also impacted the social representation of health priorities, potentially reducing the perceived importance and severity of other symptoms. This study aimed to determine the association of general-practitioner (GP) contact with various symptoms during the COVID-19 pandemic in Cremona, an Italian city at the very epicentre of the pandemic. Between April and June 2020, an anonymous survey was completed by 2161 respondents. Logistic-regression analyses were used to examine the associations of GP contact with sociodemographic characteristics and the presence of symptoms. Of the 2161 respondents (43.5% female, 75.0% aged less than 55 years), 959 (44.4%) reported experiencing various symptoms and 33.3% contacted a GP. GP contact was significantly associated with poor appetite (OR, 2.42; 95% CI 1.63 to 3.62; p < 0.001), taste dysfunctions (OR 1.67; 95% CI 1.20 to 2.34; p < 0.001) and sleepiness during the day (OR 4.15; 95% CI 2.13 to 8.09; p = 0.002). None of the gastrointestinal symptoms resulted in significantly increasing the likelihood of contacting a GP. This study offers a unique observation of citizens’ attitudes and behaviours in early symptom communication/detection during the initial peak of the Italian COVID-19 pandemic.

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“…In There has been a significant increase in the use of telemedicine for GP and other healthcare consultations since the onset of the pandemic. Homeniuk and Collins (2021), for example, found that prior to the pandemic, 10.5 per cent of GP consultations in Ireland were telemedicine, compared to 57 per cent during the pandemic. It remains to be seen if telemedicine consultations will continue to be a significant feature of primary care as the COVID-19 pandemic and associated restrictions dissipate.…”

Section: Primary Care and The Covid-19 Pandemicmentioning

confidence: 99%

An Analysis of the Primary Care Systems of Ireland and Northern Ireland

Connolly¹,

Brick²,

O’Neill³

et al. 2022

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The mission of the Economic and Social Research Institute is to advance evidencebased policymaking that supports economic sustainability and social progress in Ireland. ESRI researchers apply the highest standards of academic excellence to challenges facing policymakers, focusing on 12 areas of critical importance to 21 st century Ireland.The Institute was founded in 1960 by a group of senior civil servants led by Dr T. K. Whitaker, who identified the need for independent and in-depth research analysis to provide a robust evidence base for policymaking in Ireland.Since then, the Institute has remained committed to independent research and its work is free of any expressed ideology or political position. The Institute publishes all research reaching the appropriate academic standard, irrespective of its findings or who funds the research.The quality of its research output is guaranteed by a rigorous peer review process. ESRI researchers are experts in their fields and are committed to producing work that meets the highest academic standards and practices.The work of the Institute is disseminated widely in books, journal articles and reports. ESRI publications are available to download, free of charge, from its website. Additionally, ESRI staff communicate research findings at regular conferences and seminars.The ESRI is a company limited by guarantee, answerable to its members and governed by a Council, comprising 14 members who represent a cross-section of ESRI members from academia, civil services, state agencies, businesses and civil society. The Institute receives an annual grant-in-aid from the Department of Public Expenditure and Reform to support the scientific and public interest elements of the Institute's activities; the grant accounted for an average of 30 per cent of the Institute's income over the lifetime of the last Research Strategy. The remaining funding comes from research programmes supported by government departments and agencies, public bodies and competitive research programmes.Further information is available at www.esri.ie.

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How COVID-19 has affected general practice consultations and income: general practitioner cross-sectional population survey evidence from Ireland

Cited by 53 publications

References 17 publications

Decrease in the number of patients diagnosed with cancer during the COVID-19 pandemic in Germany

Decrease in the number of patients diagnosed with cancer during the COVID-19 pandemic in Germany

Patients’ Engagement in Early Detection of COVID-19 Symptoms: An Observational Study in the Very Early Peak of the Pandemic in Italy in 2020

An Analysis of the Primary Care Systems of Ireland and Northern Ireland

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