I don’t want to be a call centre GP!

Gregory, Simon; Brown, Victoria Tzortziou

doi:10.3399/bjgp20x712049

Cited by 3 publications

(2 citation statements)

References 4 publications

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“…Rapid organizational changes in practice 27 , 28 and the uncertainty experienced by GPs during the COVID-19 pandemic might well have contributed to the excess of adverse mental health outcomes in our population, since pre-COVID-19 research conducted in Italy found that only 20% of GPs had symptoms of psychological stress, 29 a percentage that is 2 times lower than the prevalence of, e.g. anxiety found in our study.…”

Section: Discussioncontrasting

confidence: 48%

The psychological impact of COVID-19 among primary care physicians in the province of Verona, Italy: a cross-sectional study during the first pandemic wave

Lasalvia

Rigon²,

Rugiu

et al. 2021

Family Practice

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Background Among healthcare professionals working with COVID-19 patients, general practitioners (GPs) are under considerable pressure and may develop adverse mental health outcomes. Objectives To assess mental health outcomes on GPs working during the COVID-19 pandemic and to explore their associations with personal characteristics and features of GP practices. Methods Observational cross-sectional study conducted on a sample of GPs working in Verona province (Italy) during the first pandemic wave. Participants were invited to complete a web-based form addressing socio-demographic and work-related information, previous practice organization, practice re-organization during the COVID-19 pandemic, and a set of measures for post-traumatic stress (IES-R), anxiety (SAS), depression (PHQ-9), and burnout (MBI-GS). Results A total of 215 GPs (38.3% of the eligible population) participated. Overall, 44.7% reported COVID-19-related traumatic events; among these, 35.9% (95% CI, 26%‒46%) developed symptoms of post-traumatic distress. Furthermore, 36% (95% CI, 29%‒43%) reported symptoms of anxiety, 17.9% (95% CI, 12%‒23%) symptoms of at least moderate depression, and 25.4% (95% CI, 19%‒32%) symptoms of burnout. Multivariate regressions showed that being quarantined or admitted for COVID-19 was associated with all the mental health outcomes considered. Being female, working in rural settings, and having less professional experience were associated with higher anxiety and depression. The ability to diagnose COVID-19 increased self-perceived professional efficacy, thus contributing to burnout reduction. Conclusion The high prevalence of adverse mental health outcomes among GPs during the pandemic highlights the importance of timely interventions in this population and promoting targeted preventive actions in the event of future healthcare crises.

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Section: Discussioncontrasting

confidence: 48%

The psychological impact of COVID-19 among primary care physicians in the province of Verona, Italy: a cross-sectional study during the first pandemic wave

Lasalvia

Rigon²,

Rugiu

et al. 2021

Family Practice

View full text Add to dashboard Cite

show abstract

“…1 GP's express concerns that the 'flight to the virtual' may lead to losses, including the sapping of energy and joy and an increase in health inequalities. 2 But there is another deeper issue at stake. The loss of touch in our personal encounters threatens the wellbeing of all of us and, in particular, for those who are vulnerable and living alone.…”

mentioning

confidence: 99%

Touch matters: COVID-19, physical examination, and 21st century general practice

Zulueta

2020

Br J Gen Pract

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Public perception of NHS general practice during the first six months of the COVID-19 pandemic in England

Duncan

Cheng

2021

F1000Res

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Background: In March 2020, the delivery of NHS general practice consultations was rapidly modified to mitigate the spread of COVID-19. Remote triage and consultations became the default, with adapted models for face-to-face contact if clinically required. This study aimed to gain insight into public perception of these adaptations. Methods: Two online surveys were developed, and conducted in August and September 2020. Survey A, open to adults (>18 years) receiving the link to it, considered respondents’ perspectives on healthcare contacts since March 2020, and their understanding of the adapted delivery. Survey B, open to survey A respondents only, then considered how healthcare communication had been received and individual preferences for this. Survey participation was voluntary. Results: The perceptions of 150 members of the public were obtained. 105 had considered contacting general practice, although half avoided this or delayed doing so for longer than usual. While some patients did so ‘to help the NHS’, others experienced reduced access for reasons including concerns about telephone consultations and about COVID-19 safety. Some however reported benefitting from remote consultation availability and regular texts/emails from their practice. 68% (102/150) of respondents were unaware that patients with COVID-19 were seen separately from other patients during general practice appointments. 27% in survey B who had avoided or delayed contact said they would have felt more comfortable contacting general practice had they known this. Conclusions: Experience and use of the adapted general practice models varied. Some patients felt their access to healthcare was reduced, often due to technological requirements. For some who found attending face-to-face appointments difficult however, remote contact was advantageous. Most of those surveyed were unaware of the COVID-19 control measures in place during face-to-face general practice consultations. Assessment of adapted delivery model accessibility and clearer public messaging about the changes may help reduce inequalities.

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I don’t want to be a call centre GP!

Cited by 3 publications

References 4 publications

The psychological impact of COVID-19 among primary care physicians in the province of Verona, Italy: a cross-sectional study during the first pandemic wave

The psychological impact of COVID-19 among primary care physicians in the province of Verona, Italy: a cross-sectional study during the first pandemic wave

Touch matters: COVID-19, physical examination, and 21st century general practice

Public perception of NHS general practice during the first six months of the COVID-19 pandemic in England

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