Patients’ and clinicians’ perspectives on the primary care consultations for acute respiratory infections during the first wave of the COVID-19 pandemic: an eight-country qualitative study in Europe

The impact of the COVID-19 pandemic on patients' and clinicians' perceptions of healthcare-seeking behaviour and delivery of care is unclear. The pandemic accelerated the use of remote care, and understanding its benefits and drawbacks may inform its implementation during current and futur...

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Veröffentlicht in:	BJGP open Jg. 6; H. 2; S. BJGPO.2021.0172
Hauptverfasser:	Wanat, Marta, Hoste, Melanie Eugenie, Gobat, Nina Helene, Anastasaki, Marilena, Böhmer, Femke, Chlabicz, Slawomir, Colliers, Annelies, Farrell, Karen, Hollerbach, Sophie, Karkana, Maria-Nefeli, Kinsman, John, Lionis, Christos, Marcinowicz, Ludmila, Reinhardt, Katrin, Skoglund, Ingmarie, Sundvall, Pär-Daniel, Vellinga, Akke, Goossens, Herman, Butler, Christopher C, van der Velden, Alike, Anthierens, Sibyl, Tonkin-Crine, Sarah
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	England Royal College of General Practitioners 01.06.2022
Schlagworte:	Allmänmedicin Covid-19 General Medicine Health Sciences Hälsovetenskap Infectious Medicine Infektionsmedicin Primary health care Remote consultations Telemedicine COVID-19 remote consultations telemedicine primary health care
ISSN:	2398-3795, 2398-3795
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Abstract	The impact of the COVID-19 pandemic on patients' and clinicians' perceptions of healthcare-seeking behaviour and delivery of care is unclear. The pandemic accelerated the use of remote care, and understanding its benefits and drawbacks may inform its implementation during current and future healthcare emergencies. To explore patients' and primary care professionals' (PCPs) experiences of primary care delivery in the first wave of the pandemic. Qualitative study using semi-structured interviews in primary care in eight European countries (England, Ireland, Belgium, the Netherlands, Greece, Poland, Sweden, and Germany). A total of 146 interviews were conducted with 80 PCPs and 66 patients consulting for respiratory tract infection (RTI) symptoms, in eight European countries. Data were collected between April and July 2020, and analysed using thematic analysis. It was found that patients accepted telemedicine when PCPs spent time to understand and address their concerns, but a minority preferred in-person consultations. PCPs felt that remote consultations created emotional distance between themselves and patients, and they reported having to manage diverse COVID-19-related medical and social concerns. Remote consultations for RTI symptoms may be acceptable long term if both groups are happy to use this format, but it is important that PCPs take time to address patients' concerns and provide safety-netting advice.
AbstractList	The impact of the COVID-19 pandemic on patients' and clinicians' perceptions of healthcare-seeking behaviour and delivery of care is unclear. The pandemic accelerated the use of remote care, and understanding its benefits and drawbacks may inform its implementation during current and future healthcare emergencies. To explore patients' and primary care professionals' (PCPs) experiences of primary care delivery in the first wave of the pandemic. Qualitative study using semi-structured interviews in primary care in eight European countries (England, Ireland, Belgium, the Netherlands, Greece, Poland, Sweden, and Germany). A total of 146 interviews were conducted with 80 PCPs and 66 patients consulting for respiratory tract infection (RTI) symptoms, in eight European countries. Data were collected between April and July 2020, and analysed using thematic analysis. It was found that patients accepted telemedicine when PCPs spent time to understand and address their concerns, but a minority preferred in-person consultations. PCPs felt that remote consultations created emotional distance between themselves and patients, and they reported having to manage diverse COVID-19-related medical and social concerns. Remote consultations for RTI symptoms may be acceptable long term if both groups are happy to use this format, but it is important that PCPs take time to address patients' concerns and provide safety-netting advice. Background: The impact of the COVID-19 pandemic on patients’ and clinicians’ perceptions of healthcare-seeking behaviour and delivery of care is unclear. The pandemic accelerated the use of remote care, and understanding its benefits and drawbacks may inform its implementation during current and future healthcare emergencies. Aim: To explore patients’ and primary care professionals’ (PCPs) experiences of primary care delivery in the first wave of the pandemic. Design & setting: Qualitative study using semi-structured interviews in primary care in eight European countries (England, Ireland, Belgium, the Netherlands, Greece, Poland, Sweden, and Germany). Method: A total of 146 interviews were conducted with 80 PCPs and 66 patients consulting for respiratory tract infection (RTI) symptoms, in eight European countries. Data were collected between April and July 2020, and analysed using thematic analysis. Results: It was found that patients accepted telemedicine when PCPs spent time to understand and address their concerns, but a minority preferred in-person consultations. PCPs felt that remote consultations created emotional distance between themselves and patients, and they reported having to manage diverse COVID-19-related medical and social concerns. Conclusion: Remote consultations for RTI symptoms may be acceptable long term if both groups are happy to use this format, but it is important that PCPs take time to address patients’ concerns and provide safety-netting advice. The impact of the COVID-19 pandemic on patients' and clinicians' perceptions of healthcare-seeking behaviour and delivery of care is unclear. The pandemic accelerated the use of remote care, and understanding its benefits and drawbacks may inform its implementation during current and future healthcare emergencies.BACKGROUNDThe impact of the COVID-19 pandemic on patients' and clinicians' perceptions of healthcare-seeking behaviour and delivery of care is unclear. The pandemic accelerated the use of remote care, and understanding its benefits and drawbacks may inform its implementation during current and future healthcare emergencies.To explore patients' and primary care professionals' (PCPs) experiences of primary care delivery in the first wave of the pandemic.AIMTo explore patients' and primary care professionals' (PCPs) experiences of primary care delivery in the first wave of the pandemic.Qualitative study using semi-structured interviews in primary care in eight European countries (England, Ireland, Belgium, the Netherlands, Greece, Poland, Sweden, and Germany).DESIGN & SETTINGQualitative study using semi-structured interviews in primary care in eight European countries (England, Ireland, Belgium, the Netherlands, Greece, Poland, Sweden, and Germany).A total of 146 interviews were conducted with 80 PCPs and 66 patients consulting for respiratory tract infection (RTI) symptoms, in eight European countries. Data were collected between April and July 2020, and analysed using thematic analysis.METHODA total of 146 interviews were conducted with 80 PCPs and 66 patients consulting for respiratory tract infection (RTI) symptoms, in eight European countries. Data were collected between April and July 2020, and analysed using thematic analysis.It was found that patients accepted telemedicine when PCPs spent time to understand and address their concerns, but a minority preferred in-person consultations. PCPs felt that remote consultations created emotional distance between themselves and patients, and they reported having to manage diverse COVID-19-related medical and social concerns.RESULTSIt was found that patients accepted telemedicine when PCPs spent time to understand and address their concerns, but a minority preferred in-person consultations. PCPs felt that remote consultations created emotional distance between themselves and patients, and they reported having to manage diverse COVID-19-related medical and social concerns.Remote consultations for RTI symptoms may be acceptable long term if both groups are happy to use this format, but it is important that PCPs take time to address patients' concerns and provide safety-netting advice.CONCLUSIONRemote consultations for RTI symptoms may be acceptable long term if both groups are happy to use this format, but it is important that PCPs take time to address patients' concerns and provide safety-netting advice.
Author	Gobat, Nina Helene Colliers, Annelies Wanat, Marta Reinhardt, Katrin Tonkin-Crine, Sarah Böhmer, Femke Skoglund, Ingmarie Hoste, Melanie Eugenie Sundvall, Pär-Daniel Chlabicz, Slawomir Karkana, Maria-Nefeli Anthierens, Sibyl Hollerbach, Sophie Vellinga, Akke Goossens, Herman Butler, Christopher C Farrell, Karen Kinsman, John Marcinowicz, Ludmila Anastasaki, Marilena Lionis, Christos van der Velden, Alike
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BackLink	https://www.ncbi.nlm.nih.gov/pubmed/35031559$$D View this record in MEDLINE/PubMed https://gup.ub.gu.se/publication/323418$$DView record from Swedish Publication Index (Göteborgs universitet)
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Snippet	The impact of the COVID-19 pandemic on patients' and clinicians' perceptions of healthcare-seeking behaviour and delivery of care is unclear. The pandemic... Background: The impact of the COVID-19 pandemic on patients’ and clinicians’ perceptions of healthcare-seeking behaviour and delivery of care is unclear. The...
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SubjectTerms	Allmänmedicin Covid-19 General Medicine Health Sciences Hälsovetenskap Infectious Medicine Infektionsmedicin Primary health care Remote consultations Telemedicine
Title	Patients’ and clinicians’ perspectives on the primary care consultations for acute respiratory infections during the first wave of the COVID-19 pandemic: an eight-country qualitative study in Europe
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