دورية أكاديمية
Is primary care ready for a potential new public health emergency in the wake of the COVID-19 pandemic, now subsided?
| العنوان: | Is primary care ready for a potential new public health emergency in the wake of the COVID-19 pandemic, now subsided? |
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| المؤلفون: | Etz RS; Larry A. Green Center for the Advancement of Primary Health Care for the Public Good, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA, United States.; Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA, United States., Solid CA; Solid Research Group, St. Paul, MN, United States., Gonzalez MM; Larry A. Green Center for the Advancement of Primary Health Care for the Public Good, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA, United States.; Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA, United States., Reves SR; Larry A. Green Center for the Advancement of Primary Health Care for the Public Good, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA, United States.; Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA, United States., Britton E; The Heller School for Social Policy and Management, Brandeis University, Boston, MA, United States., Green LA; Eugene S. Farley, Jr. Health Policy Center, Department of Family Medicine and Community Health, University of Colorado, Denver, CO, United States., Bitton A; Ariadne Labs, Boston, MA, United States., Bechtel C; X4 Health, Washington, DC, United States., Stange KC; Larry A. Green Center for the Advancement of Primary Health Care for the Public Good, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA, United States.; Center for Community Health Integration, Case Western Reserve University, Cleveland, OH, United States. |
| المصدر: | Family practice [Fam Pract] 2024 Jan 29. Date of Electronic Publication: 2024 Jan 29. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 8500875 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1460-2229 (Electronic) Linking ISSN: 02632136 NLM ISO Abbreviation: Fam Pract Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Oxford : Oxford University Press, [c1983- |
| مستخلص: | Introduction: The lingering burden of the COVID-19 pandemic on primary care clinicians and practices poses a public health emergency for the United States. This study uses clinician-reported data to examine changes in primary care demand and capacity. Methods: From March 2020 to March 2022, 36 electronic surveys were fielded among primary care clinicians responding to survey invitations as posted on listservs and identified through social media and crowd sourcing. Quantitative and qualitative analyses were performed on both closed- and open-ended survey questions. Results: An average of 937 respondents per survey represented family medicine, pediatrics, internal medicine, geriatrics, and other specialties. Responses reported increases in patient health burden, including worsening chronic care management and increasing volume and complexity. A higher frequency of dental- and eyesight-related issues was noted by respondents, as was a substantial increase in mental or emotional health needs. Respondents also noted increased demand, "record high" wait times, and struggles to keep up with patient needs and the higher volume of patient questions. Frequent qualitative statements highlighted the mismatch of patient needs with practice capacity. Staffing shortages and the inability to fill open clinical positions impaired clinicians' ability to meet patient needs and a substantial proportion of respondents indicated an intention to leave the profession or knew someone who had. Conclusion: These data signal an urgent need to take action to support the ability of primary care to meet ongoing patient and population health care needs. (© The Author(s) 2024. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.) |
| معلومات مُعتمدة: | 1 R01 HS028253-01 Agency for Healthcare Research and Quality; Corey and Andrew Morris-Singer Foundation; Samueli Foundation; University Suburban Health Center Foundation; Nova Institute for Health, and the American Board of Family Medicine Foundation |
| فهرسة مساهمة: | Keywords: COVID-19; disparities; physician burnout; primary care |
| تواريخ الأحداث: | Date Created: 20240129 Latest Revision: 20240129 |
| رمز التحديث: | 20240130 |
| DOI: | 10.1093/fampra/cmae005 |
| PMID: | 38285806 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1460-2229 |
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| DOI: | 10.1093/fampra/cmae005 |