دورية أكاديمية
أعرض في EDS

Quality of care in Belgian general practices during the COVID-19 pandemic: results of the cross-sectional PRICOV-19 study.

التفاصيل البيبلوغرافية
العنوان: Quality of care in Belgian general practices during the COVID-19 pandemic: results of the cross-sectional PRICOV-19 study.
المؤلفون: Van Poel E; Department of Public Health and Primary Care, Ghent University, Ghent, Belgium. Esther.VanPoel@UGent.be.; Quality and Safety Ghent, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium. Esther.VanPoel@UGent.be., Vanden Bussche P; Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.; Quality and Safety Ghent, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium., Pétré B; Department of Public Health, Faculty of Medicine, University of Liège, Liège, Belgium., Ponsar C; Institute of Health and Society, University of Louvain, Louvain, Belgium., Collins C; Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.; Research Centre, Irish College of General Practitioners, Dublin, D02 XR68, Ireland., De Jonghe M; Centre Académique de Médecine Générale, Université Catholique de Louvain, Brussels, Belgium., Donneau AF; Department of Public Health, Faculty of Medicine, University of Liège, Liège, Belgium., Gillain N; Department of Public Health, Faculty of Medicine, University of Liège, Liège, Belgium., Guillaume M; Department of Public Health, Faculty of Medicine, University of Liège, Liège, Belgium., Willems S; Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.; Quality and Safety Ghent, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.
المصدر: BMC primary care [BMC Prim Care] 2024 Mar 05; Vol. 24 (Suppl 1), pp. 282. Date of Electronic Publication: 2024 Mar 05.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Ltd Country of Publication: England NLM ID: 9918300889006676 Publication Model: Electronic Cited Medium: Internet ISSN: 2731-4553 (Electronic) Linking ISSN: 27314553 NLM ISO Abbreviation: BMC Prim Care Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BioMed Central Ltd., [2022]-
مواضيع طبية MeSH: COVID-19*/epidemiology , General Practice*, Humans ; Belgium/epidemiology ; Cross-Sectional Studies ; Pandemics ; Quality of Health Care
مستخلص: Background: The COVID-19 pandemic immensely impacted care provision, including quality of care in general practice. This paper aimed: (1) to assess how Belgian general practices acted upon the six dimensions of quality of care during COVID-19; (2) to study differences between the three Belgian regions; and (3) to benchmark the performance of the Belgian practices against the performance in other European countries.
Methods: The data collected from 479 Belgian practices during 2020-2021 using an online survey as part of the international cross-sectional PRICOV-19 study were analyzed.  Hereby, descriptive statistics, chi-squared tests, and binary logistic regression analyses were performed. Thirty-four survey questions related to the six dimensions of quality of care were selected as outcome variables. The adjusted regression models included four practice characteristics as covariates: practice type, being a teaching practice for GP trainees, multidisciplinarity of the team, and payment system.
Results: Belgian practices made important organizational changes to deliver high-quality care during COVID-19. Most practices (n = 259; 56.1%) actively reached out to vulnerable patients. Limitations to the practice building or infrastructure threatened high-quality care in 266 practices (55.5%). Infection prevention measures could not always be implemented during COVID-19, such as using a cleaning protocol (n = 265; 57.2%) and providing a separate doctor bag for infection-related home visits (n = 130; 27.9%). Three hundred and sixty practices (82.0%) reported at least one safety incident related to a delayed care process in patients with an urgent condition. The adjusted regression analysis showed limited significant differences between the Belgian regions regarding the quality of care delivered. Belgian practices demonstrated varied performance compared to other European countries. For example, they excelled in always checking the feasibility of isolation at home but reported more patient safety incidents related to timely care than at least three-quarters of the other European countries.
Conclusions: Future studies using different design methods are crucial to investigate which country and practice characteristics are associated with delivering high-quality care.
(© 2024. The Author(s).)
References: Antibiotics (Basel). 2021 Oct 14;10(10):. (PMID: 34680824)
BJGP Open. 2020 Oct 27;4(4):. (PMID: 32900708)
J Nurs Manag. 2022 Jan;30(1):62-70. (PMID: 34590383)
Health Policy. 2010 Sep;97(1):87-91. (PMID: 20409607)
BMJ. 2020 Sep 25;370:m3691. (PMID: 32978177)
Trauma Violence Abuse. 2023 Apr;24(2):719-745. (PMID: 34402325)
Int J Environ Res Public Health. 2022 May 06;19(9):. (PMID: 35565070)
BJGP Open. 2021 Oct 26;5(5):. (PMID: 34257067)
BJGP Open. 2020 Aug 25;4(3):. (PMID: 32487520)
Cureus. 2023 Jan 2;15(1):e33241. (PMID: 36618499)
Eur J Gen Pract. 2020 Dec;26(1):129-133. (PMID: 32985278)
Eur J Gen Pract. 2020 Dec;26(1):58-60. (PMID: 32349550)
BMC Prim Care. 2022 Apr 18;23(1):82. (PMID: 35436865)
BMJ Open. 2022 Feb 8;12(2):e055035. (PMID: 35135771)
BMC Prim Care. 2022 Jan 15;23(1):11. (PMID: 35172744)
BMJ Open. 2021 Jul 29;11(7):e049257. (PMID: 34326052)
Fam Pract. 2019 Nov 18;36(6):736-742. (PMID: 30926981)
BMC Fam Pract. 2020 Dec 5;21(1):255. (PMID: 33278877)
Fam Pract. 2016 Feb;33(1):95-9. (PMID: 26787770)
Int J Environ Res Public Health. 2021 Feb 03;18(4):. (PMID: 33546467)
Global Health. 2020 Nov 19;16(1):112. (PMID: 33213482)
PLoS One. 2022 Feb 16;17(2):e0263944. (PMID: 35171967)
Ann Fam Med. 2016 May;14(3):253-61. (PMID: 27184996)
Qual Saf Health Care. 2007 Aug;16(4):313-20. (PMID: 17693682)
BMC Fam Pract. 2021 Nov 25;22(1):237. (PMID: 34823495)
Aust J Gen Pract. 2020 Apr 02;49:. (PMID: 32241074)
Health Policy. 2016 May;120(5):495-508. (PMID: 27080344)
Int J Environ Res Public Health. 2023 Feb 10;20(4):. (PMID: 36833862)
J R Soc Med. 2020 Jun;113(6):205-207. (PMID: 32314660)
Int J Environ Res Public Health. 2022 Dec 18;19(24):. (PMID: 36554901)
Arch Public Health. 2022 Dec 8;80(1):250. (PMID: 36476628)
J Family Med Prim Care. 2020 Apr 30;9(4):1820-1824. (PMID: 32670925)
J Biomed Inform. 2019 Jul;95:103208. (PMID: 31078660)
Front Public Health. 2020 Jul 21;8:406. (PMID: 32793544)
Fam Pract. 2022 Jul 19;39(4):747-761. (PMID: 34611708)
Front Public Health. 2021 Feb 03;9:623904. (PMID: 33614587)
BMJ Open. 2020 Dec 02;10(12):e042119. (PMID: 33268433)
Eur J Gen Pract. 2020 Dec;26(1):182-188. (PMID: 33337939)
Int J Environ Res Public Health. 2022 Nov 20;19(22):. (PMID: 36430047)
J Adv Nurs. 2019 Dec;75(12):3535-3543. (PMID: 31441110)
Lancet Oncol. 2020 Jun;21(6):748-750. (PMID: 32359404)
Ann Intern Med. 2020 Jul 21;173(2):120-136. (PMID: 32369541)
Soc Sci Med. 2022 Jan;292:114583. (PMID: 34864277)
PLoS Med. 2021 Nov 23;18(11):e1003854. (PMID: 34813591)
معلومات مُعتمدة: European General Practice Research Network' European General Practice Research Network'; Koning Boudewijnstichting Koning Boudewijnstichting
فهرسة مساهمة: Keywords: COVID-19; Effectiveness; Efficiency; Equity; General practice; PRICOV-19; Patient safety; Person-centeredness; Primary health care; Quality of care; Timeliness
تواريخ الأحداث: Date Created: 20240305 Date Completed: 20240307 Latest Revision: 20240308
رمز التحديث: 20240308
مُعرف محوري في PubMed: PMC10916333
DOI: 10.1186/s12875-024-02305-8
PMID: 38443780
قاعدة البيانات: MEDLINE
الوصف
تدمد:2731-4553
DOI:10.1186/s12875-024-02305-8