Detail
Článek
Článek online
FT
Medvik - BMČ
  • Je něco špatně v tomto záznamu ?

Clinical pathway of COVID-19 patients in primary health care in 30 European countries: Eurodata study

S. Ares-Blanco, M. Guisado-Clavero, L. Ramos Del Rio, I. Gefaell Larrondo, L. Fitzgerald, L. Adler, R. Assenova, M. Bakola, S. Bayen, E. Brutskaya-Stempkovskaya, IC. Busneag, PR. Domeyer, D. Gjorgjievski, K. Hoffmann, О. Ільков, V. Trifon...

. 2023 ; 29 (2) : 2182879. [pub] 20230321

Jazyk angličtina Země Anglie, Velká Británie

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc23010783

BACKGROUND: Most COVID-19 patients were treated in primary health care (PHC) in Europe. OBJECTIVES: To demonstrate the scope of PHC workflow during the COVID-19 pandemic emphasising similarities and differences of patient's clinical pathways in Europe. METHODS: Descriptive, cross-sectional study with data acquired through a semi-structured questionnaire in PHC in 30 European countries, created ad hoc and agreed upon among all researchers who participated in the study. GPs from each country answered the approved questionnaire. Main variable: PHC COVID-19 acute clinical pathway. All variables were collected from each country as of September 2020. RESULTS: COVID-19 clinics in PHC facilities were organised in 8/30. Case detection and testing were performed in PHC in 27/30 countries. RT-PCR and lateral flow tests were performed in PHC in 23/30, free of charge with a medical prescription. Contact tracing was performed mainly by public health authorities. Mandatory isolation ranged from 5 to 14 days. Sick leave certification was given exclusively by GPs in 21/30 countries. Patient hotels or other resources to isolate patients were available in 12/30. Follow-up to monitor the symptoms and/or new complementary tests was made mainly by phone call (27/30). Chest X-ray and phlebotomy were performed in PHC in 18/30 and 23/30 countries, respectively. Oxygen and low-molecular-weight heparin were available in PHC (21/30). CONCLUSION: In Europe PHC participated in many steps to diagnose, treat and monitor COVID-19 patients. Differences among countries might be addressed at European level for the management of future pandemics.

1st Faculty of Medicine Institute of General Practice Charles University Prague Czech Republic

Azienda Unità Sanitaria Locale di Modena Modena Italy

Center for Public Health and Healthcare Hannover Germany

CHNP Rehaklinik Ettelbruck Luxembourg

Communicable Diseases and Infection Control Unit City of Vantaa and University of Helsinki Helsinki Finland

Comprehensive Health Research Center NOVA Medical School University Nova de Lisboa Lisboa Portugal

Department of Clinical Sciences in Malmö Centre for Primary Health Care Research Lund University Malmö Sweden

Department of Family Medicine and Outpatient Care Medical Faculty Uzhhorod National University Uzhhorod Ukraine

Department of Family Medicine Andrija Stampar School of Public Health School of Medicine University of Zagreb Health Centre Zagreb West Zagreb Croatia

Department of Family Medicine Faculty of Medicine University of Ljubljana Ljubljana Slovenia

Department of Family Medicine Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel

Department of Family Medicine Semmelweis University Budapest Hungary

Department of Family Medicine UJCM University Jagielloński Collegium Medicum Jagielloński Poland

Department of Family Medicine University of Semmelweis Budapest Hungary

Department of General Practice University of Lille Lille France

Department of Pharmacology Sahlgrenska Academy University of Gothenburg Gothenburg Sweden

Department of Public Health and Primary Care KU Leuven Leuven Belgium

Department of Public Health Institute of Health Sciences Faculty of Medicine Vilnius University Vilnius Lithuania

Department Urology and General Practice Faculty of Medicine Medical University of Plovdiv Plovdiv Bulgaria

Faculty of Medicine Ss Cyril and Methodius University Skopje North Macedonia

Faculty of Medicine University of Porto Porto Portugal

Federica Montseny Health Centre Gerencia Asistencial Atención Primaria Servicio Madrileño de Salud Madrid Spain

Federica Montseny Health Centre Gerencia Asistencial de Atención Primaria Servicio Madrileño de Salud Madrid Spain

General Medicine Department Belarusian State Medical University Belarus

General Practice and Primary Care University of Vienna Vienna Austria

GHS Larnaca Cyprus

Hannover Medical School Center for Public Health and Healthcare Hannover Germany

Health center Kraljevo Kraljevo Serbia

Imperial College London London UK

Instituto de Investigación Sanitaria Gregorio Marañón Madrid Spain

Investigation Support Multidisciplinary Unit for Primary Care and Community North Area of Madrid Madrid Spain

Irish College of General Practice MICGP Royal College of Physician MRCSI Ireland

Laboratorio EduCare University of Modena and Reggio Emilia Modena Italy

Medical Education Uni Laboratory of Hygiene and Epidemiology Medical Department Faculty of Health Sciences University of Ioannina Ioannina Greece

Medical Faculty Skopje Center for Family Medicine Skopje North Macedonia

Medical Specialties and Public Health School of Health Sciences University Rey Juan Carlos Madrid Spain

Närhälsan Kungshöjd Health Centre Gothenburg Sweden

Occupational Health Expert Spiru Haret University Bucharest Romania

Patient Safety Working Party of semFYC Catalunya Spain

Research Group Self Regulation and Health Institute for Health and Behaviour Department of Behavioural and Cognitive Sciences Faculty of Humanities Education and Social Sciences Luxembourg University Luxembourg Luxembourg

Research Unit for General Medicine and Primary Health Care Faculty of Medicine School of Health Science University of Ioannina Ioannina Greece

School of Social Sciences Hellenic Open University Patra Greece

Territorial Quality Unit Territorial Directorate of Camp de Tarragona Institut Català de la Salut Health Department Generalitat de Catalunya GIBA IIS Aragón Spain

USF das Conchas Regional Health Administration Lisbon and Tagus Valley Lisbon Portugal

Van Gürpınar District Public Hospital Istanbul Turkey

Citace poskytuje Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc23010783
003      
CZ-PrNML
005      
20230801132627.0
007      
ta
008      
230718s2023 enk f 000 0|eng||
009      
AR
024    7_
$a 10.1080/13814788.2023.2182879 $2 doi
035    __
$a (PubMed)36943232
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a enk
100    1_
$a Ares-Blanco, Sara $u Federica Montseny Health Centre, Gerencia Asistencial Atención Primaria, Servicio Madrileño de Salud, Madrid, Spain $u Medical Specialties and Public Health, School of Health Sciences, University Rey Juan Carlos, Madrid, Spain $u Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain $1 https://orcid.org/0000000249848788
245    10
$a Clinical pathway of COVID-19 patients in primary health care in 30 European countries: Eurodata study / $c S. Ares-Blanco, M. Guisado-Clavero, L. Ramos Del Rio, I. Gefaell Larrondo, L. Fitzgerald, L. Adler, R. Assenova, M. Bakola, S. Bayen, E. Brutskaya-Stempkovskaya, IC. Busneag, PR. Domeyer, D. Gjorgjievski, K. Hoffmann, О. Ільков, V. Trifon Karathanos, A. Kirkovski, S. Knežević, B. Çimen Korkmaz, B. Heleno, K. Nessler, L. Murauskienė, AL. Neves, N. Parodi López, Á. Perjés, D. Petek, F. Petrazzuoli, G. Petricek, B. Seifert, A. Serafini, T. Sentker, P. Tiili, P. Torzsa, B. Vaes, G. van Pottebergh, S. Vinker, MP. Astier-Peña, R. Gómez-Bravo, H. Lingner, Clinical investigators†, Clinical investigators:
520    9_
$a BACKGROUND: Most COVID-19 patients were treated in primary health care (PHC) in Europe. OBJECTIVES: To demonstrate the scope of PHC workflow during the COVID-19 pandemic emphasising similarities and differences of patient's clinical pathways in Europe. METHODS: Descriptive, cross-sectional study with data acquired through a semi-structured questionnaire in PHC in 30 European countries, created ad hoc and agreed upon among all researchers who participated in the study. GPs from each country answered the approved questionnaire. Main variable: PHC COVID-19 acute clinical pathway. All variables were collected from each country as of September 2020. RESULTS: COVID-19 clinics in PHC facilities were organised in 8/30. Case detection and testing were performed in PHC in 27/30 countries. RT-PCR and lateral flow tests were performed in PHC in 23/30, free of charge with a medical prescription. Contact tracing was performed mainly by public health authorities. Mandatory isolation ranged from 5 to 14 days. Sick leave certification was given exclusively by GPs in 21/30 countries. Patient hotels or other resources to isolate patients were available in 12/30. Follow-up to monitor the symptoms and/or new complementary tests was made mainly by phone call (27/30). Chest X-ray and phlebotomy were performed in PHC in 18/30 and 23/30 countries, respectively. Oxygen and low-molecular-weight heparin were available in PHC (21/30). CONCLUSION: In Europe PHC participated in many steps to diagnose, treat and monitor COVID-19 patients. Differences among countries might be addressed at European level for the management of future pandemics.
650    _2
$a lidé $7 D006801
650    12
$a COVID-19 $7 D000086382
650    _2
$a kritické cesty $7 D019091
650    _2
$a primární zdravotní péče $7 D011320
650    _2
$a pandemie $7 D058873
650    _2
$a průřezové studie $7 D003430
651    _2
$a Evropa $x epidemiologie $7 D005060
655    _2
$a časopisecké články $7 D016428
700    1_
$a Guisado-Clavero, Marina $u Investigation Support Multidisciplinary Unit for Primary Care and Community North Area of Madrid, Madrid, Spain $1 https://orcid.org/0000000284482929
700    1_
$a Ramos Del Rio, Lourdes $u Federica Montseny Health Centre, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Madrid, Spain $1 https://orcid.org/0000000348502053
700    1_
$a Gefaell Larrondo, Ileana $u Federica Montseny Health Centre, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Madrid, Spain $1 https://orcid.org/0000000216351003
700    1_
$a Fitzgerald, Louise $u Irish College of General Practice, MICGP, Royal College of Physician, MRCSI, Ireland $1 https://orcid.org/0009000980393097
700    1_
$a Adler, Limor $u Department of Family Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel $1 https://orcid.org/0000000293356596
700    1_
$a Assenova, Radost $u Department Urology and General Practice, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria $1 https://orcid.org/0000000321585792
700    1_
$a Bakola, Maria $u Research Unit for General Medicine and Primary Health Care, Faculty of Medicine, School of Health Science, University of Ioannina, Ioannina, Greece $1 https://orcid.org/0000000290169322
700    1_
$a Bayen, Sabine $u Department of General Practice, University of Lille, Lille, France $1 https://orcid.org/0000000233349394
700    1_
$a Brutskaya-Stempkovskaya, Elena $u General Medicine Department, Belarusian State Medical University, Belarus
700    1_
$a Busneag, Iliana-Carmen $u Occupational Health Expert, Spiru Haret University, Bucharest, Romania $1 https://orcid.org/0000000156114312
700    1_
$a Domeyer, Philippe-Richard $u School of Social Sciences, Hellenic Open University, Patra, Greece $1 https://orcid.org/0000000345941202
700    1_
$a Gjorgjievski, Dragan $u Medical Faculty Skopje, Center for Family Medicine, Skopje, North Macedonia $1 https://orcid.org/0000000318177632
700    1_
$a Hoffmann, Kathryn $u General Practice and Primary Care, University of Vienna, Vienna, Austria $1 https://orcid.org/0000000187604250
700    1_
$a Ільков, Оксана $u Department of Family Medicine and Outpatient Care, Medical Faculty, Uzhhorod National University, Uzhhorod, Ukraine $1 https://orcid.org/0000000209230596
700    1_
$a Trifon Karathanos, Vasilis $u Medical Education Uni, Laboratory of Hygiene and Epidemiology, Medical Department, Faculty of Health Sciences, University of Ioannina, Ioannina, Greece $u GHS, Larnaca, Cyprus
700    1_
$a Kirkovski, Aleksandar $u Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, North Macedonia $1 https://orcid.org/0000000190027028
700    1_
$a Knežević, Snežana $u Health center Kraljevo, Kraljevo, Serbia $1 https://orcid.org/0000000191372122
700    1_
$a Çimen Korkmaz, Büsra $u Van Gürpınar District Public Hospital, Istanbul, Turkey $1 https://orcid.org/0000000172245734
700    1_
$a Heleno, Bruno $u Comprehensive Health Research Center, NOVA Medical School, University Nova de Lisboa, Lisboa, Portugal $u USF das Conchas, Regional Health Administration Lisbon and Tagus Valley, Lisbon, Portugal $1 https://orcid.org/0000000239431858
700    1_
$a Nessler, Katarzyna $u Department of Family Medicine UJCM, University Jagielloński, Collegium Medicum, Jagielloński, Poland $1 https://orcid.org/0000000198697923
700    1_
$a Murauskienė, Liubovė $u Department of Public Health, Institute of Health Sciences, Faculty of Medicine, Vilnius University, Vilnius, Lithuania $1 https://orcid.org/0000000266258843
700    1_
$a Neves, Ana Luisa $u Imperial College London, London, UK $u Faculty of Medicine, University of Porto, Porto, Portugal $1 https://orcid.org/0000000271077211
700    1_
$a Parodi López, Naldy $u Närhälsan Kungshöjd Health Centre, Gothenburg, Sweden $u Department of Pharmacology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden $1 https://orcid.org/0000000163679389
700    1_
$a Perjés, Ábel $u Department of Family Medicine, University of Semmelweis, Budapest, Hungary $1 https://orcid.org/0000000271761275
700    1_
$a Petek, Davorina $u Department of Family Medicine, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia $1 https://orcid.org/0000000201514463
700    1_
$a Petrazzuoli, Ferdinando $u Department of Clinical Sciences in Malmö, Centre for Primary Health Care Research, Lund University, Malmö, Sweden $1 https://orcid.org/000000031058492X
700    1_
$a Petricek, Goranka $u Department of Family Medicine "Andrija Stampar" School of Public Health, School of Medicine, University of Zagreb, Health Centre Zagreb West, Zagreb, Croatia $1 https://orcid.org/0000000266143085
700    1_
$a Seifert, Bohumil $u First Faculty of Medicine, Institute of General Practice, Charles University, Prague, Czech Republic $1 https://orcid.org/0000000268818840 $7 xx0017737
700    1_
$a Serafini, Alice $u Azienda Unità Sanitaria Locale di Modena, Modena, Italy $u Laboratorio EduCare, University of Modena and Reggio Emilia, Modena, Italy $1 https://orcid.org/0000000273962839
700    1_
$a Sentker, Theresa $u Center for Public Health and Healthcare, Hannover, Germany $1 https://orcid.org/000000031162310X
700    1_
$a Tiili, Paula $u Communicable Diseases and Infection Control Unit, City of Vantaa and University of Helsinki, Helsinki, Finland $1 https://orcid.org/0000000279167262
700    1_
$a Torzsa, Péter $u Department of Family Medicine, Semmelweis University, Budapest, Hungary
700    1_
$a Vaes, Bert $u Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium $1 https://orcid.org/0000000152441930
700    1_
$a van Pottebergh, Gijs $u Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium $1 https://orcid.org/0000000241893517
700    1_
$a Vinker, Shlomo $u Department of Family Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel $1 https://orcid.org/0000000198047103
700    1_
$a Astier-Peña, María Pilar $u Territorial Quality Unit, Territorial Directorate of Camp de Tarragona, Institut Català de la Salut, Health Department, Generalitat de Catalunya, GIBA-IIS-Aragón, Spain $u Patient Safety Working Party of semFYC (Spanish Society for Family and Community Medicine) and Quality and Safety in Family Medicine of WONCA World (Global Family Doctors), Catalunya, Spain $1 https://orcid.org/0000000231927672
700    1_
$a Gómez-Bravo, Raquel $u CHNP, Rehaklinik, Ettelbruck. Luxembourg $u Research Group Self-Regulation and Health. Institute for Health and Behaviour, Department of Behavioural and Cognitive Sciences. Faculty of Humanities, Education, and Social Sciences, Luxembourg University, Luxembourg, Luxembourg $1 https://orcid.org/0000000237868626
700    1_
$a Lingner, Heidrun $u Hannover Medical School, Center for Public Health and Healthcare, Hannover, Germany $1 https://orcid.org/0000000320740367
710    2_
$a Clinical investigators†
710    2_
$a Clinical investigators:
773    0_
$w MED00001619 $t The European journal of general practice $x 1751-1402 $g Roč. 29, č. 2 (2023), s. 2182879
856    41
$u https://pubmed.ncbi.nlm.nih.gov/36943232 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y p $z 0
990    __
$a 20230718 $b ABA008
991    __
$a 20230801132624 $b ABA008
999    __
$a ok $b bmc $g 1963301 $s 1197048
BAS    __
$a 3
BAS    __
$a PreBMC-MEDLINE
BMC    __
$a 2023 $b 29 $c 2 $d 2182879 $e 20230321 $i 1751-1402 $m The European journal of general practice $n Eur J Gen Pract $x MED00001619
LZP    __
$a Pubmed-20230718

Najít záznam

Citační ukazatele

Nahrávání dat ...

Možnosti archivace

Nahrávání dat ...