INTRODUCTION: Remote consultations help reduce contact between people and prevent cross-contamination. Little is known about the changes in consultation in European rural primary care during the SARS-CoV-2 (COVID-19) pandemic. The purpose of this mixed-methods cross-sectional study was to find out more about the effects of the pandemic on changes in patient consultations in European rural primary care. METHODS: A key informant survey from 16 member countries of the European Rural and Isolated Practitioners Association (EURIPA) was undertaken using a self-developed questionnaire. The steering committee of this project, called EURIPA Covid-19 study, developed a semi-structured questionnaire with 68 questions, 21 of which included free-text comments. Proportions were calculated for dichotomized or categorized data, and means were calculated for continuous data. Multivariate analysis by logistic regression model was used to assess the association of multiple variables. RESULTS: A total of 406 questionnaires from primary care providers (PCPs) in 16 European countries were collected; 245 respondents (60.5%) were females, 152 PCPs were rural (37.5%), 124 semi-rural (30.5%). Mean age of the respondents was 45.9 years (standard deviation (SD) 11.30) while mean seniority (length of experience) was 18.2 years (SD 11.6). A total of 381 (93.8%) respondents were medical doctors. Significant differences were found between countries in adopting alternative arrangements to face-to-face consultation: remote teleconsultation is well appreciated by both healthcare professionals and patients, but the most common way of remote consultation remains telephone consultation. A factor significantly inversely associated with the adoption of video consultation was the seniority of the PCP (odds ratio 1.19, 95% confidence interval 1.02-1.40, p=0.03). CONCLUSION: Telephone consultation is the most common form of remote consultation. The adoption of video-consultation is inversely related to the seniority of the informants.

• MeSH
• COVID-19 * MeSH
• konzultace na dálku * MeSH
• lidé středního věku MeSH
• lidé MeSH
• pandemie MeSH
• průřezové studie MeSH
• SARS-CoV-2 MeSH
• telefon MeSH
• telemedicína * metody   MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

OBJECTIVES: The COVID-19 disease has an incredible impact on both hospital-based and private practices in the field of otorhinolaryngology and head and neck surgery. Practical issues faced by both types of practices have not been well addressed in most studies. A national survey was conducted in April 2020 to identify the challenges faced by otorhinolaryngologists practicing in the Czech Republic. DESIGN: Prospective questionnaire-based study SETTING: Online Google questionnaire sent to the members of the Czech Society of Otorhinolaryngology and Head and Neck Surgery PARTICIPANTS: All doctors practicing Otorhinolaryngology in the Czech Republic with access to the online questionnaire between 15th and 26th April 2020. MAIN OUTCOME MEASURES: The primary aims of the study were to evaluate any significant differences between the two types of practice in the field of Otorhinolaryngology. We formulated null hypotheses stating there were no statistical differences in the preparation and availability of personal protective equipment amongst both practices a month after the first case of COVID-19 in the Czech Republic. Statistical analyses including the Mann-Whitney U test were performed to test the hypotheses. RESULTS: Analysis and results were based on the completion of the entire questionnaire by the doctors. There were no statistically significant differences between both the practices; however, individual analyses of both the practices showed a different outcome. CONCLUSION: Despite our statistical results, it was observed that private practices faced more deficits and were more financially vulnerable. They were also other issues reported by both practices that could compromise the care of patients, functioning of workplaces and support of doctors.

• MeSH
• COVID-19 * MeSH
• lidé MeSH
• nemocnice MeSH
• otorinolaryngologie * MeSH
• prospektivní studie MeSH
• SARS-CoV-2 MeSH
• soukromá praxe MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

• MeSH
• Aedes MeSH
• cestování MeSH
• Culicidae MeSH
• Evropská unie MeSH
• hemoragická horečka krymská epidemiologie   přenos   MeSH
• hmyz - vektory MeSH
• incidence MeSH
• klíšťata MeSH
• klíště MeSH
• klíšťová encefalitida epidemiologie   přenos   MeSH
• komise odborníků organizace a řízení   MeSH
• kontrola infekčních nemocí organizace a řízení   MeSH
• lidé MeSH
• lymeská nemoc epidemiologie   přenos   MeSH
• přenos infekční nemoci statistika a číselné údaje   MeSH
• virus chikungunya izolace a purifikace   MeSH
• západonilská horečka epidemiologie   přenos   MeSH
• Check Tag
• lidé MeSH
• Geografické názvy
• Česká republika MeSH

• Klíčová slova
• mimořádná událost velkého rozsahu, krizová připravenost, krizové plánování,
• MeSH
• bezpečnost normy   MeSH
• epidemický výskyt choroby prevence a kontrola   MeSH
• lidé MeSH
• management lékařské praxe normy   využití   MeSH
• medicína katastrof metody   MeSH
• nemocnice MeSH
• pandemie MeSH
• příjem pacientů normy   MeSH
• primární prevence metody   MeSH
• urgentní lékařství metody   MeSH
• virus chřipky A, podtyp H1N1 patogenita   MeSH
• zdravotní péče - plánování normy   využití   MeSH
• Check Tag
• lidé MeSH

• MeSH
• AIDS MeSH
• HIV MeSH
• konzultace na dálku MeSH
• telefon MeSH
• telekomunikace MeSH
• telemedicína MeSH

• Konspekt
• Lékařské vědy. Lékařství
• NLK Obory
• dermatovenerologie
• veřejné zdravotnictví
• sociální lékařství