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Primary and Community Care Transformation in Post-COVID Era: Nationwide General Practitioner Survey

Author

Listed:
  • Mònica Solanes-Cabús

    (Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
    Primary Care Center Onze de Setembre, Institut Català de la Salut, 25005 Lleida, Spain)

  • Eugeni Paredes

    (Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
    Primary Care Center Onze de Setembre, Institut Català de la Salut, 25005 Lleida, Spain)

  • Esther Limón

    (Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
    Primary Care Center Ronda Prim, Mataró, Institut Català de la Salut, 08302 Barcelona, Spain)

  • Josep Basora

    (Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
    IDIAP Jordi Gol, Institut Català de la Salut, 08007 Barcelona, Spain)

  • Iris Alarcón

    (Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
    Primary Care Service Dreta i Muntanya Barcelona, Institut Català de la Salut, 08007 Barcelona, Spain)

  • Irene Veganzones

    (Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
    School of Medicine, Vic University, 08500 Barcelona, Spain)

  • Laura Conangla

    (Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
    Primary Care Center Badalona Centre, Institut Català de la Salut, 08911 Barcelona, Spain)

  • Núria Casado

    (Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
    Primary Care Center Nova Lloreda, Badalona Serveis Assistencials, 08917 Barcelona, Spain)

  • Yolanda Ortega

    (Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
    Primary Care Center Salou, Institut Català de la Salut, 43005 Tarragona, Spain)

  • Jordi Mestres

    (Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
    Primary Care Center Sanllehy, Institut Català de la Salut, 08024 Barcelona, Spain)

  • Jordi Acezat

    (Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
    Primary Care Center Casernes, Institut Català de la Salut, 08030 Barcelona, Spain)

  • Joan Deniel

    (Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
    Multiprofessional Teaching Unit of Primary Care in Catalunya Central, Institut Català de la Salut, 08272 Barcelona, Spain)

  • Joan Josep Cabré

    (Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
    Primary Care Center Reus-1, Institut Català de la Salut, 43202 Tarragona, Spain)

  • Daniel Sánchez Ruiz

    (Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
    Primary Care Center Sardenya, ACEBA, 08025 Barcelona, Spain)

  • Marcos Sánchez

    (Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
    Primary Care Center Les Corts, CAPSBE, 08028 Barcelona, Spain)

  • Aroa Illa

    (Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
    Primary Care Center Celrà, Institut Català de la Salut, 17460 Girona, Spain)

  • Ignasi Viñas

    (Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
    Primary Care Center Montilivi-Vilaroja, Institut Català de la Salut, 17003 Girona, Spain)

  • Juan José Montero

    (Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
    Primary Care Center Rocafonda, Institut Català de la Salut, 08304 Barcelona, Spain)

  • Francesc Xavier Cantero

    (Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
    Primary Care Center Igualada Urbà, Institut Català de la Salut, 08700 Barcelona, Spain)

  • Anna Rodriguez

    (Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
    Primary Care Center Santa Eugènia de Berga, Institut Català de la Salut, 08507 Barcelona, Spain)

  • Francisco Martín

    (Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
    Primary Healthcare Research Support Unit, Departament of Primary Care Camp de Tarragona, Institut Català de la Salut, 43202 Tarragona, Spain)

  • Montserrat Baré

    (Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
    Primary Care Center Creu Alta, Institut Català de la Salut, 08208 Barcelona, Spain)

  • Rosa Ripollés

    (Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
    Primary Care Center Temple, Institut Català de la Salut, Terres de l’Ebre, 43500 Tarragona, Spain)

  • Montse Castellet

    (Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
    Primary Care Center Dr. Joan Mirabell, Institut Català de la Salut, 08006 Barcelona, Spain)

  • Joan Lozano

    (Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain)

  • Antoni Sisó-Almirall

    (Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
    Primary Care Center Les Corts, CAPSBE, 08028 Barcelona, Spain
    Department of Medicine, University of Barcelona, 08036 Barcelona, Spain)

Abstract

Introduction: The health emergency caused by COVID-19 has led to substantial changes in the usual working system of primary healthcare centers and in relations with users. The Catalan Society of Family and Community Medicine designed a survey that aimed to collect the opinions and facilitate the participation of its partners on what the future work model of general practitioners (GPs) should look like post-COVID-19. Methodology: Online survey of Family and Community Medicine members consisting of filiation data, 22 Likert-type multiple-choice questions grouped in five thematic axes, and a free text question. Results: The number of respondents to the questionnaire was 1051 (22.6% of all members): 83.2% said they spent excessive time on bureaucratic tasks; 91.8% were against call center systems; 66% believed that home care is the responsibility of every family doctor; 77.5% supported continuity of care as a fundamental value of patient-centered care; and >90% defended the contracting of complementary tests and first hospital visits from primary healthcare (PHC). Conclusions: The survey responses describe a strong consensus on the identity and competencies of the GP and on the needs of and the threats to the PHC system. The demand for an increase in health resources, greater professional leadership, elimination of bureaucracy, an increase in the number of health professionals, and greater management autonomy, are the axes towards which a new era in PHC should be directed.

Suggested Citation

  • Mònica Solanes-Cabús & Eugeni Paredes & Esther Limón & Josep Basora & Iris Alarcón & Irene Veganzones & Laura Conangla & Núria Casado & Yolanda Ortega & Jordi Mestres & Jordi Acezat & Joan Deniel & Jo, 2023. "Primary and Community Care Transformation in Post-COVID Era: Nationwide General Practitioner Survey," IJERPH, MDPI, vol. 20(2), pages 1-12, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1600-:d:1037112
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    References listed on IDEAS

    as
    1. Jaume Puig‐Junoy & Vicente Ortún, 2004. "Cost efficiency in primary care contracting: a stochastic frontier cost function approach," Health Economics, John Wiley & Sons, Ltd., vol. 13(12), pages 1149-1165, December.
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    4. Héctor Pifarré i Arolas & Josep Vidal-Alaball & Joan Gil & Francesc López & Catia Nicodemo & Marc Saez, 2021. "Missing Diagnoses during the COVID-19 Pandemic: A Year in Review," IJERPH, MDPI, vol. 18(10), pages 1-10, May.
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