Impact of the COVID-19 pandemic on the core functions of primary care: will the cure be worse than the disease? A qualitative interview study in Flemish GPs.

摘要: OBJECTIVES: The current COVID-19 pandemic, as well the measures taken to control it, have a profound impact on healthcare. This study was set up gain insights into consequences of outbreak core competencies general practice, they are experienced by practitioners (GPs) frontline. DESIGN, SETTING, PARTICIPANTS: We performed descriptive using semistructured interviews with 132 GPs in Flanders, topic list based WONCA definition practice. Data were analysed qualitatively framework analysis. RESULTS: Changes practice management and consultation strategies quickly adopted. There major switch towards telephone triage consults, for covid-related non-covid related problems. Patient-centred care is still objective. Clinical decision-making largely focused respiratory assessment triage, feel that acute compromised, both their own changed focus fact patients consult less frequently Chronic mostly postponed, this will extend become visible after corona crisis. Through holistic eyes primary care, outbreak-as it-will psychological socioeconomic well-being. already vulnerable people continue clear medium long terms. think at high risk getting infected. Dropping out being unable contribute part or becoming virus transmitters reported be greater concerns than ill themselves. CONCLUSIONS: times competences care. Although vast increase soliciting medical help necessary separate covid flows been dealt with, worried about continuity regular anticovid measures. These may threat health population provision healthcare near distant future.