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

Mònica Solanes-Cabús^{1

2}, Eugeni Paredes^{1

2}, Esther Limón^{1

3}, Josep Basora^{1

4}, Iris Alarcón^{1

5}, Irene Veganzones^{1

6}, Laura Conangla^{1

7}, Núria Casado^{1

8}, Yolanda Ortega^{1

9}, Jordi Mestres^{1

10}, Jordi Acezat^{1

11}, Joan Deniel^{1

12}, Joan Josep Cabré^{1

13}, Daniel Sánchez Ruiz^{1

14}, Marcos Sánchez^{1

15}, Aroa Illa^{1

16}, Ignasi Viñas^{1

17}, Juan José Montero^{1

18}, Francesc Xavier Cantero^{1

19}, Anna Rodriguez^{1

20}, Francisco Martín^{1

21}, Montserrat Baré^{1

22}, Rosa Ripollés^{1

23}, Montse Castellet^{1

24}, Joan Lozano¹, Antoni Sisó-Almirall^{1

15

25}

Affiliations

¹ Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain.
² Primary Care Center Onze de Setembre, Institut Català de la Salut, 25005 Lleida, Spain.
³ Primary Care Center Ronda Prim, Mataró, Institut Català de la Salut, 08302 Barcelona, Spain.
⁴ IDIAP Jordi Gol, Institut Català de la Salut, 08007 Barcelona, Spain.
⁵ Primary Care Service Dreta i Muntanya Barcelona, Institut Català de la Salut, 08007 Barcelona, Spain.
⁶ School of Medicine, Vic University, 08500 Barcelona, Spain.
⁷ Primary Care Center Badalona Centre, Institut Català de la Salut, 08911 Barcelona, Spain.
⁸ Primary Care Center Nova Lloreda, Badalona Serveis Assistencials, 08917 Barcelona, Spain.
⁹ Primary Care Center Salou, Institut Català de la Salut, 43005 Tarragona, Spain.
¹⁰ Primary Care Center Sanllehy, Institut Català de la Salut, 08024 Barcelona, Spain.
¹¹ Primary Care Center Casernes, Institut Català de la Salut, 08030 Barcelona, Spain.
¹² Multiprofessional Teaching Unit of Primary Care in Catalunya Central, Institut Català de la Salut, 08272 Barcelona, Spain.
¹³ Primary Care Center Reus-1, Institut Català de la Salut, 43202 Tarragona, Spain.
¹⁴ Primary Care Center Sardenya, ACEBA, 08025 Barcelona, Spain.
¹⁵ Primary Care Center Les Corts, CAPSBE, 08028 Barcelona, Spain.
¹⁶ Primary Care Center Celrà, Institut Català de la Salut, 17460 Girona, Spain.
¹⁷ Primary Care Center Montilivi-Vilaroja, Institut Català de la Salut, 17003 Girona, Spain.
¹⁸ Primary Care Center Rocafonda, Institut Català de la Salut, 08304 Barcelona, Spain.
¹⁹ Primary Care Center Igualada Urbà, Institut Català de la Salut, 08700 Barcelona, Spain.
²⁰ Primary Care Center Santa Eugènia de Berga, Institut Català de la Salut, 08507 Barcelona, Spain.
²¹ Primary Healthcare Research Support Unit, Departament of Primary Care Camp de Tarragona, Institut Català de la Salut, 43202 Tarragona, Spain.
²² Primary Care Center Creu Alta, Institut Català de la Salut, 08208 Barcelona, Spain.
²³ Primary Care Center Temple, Institut Català de la Salut, Terres de l'Ebre, 43500 Tarragona, Spain.
²⁴ Primary Care Center Dr. Joan Mirabell, Institut Català de la Salut, 08006 Barcelona, Spain.
²⁵ Department of Medicine, University of Barcelona, 08036 Barcelona, Spain.

PMID: 36674354
PMCID: PMC9866570
DOI: 10.3390/ijerph20021600

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

Mònica Solanes-Cabús et al. Int J Environ Res Public Health. 2023.

. 2023 Jan 16;20(2):1600.

doi: 10.3390/ijerph20021600.

Authors

Affiliations

¹ Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain.
² Primary Care Center Onze de Setembre, Institut Català de la Salut, 25005 Lleida, Spain.
³ Primary Care Center Ronda Prim, Mataró, Institut Català de la Salut, 08302 Barcelona, Spain.
⁴ IDIAP Jordi Gol, Institut Català de la Salut, 08007 Barcelona, Spain.
⁵ Primary Care Service Dreta i Muntanya Barcelona, Institut Català de la Salut, 08007 Barcelona, Spain.
⁶ School of Medicine, Vic University, 08500 Barcelona, Spain.
⁷ Primary Care Center Badalona Centre, Institut Català de la Salut, 08911 Barcelona, Spain.
⁸ Primary Care Center Nova Lloreda, Badalona Serveis Assistencials, 08917 Barcelona, Spain.
⁹ Primary Care Center Salou, Institut Català de la Salut, 43005 Tarragona, Spain.
¹⁰ Primary Care Center Sanllehy, Institut Català de la Salut, 08024 Barcelona, Spain.
¹¹ Primary Care Center Casernes, Institut Català de la Salut, 08030 Barcelona, Spain.
¹² Multiprofessional Teaching Unit of Primary Care in Catalunya Central, Institut Català de la Salut, 08272 Barcelona, Spain.
¹³ Primary Care Center Reus-1, Institut Català de la Salut, 43202 Tarragona, Spain.
¹⁴ Primary Care Center Sardenya, ACEBA, 08025 Barcelona, Spain.
¹⁵ Primary Care Center Les Corts, CAPSBE, 08028 Barcelona, Spain.
¹⁶ Primary Care Center Celrà, Institut Català de la Salut, 17460 Girona, Spain.
¹⁷ Primary Care Center Montilivi-Vilaroja, Institut Català de la Salut, 17003 Girona, Spain.
¹⁸ Primary Care Center Rocafonda, Institut Català de la Salut, 08304 Barcelona, Spain.
¹⁹ Primary Care Center Igualada Urbà, Institut Català de la Salut, 08700 Barcelona, Spain.
²⁰ Primary Care Center Santa Eugènia de Berga, Institut Català de la Salut, 08507 Barcelona, Spain.
²¹ Primary Healthcare Research Support Unit, Departament of Primary Care Camp de Tarragona, Institut Català de la Salut, 43202 Tarragona, Spain.
²² Primary Care Center Creu Alta, Institut Català de la Salut, 08208 Barcelona, Spain.
²³ Primary Care Center Temple, Institut Català de la Salut, Terres de l'Ebre, 43500 Tarragona, Spain.
²⁴ Primary Care Center Dr. Joan Mirabell, Institut Català de la Salut, 08006 Barcelona, Spain.
²⁵ Department of Medicine, University of Barcelona, 08036 Barcelona, Spain.

PMID: 36674354
PMCID: PMC9866570
DOI: 10.3390/ijerph20021600

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.

Keywords: COVID-19; health policy; primary healthcare; work organization.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

**Figure 1**
Second section of the questionnaire with 22 questions distributed in 5 blocks.

See this image and copyright information in PMC

References

1. Sistema Nacional de Salud—Ministerio de Sanidad. [(accessed on 8 December 2022)]. Available online: https://www.sanidad.gob.es/organizacion/sns/home.htm.
1. Resultados de la Encuesta a los Directores de los PHC Centers Ante la Pandemia por COVID-19. [(accessed on 29 March 2022)]. Available online: http://gestor.camfic.cat/uploads/ITEM_13019_EBLOG_4057.pdf.
1. López F., Walsh S., Solans O., Adroher C., Ferraro G., García-Altés A., Vidal-Alaball J. Teleconsultation Between Patients and Health Care Professionals in the Catalan Primary Care Service: Message Annotation Analysis in a Retrospective Cross-Sectional Study. J. Med. Internet Res. 2020;22:e19149. doi: 10.2196/19149. - DOI - PMC - PubMed
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Primary and Community Care Transformation in Post-COVID Era: Nationwide General Practitioner Survey

Affiliations

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

Authors

Affiliations

Abstract

Conflict of interest statement

Figures

References

MeSH terms

LinkOut - more resources

Full Text Sources

Medical

Miscellaneous