Abstract：
BACKGROUND: The COVID-19 pandemic had a major impact on primary care and primary care physicians (PCPs) in Israel and around the world. There is paucity of information regarding treatment of patients with COVID-19 in the community, since most research was performed in hospitals. The aim of this study was to describe the Israeli PCPs\' experience.
METHODS: This study is a part of an international cross-sectional study, the PRICOV-19. A translated version of the questionnaire was distributed among Israeli PCPs from December 2020 to July 2021. In this study, we describe the Israeli results and compare them to the international results.
RESULTS: 5,961 respondents from 29 countries answered the questionnaire, 94 from Israel, with an Israeli response rate of 16%. Israeli PCPs reported an increase in use of telemedicine from 11 to 49% during the COVID epidemic. PCPs also reported a decline in their wellbeing; absence of secured time slots for keeping updated; perception that the Ministry of Health guidelines were a threat to the staff wellbeing and organization of practice and delays in the examination of non-COVID urgent cases.
CONCLUSIONS: The findings of this study raise concerns regarding the PCPs experience and may form the basis for an improved process of care. Guidelines for proper usage of telemedicine, substitutes for the physical examination and procedures for minimizing delayed patient examination for urgent conditions should be developed. Government directives and clinical guidelines should be communicated in a timely manner, with secured timeslots for physicians\' self-learning or updating. Ensuring physicians\' well-being in general should be an organization priority.
METHODS: This study is a part of an international cross-sectional study, the PRICOV-19. A translated version of the questionnaire was distributed among Israeli PCPs from December 2020 to July 2021. In this study, we describe the Israeli results and compare them to the international results.
RESULTS: 5,961 respondents from 29 countries answered the questionnaire, 94 from Israel, with an Israeli response rate of 16%. Israeli PCPs reported an increase in use of telemedicine from 11 to 49% during the COVID epidemic. PCPs also reported a decline in their wellbeing; absence of secured time slots for keeping updated; perception that the Ministry of Health guidelines were a threat to the staff wellbeing and organization of practice and delays in the examination of non-COVID urgent cases.
CONCLUSIONS: The findings of this study raise concerns regarding the PCPs experience and may form the basis for an improved process of care. Guidelines for proper usage of telemedicine, substitutes for the physical examination and procedures for minimizing delayed patient examination for urgent conditions should be developed. Government directives and clinical guidelines should be communicated in a timely manner, with secured timeslots for physicians\' self-learning or updating. Ensuring physicians\' well-being in general should be an organization priority.
摘要：
背景：COVID-19大流行对以色列和世界各地的初级保健和初级保健医生（PCP）产生了重大影响。社区中关于COVID-19患者治疗的信息很少，因为大多数研究是在医院进行的。这项研究的目的是描述以色列PCP的经验。
方法：本研究是国际横断面研究的一部分，PRICOV-19问卷的翻译版本于2020年12月至2021年7月在以色列PCP中分发。在这项研究中,我们描述以色列的结果，并将其与国际结果进行比较。
结果：来自29个国家的5961名受访者回答了问卷，94来自以色列，以色列的回应率为16%。以色列PCP报告说，在COVID流行期间，远程医疗的使用从11%增加到49%。PCP还报告说，他们的健康状况有所下降；没有安全的时间间隔进行更新；认为卫生部的指导方针对工作人员的福祉和实践的组织构成威胁，并且在检查非COVID紧急情况方面出现了延误。
结论：这项研究的发现引起了人们对PCP体验的担忧，并可能成为改善护理过程的基础。正确使用远程医疗的指南，应开发体格检查的替代品和程序，以最大程度地减少因紧急情况而延误的患者检查。政府指令和临床指南应及时传达,为医生自学或更新提供安全的时隙。确保医生的总体福祉应该是组织的优先事项。
方法：本研究是国际横断面研究的一部分，PRICOV-19问卷的翻译版本于2020年12月至2021年7月在以色列PCP中分发。在这项研究中,我们描述以色列的结果，并将其与国际结果进行比较。
结果：来自29个国家的5961名受访者回答了问卷，94来自以色列，以色列的回应率为16%。以色列PCP报告说，在COVID流行期间，远程医疗的使用从11%增加到49%。PCP还报告说，他们的健康状况有所下降；没有安全的时间间隔进行更新；认为卫生部的指导方针对工作人员的福祉和实践的组织构成威胁，并且在检查非COVID紧急情况方面出现了延误。
结论：这项研究的发现引起了人们对PCP体验的担忧，并可能成为改善护理过程的基础。正确使用远程医疗的指南，应开发体格检查的替代品和程序，以最大程度地减少因紧急情况而延误的患者检查。政府指令和临床指南应及时传达,为医生自学或更新提供安全的时隙。确保医生的总体福祉应该是组织的优先事项。
