PDF(Pubmed)
Abstract：
BACKGROUND: Primary Health Care (PHC) plays a crucial role in managing the COVID-19 pandemic, with only 8% of cases requiring hospitalization. However, PHC COVID-19 data often goes unnoticed on European government dashboards and in media discussions. This project aims to examine official information on PHC patient care during the COVID-19 pandemic in Europe, with specific objectives: (1) Describe PHC\'s clinical pathways for acute COVID-19 cases, including long-term care facilities, (2) Describe PHC COVID-19 pandemic indicators, (3) Develop COVID-19 PHC activity indicators, (4) Explain PHC\'s role in vaccination strategies, and (5) Create a PHC contingency plan for future pandemics.
METHODS: A mixed-method study will employ two online questionnaires to gather retrospective PHC data on COVID-19 management and PHC involvement in vaccination strategies. Validation will occur through focus group discussions with medical and public health (PH) experts. A two-wave Delphi survey will establish a European PHC indicators dashboard for future pandemics. Additionally, a coordinated health system action plan involving PHC, secondary care, and PH will be devised to address future pandemic scenarios.
METHODS: Quantitative data will be analysed using STATA v16.0 for descriptive and multivariate analyses. Qualitative data will be collected through peer-reviewed questionnaires and content analysis of focus group discussions. A Delphi survey and multiple focus groups will be employed to achieve consensus on PHC indicators and a common European health system response plan for future pandemics. The Eurodata research group involving researchers from 28 European countries support the development.
CONCLUSIONS: While PHC manages most COVID-19 acute cases, data remains limited in many European countries. This study collects data from numerous countries, offering a comprehensive perspective on PHC\'s role during the pandemic in Europe. It pioneers the development of a PHC dashboard and health system plan for pandemics in Europe. These results may prove invaluable in future pandemics. However, data may have biases due to key informants\' involvement and may not fully represent all European GP practices. PHC has a significant role in the management of the COVID-19 pandemic, as most of the cases are mild or moderate and only 8% needed hospitalization. However, PHC COVID-19 activity data is invisible on governments\' daily dashboards in Europe, often overlooked in media and public debates.
METHODS: A mixed-method study will employ two online questionnaires to gather retrospective PHC data on COVID-19 management and PHC involvement in vaccination strategies. Validation will occur through focus group discussions with medical and public health (PH) experts. A two-wave Delphi survey will establish a European PHC indicators dashboard for future pandemics. Additionally, a coordinated health system action plan involving PHC, secondary care, and PH will be devised to address future pandemic scenarios.
METHODS: Quantitative data will be analysed using STATA v16.0 for descriptive and multivariate analyses. Qualitative data will be collected through peer-reviewed questionnaires and content analysis of focus group discussions. A Delphi survey and multiple focus groups will be employed to achieve consensus on PHC indicators and a common European health system response plan for future pandemics. The Eurodata research group involving researchers from 28 European countries support the development.
CONCLUSIONS: While PHC manages most COVID-19 acute cases, data remains limited in many European countries. This study collects data from numerous countries, offering a comprehensive perspective on PHC\'s role during the pandemic in Europe. It pioneers the development of a PHC dashboard and health system plan for pandemics in Europe. These results may prove invaluable in future pandemics. However, data may have biases due to key informants\' involvement and may not fully represent all European GP practices. PHC has a significant role in the management of the COVID-19 pandemic, as most of the cases are mild or moderate and only 8% needed hospitalization. However, PHC COVID-19 activity data is invisible on governments\' daily dashboards in Europe, often overlooked in media and public debates.
摘要：
背景：初级卫生保健（PHC）在管理COVID-19大流行中起着至关重要的作用，只有8%的病例需要住院治疗。然而,PHCCOVID-19数据在欧洲政府仪表板和媒体讨论中经常被忽视。该项目旨在审查欧洲COVID-19大流行期间PHC患者护理的官方信息，具体目标：(1)描述PHC急性COVID-19病例的临床路径，包括长期护理设施，(2)描述PHCCOVID-19大流行指标，（3）制定COVID-19PHC活性指标，(4)解释PHC在疫苗接种策略中的作用，(5)为未来的流行病制定PHC应急计划。
方法：一项混合方法研究将采用两份在线问卷，收集关于COVID-19管理和PHC参与疫苗接种策略的回顾性PHC数据。验证将通过与医疗和公共卫生（PH）专家的焦点小组讨论进行。Delphi的两波调查将为未来的流行病建立欧洲PHC指标仪表板。此外,涉及PHC的协调卫生系统行动计划，二级保健,PH将被设计为应对未来的大流行情景。
方法：定量数据将使用STATAv16.0进行描述性和多变量分析。定性数据将通过同行评审问卷和焦点小组讨论的内容分析来收集。德尔菲调查和多个焦点小组将被用来就PHC指标达成共识，并为未来的流行病制定共同的欧洲卫生系统应对计划。来自28个欧洲国家的研究人员组成的Eurodata研究小组支持这一发展。
结论：虽然PHC处理大多数COVID-19急性病例，许多欧洲国家的数据仍然有限。这项研究收集了来自许多国家的数据，全面了解PHC在欧洲大流行期间的作用。它率先开发了针对欧洲大流行疾病的PHC仪表板和卫生系统计划。这些结果可能在未来的大流行中被证明是无价的。然而,由于关键信息提供者的参与，数据可能存在偏差，并且可能无法完全代表所有欧洲GP实践。PHC在COVID-19大流行的管理中发挥着重要作用，因为大多数病例是轻度或中度的，只有8%需要住院治疗。然而,PHCCOVID-19活动数据在欧洲政府的每日仪表板上是不可见的，在媒体和公众辩论中经常被忽视。
方法：一项混合方法研究将采用两份在线问卷，收集关于COVID-19管理和PHC参与疫苗接种策略的回顾性PHC数据。验证将通过与医疗和公共卫生（PH）专家的焦点小组讨论进行。Delphi的两波调查将为未来的流行病建立欧洲PHC指标仪表板。此外,涉及PHC的协调卫生系统行动计划，二级保健,PH将被设计为应对未来的大流行情景。
方法：定量数据将使用STATAv16.0进行描述性和多变量分析。定性数据将通过同行评审问卷和焦点小组讨论的内容分析来收集。德尔菲调查和多个焦点小组将被用来就PHC指标达成共识，并为未来的流行病制定共同的欧洲卫生系统应对计划。来自28个欧洲国家的研究人员组成的Eurodata研究小组支持这一发展。
结论：虽然PHC处理大多数COVID-19急性病例，许多欧洲国家的数据仍然有限。这项研究收集了来自许多国家的数据，全面了解PHC在欧洲大流行期间的作用。它率先开发了针对欧洲大流行疾病的PHC仪表板和卫生系统计划。这些结果可能在未来的大流行中被证明是无价的。然而,由于关键信息提供者的参与，数据可能存在偏差，并且可能无法完全代表所有欧洲GP实践。PHC在COVID-19大流行的管理中发挥着重要作用，因为大多数病例是轻度或中度的，只有8%需要住院治疗。然而,PHCCOVID-19活动数据在欧洲政府的每日仪表板上是不可见的，在媒体和公众辩论中经常被忽视。
