Abstract：
BACKGROUND: Spanish primary care services are managed differently by each region\'s authorities. Catalonia started its services provision and design nearly two decades before other Spanish regions and developed nurses\' roles and task shifting in primary care.
OBJECTIVE: This work identifies differences in the Europe PRICOV-19 study answers between Catalonia and those submitted from the rest of Spain regarding how primary care teams (PCT) were organised during the SARS-CoV-2-2019 pandemic, how tasks and roles changed, and the pandemic\'s impact on the care providers. Initially, we computed bivariate relationships and tested using contingency association and unpaired Wilcoxon.
METHODS: Still, we estimated multiple linear regressions controlling with a list of individual and GP practice characteristics and clustering standard errors at the kind of location.
RESULTS: Main statistically significant differences were found in the adaptation to the new tasks, the ability to solve most health problems, and specific accessibilities to primary care. In Catalonia, satisfaction with the adaptation to the new tasks was higher (41.9% satisfied and 30.2% neutral) than in the rest of Spain (50.9% dissatisfaction). Also, GPs in Catalonia reported to a greater extent than the rest of Spain that chronic patients were listed for extensive follow-up. These differences may be related to Catalonia\'s strategy for empowering primary care professionals other than family doctors.
CONCLUSIONS: Considering future pandemics, demographic ageing, and professional shortages, we point out the potential benefits of these changes in PCT organisations and the need to review the centres\'s design.
OBJECTIVE: This work identifies differences in the Europe PRICOV-19 study answers between Catalonia and those submitted from the rest of Spain regarding how primary care teams (PCT) were organised during the SARS-CoV-2-2019 pandemic, how tasks and roles changed, and the pandemic\'s impact on the care providers. Initially, we computed bivariate relationships and tested using contingency association and unpaired Wilcoxon.
METHODS: Still, we estimated multiple linear regressions controlling with a list of individual and GP practice characteristics and clustering standard errors at the kind of location.
RESULTS: Main statistically significant differences were found in the adaptation to the new tasks, the ability to solve most health problems, and specific accessibilities to primary care. In Catalonia, satisfaction with the adaptation to the new tasks was higher (41.9% satisfied and 30.2% neutral) than in the rest of Spain (50.9% dissatisfaction). Also, GPs in Catalonia reported to a greater extent than the rest of Spain that chronic patients were listed for extensive follow-up. These differences may be related to Catalonia\'s strategy for empowering primary care professionals other than family doctors.
CONCLUSIONS: Considering future pandemics, demographic ageing, and professional shortages, we point out the potential benefits of these changes in PCT organisations and the need to review the centres\'s design.
摘要：
背景：西班牙初级保健服务由每个地区的当局管理不同。加泰罗尼亚比其他西班牙地区早了近二十年就开始了其服务提供和设计，并发展了护士在初级保健中的角色和任务转变。
目的：这项工作确定了加泰罗尼亚与西班牙其他地区在SARS-CoV-2-2019大流行期间如何组织初级保健团队（PCT）方面的欧洲PRICOV-19研究答案的差异。任务和角色如何改变，以及大流行对护理提供者的影响。最初，我们计算了双变量关系，并使用偶然性关联和未配对Wilcoxon进行了检验。
方法：尽管如此，我们估计了多重线性回归,这些回归控制了个人和GP实践特征的列表以及在该位置的聚类标准误差.
结果：在适应新任务方面发现了主要的统计学差异，解决大多数健康问题的能力，和初级保健的具体可及性。在加泰罗尼亚,对适应新任务的满意度高于西班牙其他地区(50.9%不满意)(41.9%满意,30.2%中立).此外，加泰罗尼亚的全科医生报告说，与西班牙其他地区相比，慢性病患者被列为广泛的随访对象。这些差异可能与加泰罗尼亚赋予家庭医生以外的初级保健专业人员权力的策略有关。
结论：考虑到未来的大流行，人口老龄化，和专业短缺，我们指出了PCT组织中这些变化的潜在好处，以及审查中心设计的必要性。
目的：这项工作确定了加泰罗尼亚与西班牙其他地区在SARS-CoV-2-2019大流行期间如何组织初级保健团队（PCT）方面的欧洲PRICOV-19研究答案的差异。任务和角色如何改变，以及大流行对护理提供者的影响。最初，我们计算了双变量关系，并使用偶然性关联和未配对Wilcoxon进行了检验。
方法：尽管如此，我们估计了多重线性回归,这些回归控制了个人和GP实践特征的列表以及在该位置的聚类标准误差.
结果：在适应新任务方面发现了主要的统计学差异，解决大多数健康问题的能力，和初级保健的具体可及性。在加泰罗尼亚,对适应新任务的满意度高于西班牙其他地区(50.9%不满意)(41.9%满意,30.2%中立).此外，加泰罗尼亚的全科医生报告说，与西班牙其他地区相比，慢性病患者被列为广泛的随访对象。这些差异可能与加泰罗尼亚赋予家庭医生以外的初级保健专业人员权力的策略有关。
结论：考虑到未来的大流行，人口老龄化，和专业短缺，我们指出了PCT组织中这些变化的潜在好处，以及审查中心设计的必要性。
