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The challenge for general practitioners to keep in touch with vulnerable patients during the COVID-19 lockdown: an observational study in France

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  • معلومة اضافية
    • Contributors:
      Risques, Epidémiologie, Territoire, INformations, Education et Santé (RETINES); Université Côte d'Azur (UniCA); Laboratoire d'Informatique Médicale et Ingénierie des Connaissances en e-Santé (LIMICS); Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU)-Université Sorbonne Paris Nord; Centre de recherche en épidémiologie et santé des populations (CESP); Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay; École des Hautes Études en Santé Publique EHESP (EHESP); Hôpital Raymond Poincaré AP-HP; Institut Mondor de Recherche Biomédicale (IMRB); Institut National de la Santé et de la Recherche Médicale (INSERM)-IFR10-Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12); Institut Jean-François Rey (IJFR); Université Paris-Est Créteil Val-de-Marne - Faculté de médecine (UPEC Médecine); Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12); IMRB - CEPIA/"Clinical Epidemiology And Ageing : Geriatrics, Primary Care and Public Health" Créteil (U955 Inserm - UPEC); Institut National de la Santé et de la Recherche Médicale (INSERM)-IFR10-Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12)-Institut National de la Santé et de la Recherche Médicale (INSERM)-IFR10-Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12); Institut de Recherche et Documentation en Economie de la Santé (IRDES); Université Paris Dauphine-PSL; Université Paris Sciences et Lettres (PSL)-Université Paris Sciences et Lettres (PSL); Université d'Angers (UA); Institut de recherche en santé, environnement et travail (Irset); Université d'Angers (UA)-Université de Rennes (UR)-École des Hautes Études en Santé Publique EHESP (EHESP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ); Université de Sherbrooke (UdeS); French network of University Hospitals HUGO (Hopitaux Universitaires du Grand Ouest)
    • بيانات النشر:
      HAL CCSD
      Springer Nature
    • الموضوع:
      2022
    • Collection:
      Université de Rennes 1: Publications scientifiques (HAL)
    • نبذة مختصرة :
      International audience ; Background: In France, the first COVID-19-related lockdown (17th March to 10th May 2020) resulted in a major decrease in healthcare service utilization. This raised concerns about the continuity of care for vulnerable patients.Objectives: To identify individual and organizational factors associated with the initiatives taken by French GPs to contact vulnerable patients during the lockdown.Methods: A national observational survey using an online questionnaire was conducted to document French GPs' adaptations to the COVID-19 situation, their individual and organizational characteristics, including practice type (individual, group, multidisciplinary) and size. Data were collected from 7th to 20th May 2020 using mailing lists of GPs from the study partners and GPs who participated in a previous survey. This paper analysed answers to the question exploring whether and how GPs took initiatives to contact vulnerable patients. Responses were categorized in: no initiative; selection of patients to contact with a criteria-based strategy; initiative of contact without criteria-based strategy. Multivariate multinomial logistic regression identified factors associated with each category. Key components of the reported initiatives were described by inductive analysis of verbatim material.Results: Among the 3012 participant GPs (similar to 5.6% of French GPs), 1419 (47.1%) reported initiatives to contact some patients without criteria-based strategy, and 808 (26.8%) with a strategy using various clinical/psychological/social criteria. Women GPs more often declared initiatives of contacts with a criteria-based strategy (OR = 1.41, 95% CI [1.14-1.75]) as well as GPs with more than two patients who died due to COVID-19 in comparison with those having none (OR = 1.84, 95% CI [1.43-2.36]). Teaching GPs more often used criteria-based strategies than the other GPs (OR = 1.94, 95% CI [1.51-2.48]). Compared with those working in small monodisciplinary practice, GPs working alone were less likely to implement ...
    • Relation:
      info:eu-repo/semantics/altIdentifier/pmid/35436865; hal-03665316; https://hal.science/hal-03665316; https://hal.science/hal-03665316/document; https://hal.science/hal-03665316/file/s12875-022-01694-y; PUBMED: 35436865
    • الرقم المعرف:
      10.1186/s12875-022-01694-y
    • الدخول الالكتروني :
      https://hal.science/hal-03665316
      https://hal.science/hal-03665316/document
      https://hal.science/hal-03665316/file/s12875-022-01694-y
      https://doi.org/10.1186/s12875-022-01694-y
    • Rights:
      http://creativecommons.org/licenses/by/ ; info:eu-repo/semantics/OpenAccess
    • الرقم المعرف:
      edsbas.70C647DF