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Clinical pathway of COVID-19 patients in primary health care in 30 European countries

2023-03-21Artigo científico Acesso aberto
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dc.contributor.authorAres-Blanco, Sara
dc.contributor.authorGuisado-Clavero, Marina
dc.contributor.authorRamos Del Rio, Lourdes
dc.contributor.authorGefaell Larrondo, Ileana
dc.contributor.authorFitzgerald, Louise
dc.contributor.authorAdler, Limor
dc.contributor.authorAssenova, Radost
dc.contributor.authorBakola, Maria
dc.contributor.authorBayen, Sabine
dc.contributor.authorBrutskaya-Stempkovskaya, Elena
dc.contributor.authorBusneag, Iliana Carmen
dc.contributor.authorDomeyer, Philippe Richard
dc.contributor.authorGjorgjievski, Dragan
dc.contributor.authorHoffmann, Kathryn
dc.contributor.authorІльков
dc.contributor.authorTrifon Karathanos, Vasilis
dc.contributor.authorKirkovski, Aleksandar
dc.contributor.authorKnežević, Snežana
dc.contributor.authorÇimen Korkmaz, Büsra
dc.contributor.authorHeleno, Bruno
dc.contributor.authorHeleno, Bruno
dc.contributor.authorNessler, Katarzyna
dc.contributor.authorMurauskienė, Liubovė
dc.contributor.authorNeves, Ana Luisa
dc.contributor.authorParodi López, Naldy
dc.contributor.authorPerjés, Ábel
dc.contributor.authorPetek, Davorina
dc.contributor.authorPetrazzuoli, Ferdinando
dc.contributor.authorPetricek, Goranka
dc.contributor.authorSeifert, Bohumil
dc.contributor.authorSerafini, Alice
dc.contributor.authorSentker, Theresa
dc.contributor.authorTiili, Paula
dc.contributor.authorTorzsa, Péter
dc.contributor.authorVaes, Bert
dc.contributor.authorvan Pottebergh, Gijs
dc.contributor.authorVinker, Shlomo
dc.contributor.authorAstier-Peña, María Pilar
dc.contributor.authorGómez-Bravo, Raquel
dc.contributor.authorLingner, Heidrun
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - pólo NMS
dc.contributor.pblTaylor & Francis
dc.date.accessioned2023-07-27T22:15:28Z
dc.date.available2023-07-27T22:15:28Z
dc.date.issued2023-03-21
dc.description.abstractBACKGROUND: Most COVID-19 patients were treated in primary health care (PHC) in Europe. OBJECTIVES: To demonstrate the scope of PHC workflow during the COVID-19 pandemic emphasising similarities and differences of patient's clinical pathways in Europe. METHODS: Descriptive, cross-sectional study with data acquired through a semi-structured questionnaire in PHC in 30 European countries, created ad hoc and agreed upon among all researchers who participated in the study. GPs from each country answered the approved questionnaire. Main variable: PHC COVID-19 acute clinical pathway. All variables were collected from each country as of September 2020. RESULTS: COVID-19 clinics in PHC facilities were organised in 8/30. Case detection and testing were performed in PHC in 27/30 countries. RT-PCR and lateral flow tests were performed in PHC in 23/30, free of charge with a medical prescription. Contact tracing was performed mainly by public health authorities. Mandatory isolation ranged from 5 to 14 days. Sick leave certification was given exclusively by GPs in 21/30 countries. Patient hotels or other resources to isolate patients were available in 12/30. Follow-up to monitor the symptoms and/or new complementary tests was made mainly by phone call (27/30). Chest X-ray and phlebotomy were performed in PHC in 18/30 and 23/30 countries, respectively. Oxygen and low-molecular-weight heparin were available in PHC (21/30). CONCLUSION: In Europe PHC participated in many steps to diagnose, treat and monitor COVID-19 patients. Differences among countries might be addressed at European level for the management of future pandemics.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent1
dc.format.extent6093833
dc.identifier.doi10.1080/13814788.2023.2182879
dc.identifier.otherPURE: 66066275
dc.identifier.otherPURE UUID: a991bca4-b140-48f5-b5ea-038cf39d0de5
dc.identifier.otherScopus: 85163204324
dc.identifier.otherPubMed: 36943232
dc.identifier.otherORCID: /0000-0002-3943-1858/work/151404542
dc.identifier.urihttp://hdl.handle.net/10362/155906
dc.identifier.urlhttps://www.scopus.com/pages/publications/85163204324
dc.language.isoeng
dc.peerreviewedyes
dc.subjectCOVID-19
dc.subjectEurope
dc.subjectpatient care management
dc.subjectpolicy
dc.subjectprimary health care
dc.subjectstandard of care
dc.subjectFamily Practice
dc.subjectSDG 3 - Good Health and Well-being
dc.titleClinical pathway of COVID-19 patients in primary health care in 30 European countriesen
dc.title.subtitleEurodata studyen
dc.typejournal article
degois.publication.issue2
degois.publication.titleEuropean Journal of General Practice
degois.publication.volume29
dspace.entity.typePublication
person.familyNameHeleno
person.givenNameBruno
person.identifier.ciencia-id8B1D-AC7D-5CB2
person.identifier.orcid0000-0002-3943-1858
person.identifier.scopus-author-id54937604600
rcaap.rightsopenAccess
relation.isAuthorOfPublication2a89b92b-0b51-4df1-911c-da2e71efae1b
relation.isAuthorOfPublication.latestForDiscovery2a89b92b-0b51-4df1-911c-da2e71efae1b

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