Dataset Information

Clinical pathway of COVID-19 patients in primary health care in 30 European countries: Eurodata study.

ABSTRACT:

Background

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.

SUBMITTER: Ares-Blanco S

PROVIDER: S-EPMC10324993 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature

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Publications

Clinical pathway of COVID-19 patients in primary health care in 30 European countries: Eurodata study.

Ares-Blanco Sara S Guisado-Clavero Marina M Ramos Del Rio Lourdes L Gefaell Larrondo Ileana I Fitzgerald Louise L Adler Limor L Assenova Radost R Bakola Maria M Bayen Sabine S Brutskaya-Stempkovskaya Elena E Busneag Iliana-Carmen IC Domeyer Philippe-Richard PR Gjorgjievski Dragan D Hoffmann Kathryn K Ільков Оксана О Trifon Karathanos Vasilis V Kirkovski Aleksandar A Knežević Snežana S Çimen Korkmaz Büsra B Heleno Bruno B Nessler Katarzyna K Murauskienė Liubovė L Neves Ana Luisa AL Parodi López Naldy N Perjés Ábel Á Petek Davorina D Petrazzuoli Ferdinando F Petricek Goranka G Seifert Bohumil B Serafini Alice A Sentker Theresa T Tiili Paula P Torzsa Péter P Vaes Bert B van Pottebergh Gijs G Vinker Shlomo S Astier-Peña María Pilar MP Gómez-Bravo Raquel R Lingner Heidrun H

The European journal of general practice 20230321 2

<h4>Background</h4>Most COVID-19 patients were treated in primary health care (PHC) in Europe.<h4>Objectives</h4>To demonstrate the scope of PHC workflow during the COVID-19 pandemic emphasising similarities and differences of patient's clinical pathways in Europe.<h4>Methods</h4>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 ...[more]

PMID: 36943232

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Project description:The high variability in the types and number of measures adopted to evaluate childcare across European countries makes it necessary to investigate country practices to identify trends in setting national priorities in the assessment of child well-being. This paper intends to investigate country practices under the lens of variability to explore possible trends in setting national priority in the evaluation of childcare. In particular, it analyses variability considering to what extent this depends on the tendency of adopting a broad vision (i.e. selecting measures for a larger variety of aspects) or whether this is influenced by the choice of adopting an in-depth approach (i.e. using more measures to analyse a specific aspect). An ad hoc questionnaire was administered to a national expert in each country and yielded 352 measures. To analyse variability, the breadth in the number of aspects considered was explored using a convergence index, while the depth in the distribution of measures in each aspect was investigated by computing a coefficient of variation. Countries were grouped by adopting a hierarchical clustering approach. There is a high variability across countries in the selection of measures that cover different aspects of childcare. Preferences in the distribution of measures are significant even at the domain level and in countries that use a limited number of measures and become more evident at the category and sub-category levels. The statistical analysis clusters countries in four main groups and two outliers. The in-depth distribution of measures focused on a specific aspect shows a homogeneous pattern, with the identification of two main groups of countries. A limited set of measures are shared across countries hampering a robust comparison of paediatric models. The selection of measures shows that the evaluation is closely related to national priorities as resulting from the number and types of measures adopted. Moreover, a range of a reasonable number of measures can be hypothesized to address the quality of childcare under a multi-dimensional perspective.

Dataset Information

Clinical pathway of COVID-19 patients in primary health care in 30 European countries: Eurodata study.

Background

Objectives

Methods

Results

Conclusion

Publications

Clinical pathway of COVID-19 patients in primary health care in 30 European countries: Eurodata study.

Similar Datasets

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