Primary Health Care

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Article Primary Health Care

Gender differences in GPs' strategies for coping with the stress of the COVID-19 pandemic in Catalonia: A cross-sectional study

Enric Aragones, Maribel Fernandez-San-Martin, Maria Rodriguez-Barragan, Francisco Martin-Lujan, Monica Solanes, Anna Berenguera, Antoni Siso, Josep Basora

Summary: This study aimed to explore gender differences and stress level differences in coping strategies among GPs during the Covid-19 pandemic. The study found that women were more likely to resort to emotional support, while men used acceptance and humor more commonly. Additionally, high stress levels were associated with an increase in non-adaptive coping strategies.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

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Article Primary Health Care

Experience and views of primary care physicians involved in reorganisation of care in family medicine practices during COVID-19 pandemic: A qualitative study from Slovenia

Simona Kovacec, Zalika Klemenc-Ketis, Antonija Poplas-Susic, Andrej Kravos

Summary: Primary care in Slovenia plays a crucial role in managing the COVID-19 pandemic. The study explored the opinions and experiences of primary care workers, and identified the importance of clear organization of work, psychological support for health workers, and adequate support from health authorities in similar pandemic situations.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

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Article Primary Health Care

Two years of approved digital health applications in Germany - Perspectives and experiences of general practitioners with an affinity for their use

Julian Wangler, Michael Jansky

Summary: Since 2020, German physicians have been able to prescribe approved digital health applications (DHAs) with the costs covered by the health system. However, there has been a lack of studies on attitudes and experiences amongst GPs in using DHAs. In a qualitative study conducted in 2022, German GPs with experience in prescribing DHAs expressed positive views on their usefulness and benefits, and suggested areas for further improvement.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

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Letter Primary Health Care

Comment on: A higher frequency of physical activity is associated with reduced rates of SARS-CoV-2 infection

Tomofumi Funakoshi, Mariko Ishisaka, Masataka Kudo, Shinji Fujiwara, Kazuki Miyaue, Takashi Yoshioka

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

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Editorial Material Primary Health Care

What did the EJGP do well in 2022, and What is the Journal's plan?

Jelle Stoffers

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

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Article Primary Health Care

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

Sara Ares-Blanco, Marina Guisado-Clavero, Lourdes Ramos Del Rio, Ileana Gefaell Larrondo, Louise Fitzgerald, Limor Adler, Radost Assenova, Maria Bakola, Sabine Bayen, Elena Brutskaya-Stempkovskaya, Iliana-Carmen Busneag, Philippe-Richard Domeyer, Dragan Gjorgjievski, Kathryn Hoffmann, Oksana Ilkov, Vasilis Trifon Karathanos, Aleksandar Kirkovski, Snezana Knezevic, Buesra Cimen Korkmaz, Bruno Heleno, Katarzyna Nessler, Liubove Murauskiene, Ana Luisa Neves, Naldy Parodi Lopez, Abel Perjes, Davorina Petek, Ferdinando Petrazzuoli, Goranka Petricek, Bohumil Seifert, Alicia Serafini, Theresa Sentker, Paula Tiili, Peter Torzsa, Bert Vaes, Gijs van Pottebergh, Shlomo Vinker, Maria Pilar Astier-Pena, Raquel Gomez-Bravo, Heidrun Lingner

Summary: This study demonstrated the involvement of primary health care centers in Europe in diagnosing, treating, and monitoring COVID-19 patients. The similarities and differences in patient's clinical pathways among European countries were highlighted.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

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Article Primary Health Care

The experiences of patients ill with COVID-19-like symptoms and the role of testing for SARS-CoV-2 in supporting them: A qualitative study in eight European countries during the first wave of the pandemic

Melanie E. Hoste, Marta Wanat, Nina Gobat, Marilena Anastasaki, Femke Boehmer, Slawomir Chlabicz, Annelies Colliers, Karen Farrell, Maria-Nefeli Karkana, John Kinsman, Christos Lionis, Ludmila Marcinowicz, Katrin Reinhardt, Ingmarie Skoglund, Paer-Daniel Sundvall, Akke Vellinga, Herman Goossens, Christopher C. Butler, Alike van der Velden, Sarah Tonkin-Crine, Sibyl Anthierens

Summary: During the first wave of the COVID-19 pandemic, patients consulting in primary care in eight European countries expressed the need for testing to identify the cause of their illness and manage uncertainty. Some patients testing positive for COVID-19 believed they were immune from future infection, affecting their behavior.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

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Article Primary Health Care

Post-intensive care syndrome in primary care: The development of new diseases and primary care services utilisation - a prospective cohort study

Dries van Sleeuwen, Sabine de Man, Marieke Zegers, Reinier Akkermans, Michael Ricking, Marco Peters, Mark van den Boogaard, Floris A. van de Laar

Summary: ICU survivors have more new ICPC-2 diagnoses and GP contacts compared to non-ICU patients. This highlights the importance of primary care in recognizing and managing the long-term health problems experienced by ICU patients.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

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Article Primary Health Care

Patients and general practitioners agree that wearing masks during consultations complicates physician--patient relationships: An exploratory, qualitative study

Luc Auregan, Clement Lebaron, Anthony Chapron, Jean-Philippe Duguey, Samuel Roger

Summary: This qualitative study conducted semi-structured interviews with 13 general practitioners and 11 patients in Brittany, France to investigate the impact and perceptions of wearing masks during consultations. The findings suggest that wearing masks creates communication barriers and distance, but has minimal impact on physician-patient relationships with a solid foundation. Both doctors and patients identified specific populations that require increased attention and proposed adaptation strategies.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

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Article Primary Health Care

Women's sexually transmitted infections in primary care: General practitioners' challenges and strategies - A qualitative study in Germany

Pauline Meurer, Christoph Heintze, Angela Schuster

Summary: The provision of STI care for women in Germany by general practitioners (GPs) faces challenges due to unclear responsibilities and perceptions. GPs often serve as the first point of contact for patients and feel responsible to provide assistance, but specialized doctors are perceived to be responsible for STI care. Access to STI care is lower for LGBTQI women, and stigmatizing attitudes towards women with STI-related needs are common. Referral strategies by GPs are often unsystematic, with only a few offering primary STI care. Improvement in training, remuneration, and referral pathways can enhance STI care provided by GPs.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

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Article Primary Health Care

The experiences and thoughts of Turkish family physicians about COVID-19 pandemic: A qualitative study

Duygu Ayhan Baser, Pinar Doner Guner, Raziye Sule Gumustakim, Ezgi Agadayi, Hilal Aksoy, Izzet Fidanci

Summary: In this study, we explored the experiences, views, and suggestions of family physicians regarding their roles and the preparedness of primary healthcare systems during the pandemic. Through qualitative interviews, we identified four themes: the role of primary care, preparedness of primary care, challenges faced in primary care centers, and approaches to future pandemics. Despite the unpreparedness and undefined roles in pandemic planning, family physicians played a significant role in pandemic management.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

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Article Primary Health Care

COVID-19 vaccine short-term adverse events in the real-life family practice in Krakow, Poland

Marek Oleszczyk, Zuzanna Marciniak, Katarzyna Nessler, Ewa Wojtowicz, Nataliya Szozda, Elzbieta Kryj-Radziszewska, Maria Boron, Klaudia Gajos, Mateusz P. Paziewski, Pawel Sajdak, Adam Windak

Summary: This study investigated patients vaccinated against COVID-19 in three general practice settings in Poland and found that over 90% of patients experienced vaccine adverse events (VAEs), but the majority of these reactions were localized and mild.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

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Article Primary Health Care

Rural family medicine as a career option among Hungarian medical students

Andras Mohos, Gergo Jozsef Szollosi, Laszlo Robert Kolozsvari, Jozsef Rinfel, Albert Varga, Maria Marko Kucsera, Csenge Hargittay, Peter Torzsa

Summary: The shortage of family physicians in Hungary is a significant challenge, especially in rural and deprived areas. This study investigated medical students' attitudes towards rural family medicine and found that only 5% of participants plan to become family doctors and work in rural areas. Medical students with a rural origin and an interest in family medicine are more likely to plan to work in rural areas.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

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Article Primary Health Care

Prevalence of SARS-CoV-2 antibodies among Belgian nursing home residents and staff during the primary COVID-19 vaccination campaign

Eline Meyers, Liselore De Rop, Ellen Deschepper, Els Duysburgh, Tine De Burghgraeve, Pauline Van Ngoc, Marina Digregorio, Simon Delogne, Anja Coen, Nele De Clercq, Laetitia Buret, Samuel Coenen, An De Sutter, Beatrice Scholtes, Jan Y. Verbakel, Piet Cools, Stefan Heytens

Summary: Elderly nursing home residents in Belgium have shown decreased antibody responses after receiving the COVID-19 vaccine, indicating potential insufficient protection. Age, comorbidities, and care dependency are predictive factors for seronegativity in nursing home residents.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

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Article Primary Health Care

A face-to-face national congress experience during the COVID-19 pandemic: A report focussing on the risk of COVID-19 contamination

Julie Dupouy, Marc Chaneliere, Matthieu Schuers, Catherine Laporte, Marc Bayen, Aurelie Gaultier, Cedric Rat

Summary: This study reports on the participation in the first French face-to-face medical congress after COVID-19 restrictions and whether it resulted in COVID-19 contamination. The findings highlight the importance of networking and social aspects of a face-to-face congress, as even participants considering themselves at risk attended the congress.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

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Article Primary Health Care

Clinical diagnosis of SARS-CoV-2 infection: An observational study of respiratory tract infection in primary care in the early phase of the pandemic

Alike W. van der Velden, Milensu Shanyinde, Emily Bongard, Femke Boehmer, Slawomir Chlabicz, Annelies Colliers, Ana Garcia-Sangenis, Lile Malania, Jozsef Pauer, Angela Tomacinschii, Ly-Mee Yu, Katherine Loens, Margareta Ieven, Theo J. Verheij, Herman Goossens, Akke Vellinga, Christopher C. Butler

Summary: During the early stages of the COVID-19 pandemic, GPs had difficulty accurately diagnosing SARS-CoV-2 infections based on clinical grounds alone. This led to under-advised care for some patients and potentially increased the spread of the virus.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

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Article Primary Health Care

Patients' perceptions of climate-sensitive health counselling in primary care: Qualitative results from Germany

Silvan Griesel, Patricia Nayna Schwerdtle, Claudia Quitmann, Ina Danquah, Alina Herrmann

Summary: This study aimed to explore primary care patients' perceptions of climate-sensitive health counselling. The findings suggest that primary care patients can accept climate-sensitive health counselling, if it follows certain principles of communication, including patient-centredness. However, there are also challenges and risks, such as patients' disinterest or surprise, time constraints, feared politicisation of consultations, and evoking feelings of guilt and shame.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

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Article Primary Health Care

Transitioning from face-to-face to distance education. Part 1: A cross-sectional study in the former Yugoslavia during COVID-19

Irena Zakarija-Grkovic, Aleksandar Stepanovic, Davorina Petek, Marion Tomicic, Zlata Ozvacic, Venija Cerovecki, Igor Svab, Vesna Homar

Summary: This study investigated the experience of medical schools in the former Yugoslavia in transitioning from face-to-face to distance education during the COVID-19 pandemic. The findings showed that only a small percentage of teachers and students received formal preparation for distance education, and most participants lacked confidence in online assessment.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

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Article Primary Health Care

The linguistic validation of the gut feelings questionnaire in Turkish

Huseyin Elbi, Makbule Neslisah Tan, Sidika Ece Yokus, Fatih Ozcan, Vildan Mevsim, Erik Stolper

Summary: This study translated the Gut Feelings Questionnaire (GFQ) into Turkish, finding that there is no direct equivalent term in Turkish for "gut feelings." The word "intuition" was chosen as the equivalent term in Turkish, and challenges in translating other words were successfully overcome. The conclusion of this study is that Turkish general practitioners can now facilitate studies on the role of "gut feelings" in clinical reasoning using this Turkish version.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

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Article Primary Health Care

Non-adherence to non-insulin glucose-lowering drugs: Prevalence, predictors and impact on glycemic control and insulin initiation. A longitudinal cohort study in a large primary care database in Spain

Rocio Zamanillo-Campos, Maria Zaforteza Dezcallar, Maria Asuncion Boronat Moreiro, Alfonso Leiva Rus, Joana Ripoll Amengual, Jadwiga Konieczna, Maria Antonia Fiol-deRoque, Ignacio Ricci-Cabello

Summary: This study conducted a longitudinal cohort study based on electronic health records to estimate the prevalence of non-adherence to diabetes medication among type 2 diabetes patients and examine its impact on glycemic control and insulin initiation. By developing and validating a prediction model, the researchers identified non-Spanish nationality, currently working, low adherence to previous drugs, taking biguanides, smoking, and absence of hypertension as important predictors of non-adherence.

EUROPEAN JOURNAL OF GENERAL PRACTICE (2023)

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