It appears you don't have support to open PDFs in this web browser. To view this file, Open with your PDF reader
Abstract
Background
Most COVID-19 patients were treated in primary health care (PHC) in Europe.
ObjectivesTo demonstrate the scope of PHC workflow during the COVID-19 pandemic emphasising similarities and differences of patient’s clinical pathways in Europe.
MethodsDescriptive, 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.
ResultsCOVID-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).
ConclusionIn 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.
You have requested "on-the-fly" machine translation of selected content from our databases. This functionality is provided solely for your convenience and is in no way intended to replace human translation. Show full disclaimer
Neither ProQuest nor its licensors make any representations or warranties with respect to the translations. The translations are automatically generated "AS IS" and "AS AVAILABLE" and are not retained in our systems. PROQUEST AND ITS LICENSORS SPECIFICALLY DISCLAIM ANY AND ALL EXPRESS OR IMPLIED WARRANTIES, INCLUDING WITHOUT LIMITATION, ANY WARRANTIES FOR AVAILABILITY, ACCURACY, TIMELINESS, COMPLETENESS, NON-INFRINGMENT, MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Your use of the translations is subject to all use restrictions contained in your Electronic Products License Agreement and by using the translation functionality you agree to forgo any and all claims against ProQuest or its licensors for your use of the translation functionality and any output derived there from. Hide full disclaimer
Details



































1 Federica Montseny Health Centre, Gerencia Asistencial Atención Primaria, Servicio Madrileño de Salud, Madrid, Spain; Medical Specialties and Public Health, School of Health Sciences, University Rey Juan Carlos, Madrid, Spain; Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain
2 Investigation Support Multidisciplinary Unit for Primary Care and Community North Area of Madrid, Madrid, Spain
3 Federica Montseny Health Centre, Gerencia Asistencial de Atención Primaria, Servicio Madrileño de Salud, Madrid, Spain
4 Irish College of General Practice, MICGP, Royal College of Physician, MRCSI, Ireland
5 Department of Family Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
6 Department Urology and General Practice, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria
7 Research Unit for General Medicine and Primary Health Care, Faculty of Medicine, School of Health Science, University of Ioannina, Ioannina, Greece
8 Department of General Practice, University of Lille, Lille, France
9 General Medicine Department, Belarusian State Medical University, Belarus
10 Occupational Health Expert, Spiru Haret University, Bucharest, Romania
11 School of Social Sciences, Hellenic Open University, Patra, Greece
12 Medical Faculty Skopje, Center for Family Medicine, Skopje, North Macedonia
13 General Practice and Primary Care, University of Vienna, Vienna, Austria
14 Department of Family Medicine and Outpatient Care, Medical Faculty, Uzhhorod National University, Uzhhorod, Ukraine
15 Medical Education Uni, Laboratory of Hygiene and Epidemiology, Medical Department, Faculty of Health Sciences, University of Ioannina, Ioannina, Greece; GHS, Larnaca, Cyprus
16 Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, North Macedonia
17 Health center Kraljevo, Kraljevo, Serbia
18 Van Gürpınar District Public Hospital, Istanbul, Turkey
19 Comprehensive Health Research Center, NOVA Medical School, University Nova de Lisboa, Lisboa, Portugal; USF das Conchas, Regional Health Administration Lisbon and Tagus Valley, Lisbon, Portugal
20 Department of Family Medicine UJCM, University Jagielloński, Collegium Medicum, Jagielloński, Poland
21 Department of Public Health, Institute of Health Sciences, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
22 Imperial College London, London, UK; Faculty of Medicine, University of Porto, Porto, Portugal
23 Närhälsan Kungshöjd Health Centre, Gothenburg, Sweden; Department of Pharmacology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
24 Department of Family Medicine, University of Semmelweis, Budapest, Hungary
25 Department of Family Medicine, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
26 Department of Clinical Sciences in Malmö, Centre for Primary Health Care Research, Lund University, Malmö, Sweden
27 Department of Family Medicine "Andrija Stampar" School of Public Health, School of Medicine, University of Zagreb, Health Centre Zagreb West, Zagreb, Croatia
28 First Faculty of Medicine, Institute of General Practice, Charles University, Prague, Czech Republic
29 Azienda Unità Sanitaria Locale di Modena, Modena, Italy; Laboratorio EduCare, University of Modena and Reggio Emilia, Modena, Italy
30 Center for Public Health and Healthcare, Hannover, Germany
31 Communicable Diseases and Infection Control Unit, City of Vantaa and University of Helsinki, Helsinki, Finland
32 Department of Family Medicine, Semmelweis University, Budapest, Hungary
33 Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium
34 Territorial Quality Unit, Territorial Directorate of Camp de Tarragona, Institut Català de la Salut, Health Department, Generalitat de Catalunya, GIBA-IIS-Aragón, Spain; Patient Safety Working Party of semFYC (Spanish Society for Family and Community Medicine) and Quality and Safety in Family Medicine of WONCA World (Global Family Doctors), Catalunya, Spain
35 CHNP, Rehaklinik, Ettelbruck . Luxembourg; Research Group Self-Regulation and Health. Institute for Health and Behaviour, Department of Behavioural and Cognitive Sciences. Faculty of Humanities, Education, and Social Sciences, Luxembourg University, Luxembourg, Luxembourg
36 Hannover Medical School, Center for Public Health and Healthcare, Hannover, Germany Clinical investigators: Asja Ćosić Divjak a, Maryher Delphin Peña b, Mila Gómez-Johansson c, Miroslav Hanževački d, Shushman Ivanna e, Marijana Jandrić-Kočić f, Milena Kostić g, Anna Krztoń-Królewiecka h, Martin Sattler i, Natalija Saurek-Aleksandrovska j, Canan Tuz Yilmaz k, Kirsi Valtonen l & Kaliy Vasyl m