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Paediatric primary care in Germany during the early COVID-19 pandemic:the calm before the storm

Family Medicine and Community Health 2021年第2期9卷 40-47页

作者： Malte Kohns Vasconcelos Katharina Weil Daniela Vesterling-Hörner mehrsad klemm Tarik el Scheich Hanna Renk Katharina Remke Hans Martin Bosse Institute for Medical Microbiology and Hospital Hygiene Heinrich Heine University DüsseldorfDüsseldorfGermany Department for General Paediatrics Neonatology and Paediatric CardiologyUniversity Hospital DüsseldorfDüsseldorfGermany Paediatric Practice Dr.med.Vesterling-Hörner DüsseldorfGermany Kinderärzte im Karree LeverkusenGermany Kinderärzte am Zoo DüsseldorfGermany Department of Paediatric Cardiology Pulmonology and Intensive Care MedicineUniversity Children’s Hospital TübingenTübingenGermany

Objectives Globally,the COVID-19 pandemic has a major impact on healthcare *** effects in primary care are *** study aimed to explore changes in consultation numbers and patient management during the COVID-19 pandemic,and to identify challenges for patient *** Survey of paediatric primary care practices on consultation numbers and patient management changes,and semistructured interviews to identify challenges for patient *** and interviews were partially linked in an explanatory sequential design to identify patient groups perceived to be at higher risk for worse care during the *** In and around Düsseldorf,a densely populated area in Western *** primary care facilities are spread over an area with approximately 2 million *** Primary care in Germany is provided through practices run by self-employed specialist physicians that are contracted to offer services to patients under public health insurance which is compulsory to the majority of the *** sample contained 44 paediatric primary care practices in the area,the response rate was 50%.Results Numbers of consultations for scheduled developmental examinations remained unchanged compared with the previous year while emergency visits were strongly reduced(mean 87.3 less/week in March-May 2020 compared with 2019,median reduction 55.0%).Children dependent on developmental therapy and with chronic health conditions were identified as patient groups receiving deteriorated *** patient numbers,including of mildly symptomatic children presenting for health certificates,in combination with increased organisational demands and expected staff outages are priority concerns for the *** Primary care paediatricians offered stable service through the early pandemic but expected strained resources for the upcoming *** guidance on which children should present to primary care and who should be tested would h

关键词： winter storm unchanged

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