Primary and Community Care Transformation in Post-COVID Era: Nationwide General Practitioner Survey

Mònica Solanes-Cabús, Eugeni Paredes, Esther Limón, Josep Basora, Iris Alarcón, Irene Veganzones, Laura Conangla, Núria Casado, Yolanda Ortega, Jordi Mestres, Jordi Acezat, Joan Deniel, Joan Josep Cabré, Daniel Sánchez Ruiz, Marcos Sánchez, Aroa Illa, Ignasi Viñas, Juan José Montero, Francesc Xavier Cantero, Anna Rodriguez, Francisco Martín, Montserrat Baré, Rosa Ripollés, Montse Castellet, Joan Lozano and Antoni Sisó-Almirall ()
Additional contact information
Mònica Solanes-Cabús: Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
Eugeni Paredes: Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
Esther Limón: Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
Josep Basora: Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
Iris Alarcón: Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
Irene Veganzones: Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
Laura Conangla: Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
Núria Casado: Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
Yolanda Ortega: Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
Jordi Mestres: Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
Jordi Acezat: Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
Joan Deniel: Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
Joan Josep Cabré: Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
Daniel Sánchez Ruiz: Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
Marcos Sánchez: Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
Aroa Illa: Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
Ignasi Viñas: Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
Juan José Montero: Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
Francesc Xavier Cantero: Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
Anna Rodriguez: Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
Francisco Martín: Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
Montserrat Baré: Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
Rosa Ripollés: Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
Montse Castellet: Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
Joan Lozano: Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain
Antoni Sisó-Almirall: Family Phisician, Exective Board of the Catalan Society of Family and Community Medicine (CAMFiC), 08009 Barcelona, Spain

IJERPH, 2023, vol. 20, issue 2, 1-12

Abstract: Introduction: The health emergency caused by COVID-19 has led to substantial changes in the usual working system of primary healthcare centers and in relations with users. The Catalan Society of Family and Community Medicine designed a survey that aimed to collect the opinions and facilitate the participation of its partners on what the future work model of general practitioners (GPs) should look like post-COVID-19. Methodology: Online survey of Family and Community Medicine members consisting of filiation data, 22 Likert-type multiple-choice questions grouped in five thematic axes, and a free text question. Results: The number of respondents to the questionnaire was 1051 (22.6% of all members): 83.2% said they spent excessive time on bureaucratic tasks; 91.8% were against call center systems; 66% believed that home care is the responsibility of every family doctor; 77.5% supported continuity of care as a fundamental value of patient-centered care; and >90% defended the contracting of complementary tests and first hospital visits from primary healthcare (PHC). Conclusions: The survey responses describe a strong consensus on the identity and competencies of the GP and on the needs of and the threats to the PHC system. The demand for an increase in health resources, greater professional leadership, elimination of bureaucracy, an increase in the number of health professionals, and greater management autonomy, are the axes towards which a new era in PHC should be directed.

Keywords: primary healthcare; health policy; work organization; COVID-19 (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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