000135762 001__ 135762
000135762 005__ 20250923084425.0
000135762 0247_ $$2doi$$a10.1186/s12875-024-02391-8
000135762 0248_ $$2sideral$$a138736
000135762 037__ $$aART-2024-138736
000135762 041__ $$aeng
000135762 100__ $$aGallego-Royo, Alba$$uUniversidad de Zaragoza
000135762 245__ $$aQuality and safety actions in primary care practices in COVID-19 pandemic: the PRICOV-19 study in Spain
000135762 260__ $$c2024
000135762 5060_ $$aAccess copy available to the general public$$fUnrestricted
000135762 5203_ $$aBackground: Primary Health Care (PHC) has been key element in detection, monitoring and treatment of COVID-19 cases in Spain. We describe how PHC practices (PCPs) organized healthcare to guarantee quality and safety and, if there were differences among the 17 Spanish regions according to the COVID-19 prevalence. Methods: Cross-sectional study through the PRICOV-19 European Online Survey in PCPs in Spain. The questionnaire included structure and process items per PCP. Data collection was due from January to May 2021. A descriptive and comparative analysis and a logistic regression model were performed to identify differences among regions by COVID-19 prevalence (low < 5% or high ≥5%). Results: Two hundred sixty-six PCPs answered. 83.8% of PCPs were in high prevalence regions. Over 70% PCPs were multi-professional teams. PCPs attended mainly elderly (60.9%) and chronic patients (53.0%). Regarding structure indicators, no differences by prevalence detected. In 77.1% of PCPs administrative staff were more involved in providing recommendations. Only 53% of PCPs had a phone protocol although 73% of administrative staff participated in phone triage. High prevalence regions offered remote assessment (20.4% vs 2.3%, p 0.004) and online platforms to download administrative documents more frequently than low prevalence (30% vs 4.7%, p < 0.001). More backup staff members were hired by health authorities in high prevalence regions, especially nurses (63.9% vs 37.8%, p < 0.001. OR:4.20 (1.01-8.71)). 63.5% of PCPs provided proactive care for chronic patients. 41.0% of PCPs recognized that patients with serious conditions did not know to get an appointment. Urgent conditions suffered delayed care in 79.1% of PCPs in low prevalence compared to 65.9% in high prevalence regions (p 0.240). A 68% of PCPs agreed on having inadequate support from the government to provide proper functioning. 61% of high prevalence PCPs and 69.5% of low ones (p: 0.036) perceived as positive the role of governmental guidelines for management of COVID-19. Conclusions: Spanish PCPs shared a basic standardized PCPs’ structure and common clinical procedures due to the centralization of public health authority in the pandemic. Therefore, no relevant differences in safety and quality of care between regions with high and low prevalence were detected. Nurses and administrative staff were hired efficiently in response to the pandemic. Delay in care happened in patients with serious conditions and little follow-up for mental health and intimate partner violence affected patients was identified. Nevertheless, proactive care was offered for chronic patients in most of the PCPs.
000135762 536__ $$9info:eu-repo/grantAgreement/ES/DGA/B21-23R-GAIAP$$9info:eu-repo/grantAgreement/ES/ISCIII/PI22-01070
000135762 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000135762 590__ $$a2.6$$b2024
000135762 592__ $$a1.073$$b2024
000135762 591__ $$aPRIMARY HEALTH CARE$$b7 / 28 = 0.25$$c2024$$dQ1$$eT1
000135762 593__ $$aMedicine (miscellaneous)$$c2024$$dQ1
000135762 591__ $$aMEDICINE, GENERAL & INTERNAL$$b70 / 332 = 0.211$$c2024$$dQ1$$eT1
000135762 593__ $$aFamily Practice$$c2024$$dQ1
000135762 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000135762 700__ $$aSebastián Sánchez, Inés
000135762 700__ $$aSanz-Astier, Leticia-Ainhoa
000135762 700__ $$aPeris-Grao, Antoni
000135762 700__ $$aFreixenet-Guitart, Nuria
000135762 700__ $$aMaderuelo-Fernández, José Ángel
000135762 700__ $$0(orcid)0000-0002-5494-6550$$aMagallón-Botaya, Rosa$$uUniversidad de Zaragoza
000135762 700__ $$0(orcid)0000-0001-6565-9699$$aOliván-Blázquez, Bárbara$$uUniversidad de Zaragoza
000135762 700__ $$aVan Poel, Esther
000135762 700__ $$aWillems, Sara
000135762 700__ $$aAres-Blanco, Sara
000135762 700__ $$aAstier-Peña, María Pilar
000135762 7102_ $$14009$$2740$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicología Social
000135762 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000135762 773__ $$g24 (2024), 286 [12 pp.]$$tBMC Primary Care$$x2731-4553
000135762 8564_ $$s963427$$uhttps://zaguan.unizar.es/record/135762/files/texto_completo.pdf$$yVersión publicada
000135762 8564_ $$s2365228$$uhttps://zaguan.unizar.es/record/135762/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000135762 909CO $$ooai:zaguan.unizar.es:135762$$particulos$$pdriver
000135762 951__ $$a2025-09-22-14:39:06
000135762 980__ $$aARTICLE