Characteristics of primary care practices associated with patient education during COVID-19: results of the cross-sectional PRICOV-19 study in 38 countries.
Kirkove, Delphine; Willems, Sara; Van Poel, Estheret al.
COVID-19; General practice; International comparison; PRICOV-19; Patient education; Primary health care; Humans; Cross-Sectional Studies; Patient Education as Topic; Primary Health Care; Pandemics
Abstract :
[en] [en] BACKGROUND: In response to the COVID-19 pandemic, the World Health Organization established a number of key recommendations such as educational activities especially within primary care practices (PCPs) which are a key component of this strategy. This paper aims to examine the educational activities of PCPs during COVID-19 pandemic and to identify the factors associated with these practices across 38 countries.
METHODS: A "Patient Education (PE)" score was created based on responses to six items from the self-reported questionnaire among PCPs (n = 3638) compiled by the PRICOV-19 study. Statistical analyses were performed on 3638 cases, with PCPs with missing PE score values were excluded.
RESULTS: The PE score features a mean of 2.55 (SD = 0.68) and a median of 2.50 (2.16 - 3.00), with a maximum of 4.00, and varies quite widely between countries. Among all PCPs characteristics, these factors significantly increase the PE score: the payment system type (with a capitation payment system or another system compared to the fee for service), the perception of average PCP with patients with chronic conditions and the perception of adequate governmental support.
CONCLUSION: The model presented in this article is still incomplete and requires further investigation to identify other configuration elements favorable to educational activities. However, the results already highlight certain levers that will enable the development of this educational approach appropriate to primary care.
Disciplines :
Public health, health care sciences & services
Author, co-author :
Kirkove, Delphine ; Université de Liège - ULiège > Département des sciences de la santé publique > Education thérapeutique du patient au service des soins intégrés
Willems, Sara ; Department of Public Health and Primary Care, Ghent University, Ghent, Belgium ; Quality and Safety Ghent, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
Van Poel, Esther ; Department of Public Health and Primary Care, Ghent University, Ghent, Belgium ; Quality and Safety Ghent, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
Dardenne, Nadia ; Université de Liège - ULiège > Département des sciences de la santé publique
Donneau, Anne-Françoise ; Université de Liège - ULiège > Département des sciences de la santé publique
Perrin, Elodie; Department of Public Health Sciences, University of Liege, B23 / Avenue Hippocrate, n°13, 4000, Liège, Belgium
Ponsar, Cécile; Institute of Health and Society, Louvain University, Louvain, Belgium
Mallen, Christian ; School of Medicine, University of Keele, Keele, UK
Stylianou, Neophytos ; International Institute for Compassionate Care, Nicosia, Cyprus ; NS Intelligence Solutions Ltd, Nicosia, Cyprus
Collins, Claire ; Department of Public Health and Primary Care, Ghent University, Ghent, Belgium ; Research Centre, Irish College of General Practitioners, Dublin, D02XR68, Ireland
Gagnayre, Rémi ; Education and Health Practices Laboratory (LEPS), (UR 3412), UFR SMBH, Sorbonne Paris-Nord University, Bobigny, France
Pétré, Benoît ; Université de Liège - ULiège > Département des sciences de la santé publique > Education thérapeutique du patient au service des soins intégrés
Language :
English
Title :
Characteristics of primary care practices associated with patient education during COVID-19: results of the cross-sectional PRICOV-19 study in 38 countries.
S. Chemali A. Mari-Sáez C. El Bcheraoui H. Weishaar Health care workers’ experiences during the COVID-19 pandemic: a scoping review Hum Resour Health 2022 20 1 1 17 10.1186/s12960-022-00724-1
J. Lim J. Broughan D. Crowley B.O. Kelly R. Fawsitt M.C. Burke et al. COVID-19 ’ s impact on primary care and related mitigation strategies: a scoping review Eur J Gen Pract 2021 27 1 166 75 1:CAS:528:DC%2BB38Xhs12ntbnI 10.1080/13814788.2021.1946681 34282695 8293960
WHO / OMS. 2019 Novel Coronavirus (2019 - nCoV) : strategic preparedness and response plan. Geneva; 2020. Available from: https://www.who.int/publications/i/item/strategic-preparedness-and-response-plan-for-the-new-coronavirus. Accessed 04/02/22.
J.V. Lazarus S. Ratzan A. Palayew F.C. Billari A. Binagwaho S. Kimball et al. COVID-SCORE: a global survey to assess public perceptions of government responses to COVID-19 (COVID-SCORE-10) PLoS One 2020 15 10 October 1 18 1:CAS:528:DC%2BB3cXitVOktr%2FL 10.1371/journal.pone.0240011
J.L. Romano Politics of prevention: reflections from the COVID-19 pandemic J Prev Heal Promot 2020 1 1 34 57 10.1177/2632077020938360.PMCID:PMC7358972
D’Ivernois JF, Gagnayre R. Apprendre à éduquer le patient Approche pédagogique : l’école de Bobigny. 5ème éditi. Maloine, editor. 2016. 0–150 p.
WHO. Education Thérapeutique du Patient : programmes de formation continue pour professionnels de soins dans le domaine de la prévention des maladies chroniques. Recommandations d’un groupe de travail de l’OMS. 1998.
R. Tsopra P. Frappe S. Streit A.L. Neves P.J. Honkoop A.B. Espinosa-Gonzalez et al. Reorganisation of GP surgeries during the COVID-19 outbreak: analysis of guidelines from 15 countries BMC Fam Pract 2021 22 1 1 16 1:CAS:528:DC%2BB3MXhtFGmsr3O 10.1186/s12875-021-01413-z
Haut Conseil de la santé publique. Actualisation de l’avis relatif aux personnes à risque de forme grave de COVID-19 et aux mesures barrières spécifiques à ces publics. Paris; 2020. Available from: https://www.hcsp.fr/explore.cgi/avisrapportsdomaine?clefr=807. Accessed 16/09/22.
D. Beran S. Aebischer Perone M. Castellsague Perolini F. Chappuis P. Chopard D.M. Haller et al. Beyond the virus: Ensuring continuity of care for people with diabetes during COVID-19 Prim Care Diabetes 2021 15 1 16 17 10.1016/j.pcd.2020.05.014 32535088 Epub 2020 May 30. PMID: 32535088; PMCID: PMC7260491
Tubeuf S, Luyten J. Coronavirus : 1 personne sur 2 renonce durablement aux soins de santé. Communiqué de presse UCLouvain. 2020. p. 1–2. Available from: https://uclouvain.be/fr/decouvrir/presse/actualites/coronavirus-1-personne-sur-2-renonce-durablement-aux-soins-de-sante.html. Accessed 16/09/22.
OCDE. Renforcer la première ligne : comment les soins primaires aident les systèmes de santé à s’adapter à la pandémie de COVID-19. 2021. Available from: https://read.oecd-ilibrary.org/view/?ref=1060_1060498-0iqry48nq8&title=Renforcer-la-premiere-ligne. Accessed 22/09/22.
J. Luyten S. Tubeuf M. Bertier Renoncement aux soins médicaux et confinement: les enseignements d’une enquête en ligne Regards Économiques 2020 5 5 E249 50
K. Sørensen J.M. Pelikan K. Ganahl Z. Slonska G. Doyle J. Fullam et al. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU) Eur J Public Health 2015 25 6 1053 8 10.1093/eurpub/ckv043 25843827 4668324
Paakkari L, Okan O. COVID-19 : health literacy is an underestimated problem. Lancet Public Heal. 2020;(January):19–21. https://doi.org/10.1016/S2468-2667(20)30086-4. Epub 2020 Apr 14. PMID: 32302535; PMCID: PMC7156243.
T. Brunois S. Decuman F. Perl Littératie en santé et crise sanitaire: l’exemple de la Covid-19 Health literacy and health crisis: the example of the Covid-19 Sante Publique (Paris) 2021 33 6 843 6 10.3917/spub.216.0843
O. Gross R. Gagnayre P. Lombrail Project evaluation to support autonomy in health: why favour a pragmatic approach? Sante Publique (Paris) 2020 32 4 301 313 10.3917/spub.204.0301
M. Afonso A. Bénard A. Chapron K. Chau E. Doussiet F. Guillemin et al. Les soins primaires: une définition du champ pour développer la recherche Rev Epidemiol Sante Publique 2018 66 2 157 162 10.1016/j.respe.2017.09.004ff.ffhal-01708871v2f
E. Van Poel P. Vanden Bussche Z. Klemenc-Ketis S. Willems How did general practices organize care during the COVID-19 pandemic: the protocol of the cross-sectional PRICOV-19 study in 38 countries BMC Prim Care 2022 23 1 1 11 10.1186/s12875-021-01587-6
P. Lafitte B. Pétré X. de la Tribonnière R. Gagnayre Comment les soignants-éducateurs ont-ils adapté leurs pratiques de l’ETP durant la crise du COVID-19 ? Une enquête descriptive sur 714 programmes d’ETP Educ Ther du Patient / Ther Patient Educ 2020 12 20207 10.1051/tpe/2021001
P. Lafitte D. Malet R. Gagnayre Adaptations of therapeutic education programs in French diabetology units during the COVID-19 crisis: descriptive survey of 153 programs during the lockdown period in March 2020 Med des Mal Metab 2022 16 4 321 30 10.1016/j.mmm.2022.01.001 Epub 2022 Jan 7. PMCID: PMC8739031
P.A. Harris R. Taylor B.L. Minor V. Elliott M. Fernandez L. O’Neal et al. The REDCap consortium: Building an international community of software platform partners J Biomed Inform 2019 95 April 103208 10.1016/j.jbi.2019.103208 31078660 7254481
C. Collins E. Van Poel M.Š. Milićević K. Tripkovic L. Adler T.B. Eide et al. Practice and system factors impact on infection prevention and control in general practice during COVID-19 across 33 countries: results of the PRICOV cross-sectional survey Int J Environ Res Public Health 2022 19 13 7830 1:CAS:528:DC%2BB38XhvVSktrfO 10.3390/ijerph19137830 35805489 9265277
C. Collins E. Clays E. Van Poel J. Cholewa K. Tripkovic K. Nessler et al. Distress and wellbeing among general practitioners in 33 countries during COVID-19: results from the cross-sectional PRICOV-19 study to inform health system interventions Int J Environ Res Public Health 2022 19 9 5675 1:CAS:528:DC%2BB38Xhtlentb3O 10.3390/ijerph19095675 35565070 9101443
T. Kendzerska D.T. Zhu A.S. Gershon J.D. Edwards C. Peixoto R. Robillard et al. The effects of the health system response to the COVID-19 pandemic on chronic disease management: a narrative review Risk Manag Healthc Policy 2021 14 575 584 10.2147/RMHP.S293471 33623448 7894869
R. Homeniuk C. Collins How COVID-19 has affected general practice consultations and income: General practitioner cross-sectional population survey evidence from Ireland BMJ Open 2021 11 4 1 9 10.1136/bmjopen-2020-044685
P. Huston J. Campbell G. Russell F. Goodyear-Smith R.L. Phillips C. van Weel et al. COVID-19 and primary care in six countries BJGP Open 2020 4 4 101128 10.3399/bjgpopen20X101128
World Health Organization. Déclaration d ’Astana. Vol. 29, Global Conference On Primary Health Care. Kazakhstan; 2018. Available from: https://www.tandfonline.com/doi/full/10.1080/14739879.2018.1545528. Accessed 23/11/22.
X. de la Tribonnière B. Ait El Mahjoub I. Puech Samson F. Benslimane R. Petit Education thérapeutique hors programme: recensement et réflexion sur les critères de qualité Educ Ther du Patient / Ther Patient Educ 2019 11 1 12 10.1051/tpe/2018016
Chaire Interdisciplinaire de la Première Ligne. Be.Hive, Un livre blanc de la première ligne francophone. Bruxelles; 2020. https://www.be-hive.be/. Accessed 31/03/22.
WHO Regional Office for Europe. Therapeutic patient education : an introductory guide. Copenhagen; 2023. Available from: https://www.who.int/europe/publications/i/item/9789289060219. Accessed 11/12/23.
Y. Bourgueil M. Breton C. Cohidon C. Hudon N. Senn T. Van Durme The primary care system and Covid-19: a comparative analysis between Belgium, France Quebec and Switzerland Sante Publique (Paris) 2022 33 6 991 995 10.3917/spub.216.0991
P. Groenewegen E. Van Poel P. Spreeuwenberg R. Batenburg C. Mallen L. Murauskiene et al. Has the COVID-19 pandemic led to changes in the tasks of the primary care workforce? an international survey among general practices in 38 countries (PRICOV-19) Int J Environ Res Public Health 2022 19 22 15329 10.3390/ijerph192215329 36430047 9690243