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Title:The safety of patient management in family medicine in Slovenia during Covid-19 : a crosssectional study
Authors:ID Cvetko Gomezelj, Maja (Author)
ID Miroševič, Špela (Author)
ID Verdnik Tajki, Alina (Author)
ID Tušek-Bunc, Ksenija (Author)
ID Van Poel, Esther (Author)
ID Willems, Sara (Author)
ID Klemenc-Ketiš, Zalika (Author)
Files:.pdf Gomezelj-2023-The_safety_of_patient_management.pdf (764,96 KB)
MD5: B8830464178F931FDB2C85CCFAF55571
URL https://doi.org/10.1186/s12875-023-02209-z
Work type:Scientific work
Typology:1.01 - Original Scientific Article
Organization:MF - Faculty of Medicine
Abstract:Abstract Background During the Covid-19 pandemic, family medicine practices (FMPs) changed to improve safety against new coronavirus infections for both patients and employees. Protocols for treating patients with suspected Sars-Cov-2 infections were established to protect medical staf and other patients from being infected. However, these protocols also led to increased safety risks, such as delays in treating patients with other medical conditions. This exploratory study aimed to investigate safety risks in treating patients in FMPs during the Covid-19 pandemic and to suggest improvements to prevent Covid-19 in FMPs in Slovenia. Methods A cross-sectional study was rolled out in FMPs in Slovenia as part of the international Pricov-19 study. Data collection on safety management during the Covid-19 pandemic in FMPs in Slovenia took place from November 2020 until January 2021 using a self-administered online survey for FP working in Slovenia. A chi-square test, ANOVA, independent samples t-test or bivariate correlation test was performed to explore associations regarding the safety of patients’ management variables. Results From the 191 participating family physicians (FPs) (15.2% response rate), 54.8% reported having treated patients with fever (not Covid-19) late due to the new protocols at least once, and 54.8% reported patients with urgent conditions having been seen late at least once due to not coming. In the suburbs and rural environments FPs more often reported that at least once patient with a fever (not Covid-19) was seen late due to the protocol (p=0.017) and more often reported that at least once patient with an urgent condition was seen late due to not com‑ ing to their FP (p=0.017). The larger the practice, the more they reported that at least once a patient with fever (not Covid-19) was seen late due to the protocol (p=0.012) and the more they reported at least once a patient with an urgent condition was seen late due to not coming to their FP (p=0.012). Conclusion Covid-19 afected the safety of patient management in FMP in Slovenia. The most common prob‑ lem was foregone care. Therefor, protocols for chronic patient management in the event of epidemics need to be established.
Keywords:Covid-19, family medicine, patient safety, patient management, quality of care, PRICOV-19, primary health care, general practice, timeliness
Publication status:Published
Publication version:Version of Record
Submitted for review:27.12.2022
Article acceptance date:13.11.2023
Publication date:29.11.2023
Publisher:Springer Nature
Year of publishing:2023
Number of pages:Str. 1-7
Numbering:Letn. 24, Št. članka 255
PID:20.500.12556/DKUM-87800 New window
ISSN on article:2731-4553
COBISS.SI-ID:174390019 New window
DOI:10.1186/s12875-023-02209-z New window
Publication date in DKUM:29.03.2024
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Record is a part of a journal

Title:BMC primary care
COBISS.SI-ID:114320643 New window

Document is financed by a project

Funder:ARRS - Slovenian Research Agency
Project number:P3-0339
Name:Raziskave na področju javnega zdravja

Funder:ARRS - Slovenian Research Agency
Project number:MR‑39262


License:CC BY 4.0, Creative Commons Attribution 4.0 International
Description:This is the standard Creative Commons license that gives others maximum freedom to do what they want with the work as long as they credit the author.
Licensing start date:29.11.2023

Secondary language

Keywords:družinska medicina, varnost pacientov, vodenje pacientov, kakovost oskrbe, primarno zdravstvo nega, splošna ambulanta, pravočasnost


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