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[Creation and functioning of Covid-19 pre-hospital triage centres : experience of french-speaking GP-coordinators]

L Joly1, C Duchesnes2, P Schaffner3

  • 1Unité de Recherche de Soins primaires et Santé, ULiège, Belgique et Cellule d'Appui Scientifique et Universitaire du Collège de la Médecine Générale Francophone, Bruxelles, Belgique.

Revue Medicale De Liege
|February 10, 2022
PubMed

Insights

Pre-hospital triage centres for COVID-19 showed varied organization across Wallonia-Brussels, adapting to local needs. Challenges in federal and regional cooperation were noted, impacting crisis management strategies.

Area of Science:

  • Public Health
  • Healthcare Management
  • Infectious Disease Preparedness

Background:

  • The COVID-19 pandemic necessitated rapid implementation of pre-hospital triage centres to manage patient flow and prevent emergency department overcrowding.
  • These centres aimed to provide sanitary examination conditions during the initial wave of the pandemic in March 2020.

Purpose of the Study:

  • To describe the implementation and daily functioning of pre-hospital triage centres in the Federation Wallonia-Brussels.
  • To gather insights from GP-coordinators on the positive and negative aspects of managing these centres.

Main Methods:

  • A mixed-methods approach was employed, combining an online questionnaire with semi-structured interviews.
  • Data were collected from 14 questionnaires and 6 interviews among 44 contacted GP-coordinators.

Main Results:

  • Triage centre organization was highly heterogeneous, demonstrating adaptation to specific local contexts.
  • A significant gap was identified between effective local operational dynamics and challenges in federal/regional cooperation.

Conclusions:

  • Pre-hospital triage centres exhibited context-specific adaptations but faced coordination issues between different administrative levels.
  • Findings offer valuable insights for refining future crisis management and public health preparedness plans.

Keywords:
Emergency departmentGeneral practiceTriage centre19COVID

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