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Practice- and System-Based Interventions to Reduce COVID-19 Transmission in Primary Care Settings: A Qualitative
Maria Mathews1, Tiffany Liu2, Dana Ryan2
1Professor, Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, ON.
Healthcare Policy = Politiques De Sante
|December 18, 2023
Summary
Family physicians in Canada used multi-layered infection control strategies and centralized services to safely deliver primary care during COVID-19. This approach minimized exposure risks while conserving resources and maintaining healthcare capacity.
Area of Science:
- Primary Care Medicine
- Infectious Disease Control
- Public Health Policy
Background:
- COVID-19 presented significant challenges to primary care delivery.
- Maintaining essential healthcare services required adapting to new infection risks.
Purpose of the Study:
- To describe practice- and system-based strategies used by Canadian family physicians to mitigate COVID-19 exposure.
- To understand how primary care delivery was sustained during the pandemic.
Main Methods:
- Qualitative interviews were conducted with 68 family physicians across Canada.
- The study focused on identifying infection prevention and control procedures and system-level coordination.
Main Results:
- Physicians implemented comprehensive infection prevention and control (IPC) measures, including risk assessment, hand hygiene, environmental controls, administrative measures, and personal protective equipment (PPE).
- Centralized services effectively redirected COVID-19 patients to dedicated testing centers, reducing exposure in primary care settings.
- A multi-layered approach successfully mitigated COVID-19 exposure risks.
Conclusions:
- The integrated approach of robust IPC and externalized COVID-19 patient management ensured the continuation of primary care.
- These strategies conserved resources, preserved healthcare capacity, and supported supply chains during the pandemic.
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