一般医生在2020年和2021年COVID-19相关的封锁期间提供基本护理服务的经验
Pallavi Prathivadi1, Mridula Shankar2, Asvini Subasinghe3
1MBBS, BMedSc (Hons), MMed (Pain Mgt), DCH, FRACGP, General Practitioner, Monash University, Vic.
Australian journal of general practice
|October 6, 2024
概括
澳大利亚的全科医生 (GPs) 在COVID-19封锁期间调整了护理,60%与英国的指导一致. 远程医疗成为维持基本服务的关键,突出了澳大利亚当地指导方针的必要性.
科学领域:
- 一般的做法一般的做法
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 随着COVID-19的流行,医疗保健的快速适应变得更加必要.
- 英国为全科医生 (GPs) 发布了指导,以便在大流行期间管理基本护理.
- 在此期间,澳大利亚缺乏针对全科医生的具体正式指导.
研究的目的:
- 描述澳大利亚全科医生在COVID-19封锁期间提供基本护理的经验和方法.
- 将澳大利亚的通用实践服务提供与英国的指导方针进行比较.
主要方法:
- 在COVID-19封锁期间 (2020年3月至2021年12月) 对墨尔本和悉尼的291名全科医生进行了电子调查.
- 分析了来自274个完成的回答的调查数据.
- 澳大利亚实践机构的服务提供与英国皇家通用医师学院的建议进行了对比.
主要成果:
- 澳大利亚的全科医生实践与英国的指导方针建议有60%的一致性.
- 观察到,用于诊断和随访的远程医疗的采用显著增加.
- 基本护理主要继续为可接受远程医疗服务或有紧急/时间敏感需求的服务提供.
结论:
- 澳大利亚的全科医生在很大程度上通过适应和在疫情期间增加远程医疗的使用来维持基本服务.
- 在未来的公共卫生危机期间,需要制定澳大利亚本地指导方针,以提供基本护理.
- 未来的指导应该纳入澳大利亚一般实践的经验和上下文因素.
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