Impact of the COVID-19 pandemic on the core functions of primary care: will the cure be worse than the disease? A qualitative interview study in Flemish GPs
Open accessAbstract
Objectives: The current COVID-19 pandemic, as well as the measures taken to control it, have a profound impact on healthcare. This study was set up to gain insights into the consequences of the COVID-19 outbreak on the core competencies of general practice, as they are experienced by general practitioners (GPs) on the frontline. Design, setting, participants: We performed a descriptive study using semistructured interviews with 132 GPs in Flanders, using a topic list based on the WONCA definition of core competencies in general practice. Data were analysed qualitatively using framework analysis. Results: Changes in practice management and in consultation strategies were quickly adopted. There was a major switch towards telephone triage and consults, for covid-related as well as for non-covid related problems. Patient-centred care is still a major objective. Clinical decision-making is largely focused on respiratory assessment and triage, and GPs feel that acute care is compromised, both by their own changed focus and by the fact that patients consult less frequently for non-covid problems. Chronic care is mostly postponed, and this will have consequences that will extend and become visible after the corona crisis. Through the holistic eyes of primary care, the current outbreak—as well as the measures taken to control it—will have a profound impact on psychological and socioeconomic well-being. This impact is already visible in vulnerable people and will continue to become clear in the medium and long terms. GPs think that they are at high risk of getting infected. Dropping out and being unable to contribute their part or becoming virus transmitters are reported to be greater concerns than getting ill themselves. Conclusions: The current times have a profound impact on the core competences of primary care. Although the vast increase in patients soliciting medical help and the necessary separate covid and non-covid flows have been dealt with, GPs are worried about the continuity of regular care and the consequences of the anticovid measures. These may become a threat for the general health of the population and for the provision of primary healthcare in the near and distant future.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Standards for Reporting Qualitative Research: A Synthesis of Recommendations
O’Brien, B. C., Harris, I. B., Beckman, T. J., Reed, D. A., & Cook, D. A. (2014) · Academic Medicine · doi:10.1097/acm.0000000000000388 · Cited by 12,211 · see citing works
Gale, N. K., Heath, G., Cameron, E., Rashid, S., & Redwood, S. (2013) · BMC Medical Research Methodology · doi:10.1186/1471-2288-13-117 · Cited by 10,865 · see citing works
Qualitative research in health care: Analysing qualitative data
Pope, C. (2000) · BMJ · doi:10.1136/bmj.320.7227.114 · Cited by 8,131 · see citing works
Qualitative data analysis for applied policy research
(2002) · Analyzing Qualitative Data · doi:10.4324/9780203413081-14 · Cited by 4,964 · see citing works
Series: Practical guidance to qualitative research. Part 4: Trustworthiness and publishing
Korstjens, I., & Moser, A. (2018) · European Journal of General Practice · doi:10.1080/13814788.2017.1375092 · Cited by 3,217 · see citing works
Medical Student Education in the Time of COVID-19
Rose, S. (2020) · JAMA · doi:10.1001/jama.2020.5227 · Cited by 1,740 · see citing works
Kang, L., Ma, S., Chen, M., Yang, J., Wang, Y., Li, R., Yao, L., Bai, H., Cai, Z., Xiang Yang, B., et al. (2020) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2020.03.028 · Cited by 1,516 · see citing works
Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study
Lu, W. Z., Wang, H., Lin, Y., & Li, L. (2020) · Psychiatry Research · doi:10.1016/j.psychres.2020.112936 · Cited by 1,275 · see citing works
Video consultations for covid-19
Greenhalgh, T., Wherton, J., Shaw, S., & Morrison, C. (2020) · BMJ · doi:10.1136/bmj.m998 · Cited by 866 · see citing works
Covid-19: a remote assessment in primary care
Greenhalgh, T., Koh, G. C. H., & Car, J. (2020) · BMJ · doi:10.1136/bmj.m1182 · Cited by 705 · see citing works
Losada-Baltar, A., Jiménez-Gonzalo, L., Gallego-Alberto, L., Pedroso-Chaparro, M. D. S., Fernandes-Pires, J., & Márquez-González, M. (2021) · The Journals of Gerontology: Series B · doi:10.1093/geronb/gbaa048 · Cited by 508 · see citing works
Covid-19: how doctors and healthcare systems are tackling coronavirus worldwide
Tanne, J. H., Hayasaki, E., Zastrow, M., Pulla, P., Smith, P., & Rada, A. G. (2020) · BMJ · doi:10.1136/bmj.m1090 · Cited by 437 · see citing works
Allen, J., Gay, B., Crebolder, H. F. J. M., Heyrman, J., Švab, I., & Ram, P. (2002) · Europe PMC (PubMed Central) · Cited by 117 · see citing works
Socioeconomic gradient in health and the covid-19 outbreak
Chung, R. Y., Dong, D., & Li, M. M. (2020) · BMJ · doi:10.1136/bmj.m1329 · Cited by 94 · see citing works
Hummers, E., Beyer, M., Chevallier, P., Eilat‐Tsanani, S., Lionis, C. D., Peremans, L., Petek, D., Rurik, I., Soler, J. K., Stoffers, J., et al. (2009) · European Journal of General Practice · doi:10.3109/13814780903452184 · Cited by 71 · see citing works
Kunin, M., Engelhard, D., Piterman, L., & Thomas, S. A. (2013) · Disaster Medicine and Public Health Preparedness · doi:10.1017/dmp.2013.82 · Cited by 55 · see citing works
Morreel, S., Philips, H., & Verhoeven, V. (2020) · PLoS ONE · doi:10.1371/journal.pone.0237629 · Cited by 53 · see citing works
Self-citationFraming post-pandemic preparedness: Comparing eight European plans
Holmberg, M., & Lundgren, B. (2016) · Global Public Health · doi:10.1080/17441692.2016.1149202 · Cited by 35 · see citing works
Tomizuka, T., Kanatani, Y., & Kawahara, K. (2013) · BMC Family Practice · doi:10.1186/1471-2296-14-174 · Cited by 24 · see citing works
Advancing preparedness for clinical research during infectious disease epidemics
Gobat, N., Amuasi, J., Yazdanpanah, Y., Sigfrid, L., Davies, H. T., Byrne, J.-P., Carson, G., Butler, C., Nichol, A., & Goossens, H. (2019) · ERJ Open Research · doi:10.1183/23120541.00227-2018 · Cited by 21 · see citing works
Kunin, M., Engelhard, D., Thomas, S. A., Ashworth, M. J., & Piterman, L. (2013) · Australian Health Review · doi:10.1071/ah12022 · Cited by 12 · see citing works
Regional coordination and bottom-up response of general practitioners in Belgium and the Netherlands
van Olmen, J., Remmen, R., Royen, P. V., Philips, H., Verhoeven, V., & Anthierens, S. (2020) · BMJ · doi:10.1136/bmj.m1377 · Cited by 8 · see citing works
Self-citation
Flagged first, then by citations
1 of the 23 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- [23]Nietzsche F Twilight of the Idols: or how to philosophise with a hammer (Oxford world's classics). 10 Oxford University Press, 1998.
Cited by
Sorted by citations
The European Union One Health 2020 Zoonoses Report
Authority, E. F. S. (2021) · EFSA Journal · doi:10.2903/j.efsa.2021.6971 · Cited by 1,577 · see citing works
The European Union One Health 2021 Zoonoses Report
Authority, E. F. S., & European Centre for Disease Prevention and Control (2022) · EFSA Journal · doi:10.2903/j.efsa.2022.7666 · Cited by 703 · see citing works
Peacock, H. M., Tambuyzer, T., Verdoodt, F., Calay, F., Poirel, H. A., Schutter, H. D., Francart, J., Damme, N. V., & Eycken, L. J. V. (2021) · ESMO Open · doi:10.1016/j.esmoop.2021.100197 · Cited by 255 · see citing works
Health care workers’ experiences during the COVID-19 pandemic: a scoping review
Chemali, S., Sáez, A. M., Bcheraoui, C. E., & Weishaar, H. B. (2022) · Human Resources for Health · doi:10.1186/s12960-022-00724-1 · Cited by 230 · see citing works
Danhieux, K., Buffel, V., Pairon, A., Benkheil, A., Remmen, R., Wouters, E., & van Olmen, J. (2020) · BMC Family Practice · doi:10.1186/s12875-020-01326-3 · Cited by 207 · see citing works
Bennett, P. D., Noble, S., Johnston, S. J., Jones, D. T., & Hunter, R. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-043949 · Cited by 171 · see citing works
Wanat, M., Hoste, M. E., Gobat, N., Anastasaki, M., Böhmer, F., Chlabicz, S., Colliers, A., Farrell, K. D., Karkana, M.-N., Kinsman, J., et al. (2021) · British Journal of General Practice · doi:10.3399/bjgp.2020.1112 · Cited by 127 · see citing works
Impact of the COVID-19 Pandemic on Cancer Diagnoses in General and Specialized Practices in Germany
Jacob, L., Loosen, S. H., Kalder, M., Luedde, T., Roderburg, C., & Kostev, K. (2021) · Cancers · doi:10.3390/cancers13030408 · Cited by 121 · see citing works
Matenge, S., Sturgiss, E. A., Desborough, J., Dykgraaf, S. H., Dut, G. M., & Kidd, M. R. (2021) · Family Practice · doi:10.1093/fampra/cmab115 · Cited by 120 · see citing works
Ceulemans, M., Verbakel, J. Y. J., Calsteren, K. V., Eerdekens, A., Allegaert, K., & Foulon, V. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17186766 · Cited by 129 · see citing works
Michalowsky, B., Hoffmann, W. U., Bohlken, J., & Kostev, K. (2020) · Age and Ageing · doi:10.1093/ageing/afaa260 · Cited by 115 · see citing works
Creese, J., Byrne, J.-P., Conway, E., Barrett, E., Prihodová, L., & Humphries, N. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18042051 · Cited by 116 · see citing works
Kurotschka, P. K., Serafini, A., Demontis, M., Serafini, A., Mereu, A., Moro, M. F., Carta, M. G., & Ghirotto, L. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.623904 · Cited by 114 · see citing works
COVID-19’s impact on primary care and related mitigation strategies: A scoping review
Lim, J., Broughan, J., Crowley, D., O’Kelly, B., Fawsitt, R., Burke, M. C., McCombe, G., Lambert, J. S., & Cullen, W. (2021) · European Journal of General Practice · doi:10.1080/13814788.2021.1946681 · Cited by 106 · see citing works
Homeniuk, R., & Collins, C. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-044685 · Cited by 98 · see citing works
Poel, E. V., Bussche, P. V., Klemenc–Ketiš, Z., & Willems, S. J. T. (2022) · BMC Family Practice · doi:10.1186/s12875-021-01587-6 · Cited by 90 · see citing works
COVID-19, poverty and inclusive development
Gupta, J., Bavinck, M., Ros-Tonen, M. A. F., Asubonteng, K. O., Bosch, H., van Ewijk, E., Hordijk, M. A., Leynseele, Y. V., Cardozo, M. T. A. L., Miedema, E. A. J., et al. (2021) · World Development · doi:10.1016/j.worlddev.2021.105527 · Cited by 93 · see citing works
Schäfer, I., Hansen, H., Menzel, A., Eisele, M., Tajdar, D., Lühmann, D., & Scherer, M. (2021) · BMC Family Practice · doi:10.1186/s12875-021-01471-3 · Cited by 82 · see citing works
Kumpunen, S., Webb, E., Permanand, G., Zheleznyakov, E., Edwards, N., van Ginneken, E., & Jakab, M. (2021) · Health Policy · doi:10.1016/j.healthpol.2021.08.002 · Cited by 77 · see citing works
Verma, P., & Kerrison, R. (2022) · BJGP Open · doi:10.3399/bjgpo.2021.0192 · Cited by 71 · see citing works
Smyrnakis, Ε., Symintiridou, D., Andreou, M., Dandoulakis, M., Theodoropoulos, E., Kokkali, S., Manolaki, C., Papageorgiou, D. I., Birtsou, C., Paganas, A., et al. (2021) · BMC Family Practice · doi:10.1186/s12875-021-01522-9 · Cited by 67 · see citing works
Turner, S., Botero-Tovar, N., Herrera, M. A., Kuhlmann, J. P. B., Ortiz, F., Ramírez, J. C., & Maldonado, L. F. (2021) · Implementation Science · doi:10.1186/s13012-021-01114-2 · Cited by 63 · see citing works
How primary healthcare in Iceland swiftly changed its strategy in response to the COVID-19 pandemic
Sigurðsson, E. L., Blöndal, A. B., Jónsson, J. S., Tómasdóttir, M. Ó., Hrafnkelsson, H., Linnet, K., & Sigurdsson, J. A. (2020) · BMJ Open · doi:10.1136/bmjopen-2020-043151 · Cited by 61 · see citing works
Kelly, E. L., Cunningham, A., Sifri, R., Pando, O., Smith, K. R., & Arenson, C. A. (2022) · The Annals of Family Medicine · doi:10.1370/afm.2775 · Cited by 60 · see citing works
Ndayishimiye, C., Lopes, H., & Middleton, J. (2023) · Health and Technology · doi:10.1007/s12553-023-00725-7 · Cited by 65 · see citing works
Due, T. D., Thorsen, T., & Andersen, J. H. (2021) · BMC Family Practice · doi:10.1186/s12875-021-01468-y · Cited by 57 · see citing works
Johnson, C., Dupuis, J. B., Goguen, P., & Grenier, G. (2021) · PLOS ONE · doi:10.1371/journal.pone.0258839 · Cited by 55 · see citing works
Méndez‐Domínguez, N., Santos-Zaldívar, K., Gómez-Carro, S., Banik, S. D., & Carrillo, G. (2021) · BMC Public Health · doi:10.1186/s12889-021-11325-3 · Cited by 54 · see citing works
Silva, C. R. D. V., Lopes, R. H., Bay, O. D. G., Martiniano, C. S., Fuentealba-Torres, M., Arcêncio, R. A., Lapão, L. V., Dias, S., & Uchôa, S. A. D. C. (2022) · JMIR Human Factors · doi:10.2196/35380 · Cited by 61 · see citing works
Morreel, S., Philips, H., & Verhoeven, V. (2020) · PLoS ONE · doi:10.1371/journal.pone.0237629 · Cited by 53 · see citing works
Self-citationGlette, M. K., Ludlow, K., Wiig, S., Bates, D. W., & Austin, E. E. (2023) · BMJ Open · doi:10.1136/bmjopen-2023-071828 · Cited by 53 · see citing works
Changing media depictions of remote consulting in COVID-19: analysis of UK newspapers
Mroz, G., Papoutsi, C., Rushforth, A., & Greenhalgh, T. (2020) · British Journal of General Practice · doi:10.3399/bjgp.2020.0967 · Cited by 49 · see citing works
Shang, Z., Kim, J. Y., & Cheng, S. O. (2021) · CMAJ Open · doi:10.9778/cmajo.20210090 · Cited by 51 · see citing works
Collins, C., Clays, E., Poel, E. V., Cholewa, J., Tripković, K., Nessler, K., de Rouffignac, S., Santric-Milicevic, M. M., Bukumirić, Z., Adler, L., et al. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19095675 · Cited by 49 · see citing works
Ladds, E. C., Khan, M., Moore, L., Kalin, A., & Greenhalgh, T. (2023) · British Journal of General Practice · doi:10.3399/bjgp.2022.0398 · Cited by 53 · see citing works
COVID-19 and Unmet Healthcare Needs of Older People: Did Inequity Arise in Europe?
González-Touya, M., Stoyanova, A., & Urbanos-Garrido, R. M. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18179177 · Cited by 48 · see citing works
The impact of COVID-19 on primary care in Europe
Mughal, F., Mallen, C. D., & McKee, M. (2021) · The Lancet Regional Health - Europe · doi:10.1016/j.lanepe.2021.100152 · Cited by 45 · see citing works
Groenewegen, P., Poel, E. V., Spreeuwenberg, P. M. M., Batenburg, R. S., Mallen, C. D., Murauskienė, L., Peris, A., Pétré, B., Schaubroeck, E., Stark, S., et al. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192215329 · Cited by 45 · see citing works
Gnagnarella, P., Ferro, Y., Monge, T., Troiano, E., Montalcini, T., Pujia, A., & Mazza, E. (2022) · Nutrients · doi:10.3390/nu14071359 · Cited by 43 · see citing works
Strategies in Primary Care to Face the SARS-CoV-2 / COVID-19 Pandemic: An Online Survey
Eisele, M., Pohontsch, N. J., & Scherer, M. (2021) · Frontiers in Medicine · doi:10.3389/fmed.2021.613537 · Cited by 41 · see citing works
Fernemark, H., Skagerström, J., Seing, I., Hårdstedt, M., Schildmeijer, K. G. I., & Nilsén, P. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-055035 · Cited by 42 · see citing works
Stachteas, P., Symvoulakis, M., Τσάπας, Α., & Smyrnakis, Ε. (2022) · Population Medicine · doi:10.18332/popmed/152606 · Cited by 44 · see citing works
Norman, C., Wildman, J. M., & Sowden, S. L. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18168689 · Cited by 40 · see citing works
Baral, P. (2021) · International Journal of Health Services · doi:10.1177/0020731421997088 · Cited by 38 · see citing works
Experiences and Perceptions of Nursing Students during the COVID-19 Crisis in Spain
Rodríguez‐Almagro, J., Hernández‐Martínez, A., Romero, C., Arce, A. M., Prado-Laguna, M. D. C., & García‐Sánchez, F. J. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph181910459 · Cited by 39 · see citing works
Virtual Primary Care Implementation During COVID-19 in High-Income Countries: A Scoping Review
Vera, K. D., Challa, P., Liu, R. H., Fuller, K., Feroz, A. S., Gamble, A., Leung, E., & Seto, E. (2022) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2021.0377 · Cited by 38 · see citing works
Organização da atenção primária à saúde na pandemia de covid-19: revisão de escopo
da Silva, B. R. G., Corrêa, A. P. D. V., & Uehara, S. C. D. S. A. (2022) · Revista de Saúde Pública · doi:10.11606/s1518-8787.2022056004374 · Cited by 38 · see citing works
El papel de la atención primaria en la pandemia COVID-19: Una mirada hacia Europa
Ares-Blanco, S., Astier-Peña, M. P., Bravo, R. G., Fernández-García, M., & Bueno-Ortiz, J. M. (2021) · Atención Primaria · doi:10.1016/j.aprim.2021.102134 · Cited by 38 · see citing works
Committing to Continuity: Primary Care Practices During COVID-19 in an Urban Brazilian Neighborhood
Pingel, E. S., Llovet, A., Cosentino, F., & Lesser, J. H. (2020) · Health Education & Behavior · doi:10.1177/1090198120979609 · Cited by 37 · see citing works
Bongers, C. C. W. G., de Korte, J. Q., Zwartkruis, M., Levels, K., Kingma, B., & Eijsvogels, T. M. H. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19031905 · Cited by 37 · see citing works
Lins, A. P. D. C. E., Pereira, C. D. F. C., Almeida, T. C. D. S., da Silva, J. C. B., de Sousa, V. J., & Albuquerque, N. L. A. (2021) · Brazilian Journal of Health Review · doi:10.34119/bjhrv4n6-401 · Cited by 34 · see citing works
Seidu, S., Hambling, C. E., Holmes, P., Fernando, K., Campbell, N. S., Davies, S., & Khunti, K. K. (2022) · Primary care diabetes · doi:10.1016/j.pcd.2021.12.015 · Cited by 33 · see citing works
Boeck, I. D., Cauwenberghs, E., Spacova, I., Gehrmann, T., Eilers, T., Delanghe, L., Wittouck, S., Bron, P. A., Henkens, T., Gamgami, I., et al. (2022) · Microbiology Spectrum · doi:10.1128/spectrum.01682-22 · Cited by 31 · see citing works
Self-citationSchrimpf, A. M., Bleckwenn, M., & Braesigk, A. (2023) · Healthcare · doi:10.3390/healthcare11030320 · Cited by 32 · see citing works
Bossche, D. V., Lagaert, S., Willems, S. J. T., & Decat, P. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18063097 · Cited by 31 · see citing works
van der Velden, A. W., Bax, E., Bongard, E., Aabenhus, R. M., Anastasaki, M., Anthierens, S., Bălan, A., Böhmer, F., Bruno, P., Chlabicz, S., et al. (2021) · BMJ Open · doi:10.1136/bmjopen-2021-049257 · Cited by 31 · see citing works
Mahlknecht, A., Barbieri, V., Engl, A., Piccoliori, G., & Wiedermann, C. J. (2022) · Family Practice · doi:10.1093/fampra/cmac025 · Cited by 32 · see citing works
Deml, M. J., Minnema, J., Dubois, J., Senn, O., Streit, S., Rachamin, Y., & Jungo, K. T. (2022) · Social Science & Medicine · doi:10.1016/j.socscimed.2022.114858 · Cited by 30 · see citing works
Stöcker, A., Demirer, I., Gunkel, S., Hoffmann, J., Mause, L., Ohnhäuser, T., & Scholten, N. (2021) · PLoS ONE · doi:10.1371/journal.pone.0255986 · Cited by 30 · see citing works
Stengel, S., Roth, C., Breckner, A., Cordes, L., Weber, S., Ullrich, C., Peters-Klimm, F., & Wensing, M. (2022) · BMC Family Practice · doi:10.1186/s12875-022-01786-9 · Cited by 29 · see citing works
Walley, D., McCombe, G., Broughan, J., O’Shea, C., Crowley, D., Quinlan, D., Wann, C., Crowley, T., & Cullen, W. (2024) · PLOS Digital Health · doi:10.1371/journal.pdig.0000427 · Cited by 27 · see citing works
Rachamin, Y., Senn, O., Streit, S., Dubois, J., Deml, M. J., & Jungo, K. T. (2021) · International Journal of Public Health · doi:10.3389/ijph.2021.635508 · Cited by 27 · see citing works
Characterizing the Impact of COVID-19 on Pre-Exposure Prophylaxis (PrEP) Care
Rogers, B. G., Tao, J., Maynard, M. A., Chu, C. T., Silva, E., Toma, E., Nagel, K., Napoleon, S. C., & Chan, P. A. (2021) · AIDS and Behavior · doi:10.1007/s10461-021-03337-2 · Cited by 27 · see citing works
COVID-19’s impact on the future of digital health technology in primary care
van Hattem, N. E., Silven, A. V., Bonten, T. N., & Chavannes, N. H. (2021) · Family Practice · doi:10.1093/fampra/cmab081 · Cited by 26 · see citing works
Parkinson, A., Drew, J., Dykgraaf, S. H., Fanning, V., Chisholm, K., Elisha, M., Lueck, C. J., Phillips, C. B., & Desborough, J. (2021) · Health Expectations · doi:10.1111/hex.13284 · Cited by 28 · see citing works
Tune, S. N. B. K., Islam, B. Z., Islam, M. R., Tasnim, Z., & Ahmed, S. M. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-051893 · Cited by 27 · see citing works
Dinić, M., Santric-Milicevic, M. M., Mandić‐Rajčević, S., & Tripković, K. (2021) · The International Journal of Health Planning and Management · doi:10.1002/hpm.3141 · Cited by 26 · see citing works
Hörold, M., Gottschalk, M., Debbeler, C. M., Heytens, H., Ehrentreich, S., Braun-Dullaeus, R. C., & Apfelbacher, C. (2021) · BMC Health Services Research · doi:10.1186/s12913-021-07261-y · Cited by 25 · see citing works
Wanat, M., Hoste, M. E., Gobat, N., Anastasaki, M., Böhmer, F., Chlabicz, S., Colliers, A., Farrell, K. D., Hollerbach, S., Karkana, M.-N., et al. (2022) · BJGP Open · doi:10.3399/bjgpo.2021.0172 · Cited by 25 · see citing works
Russell, A., de Wildt, G., Grut, M., Greenfield, S., & Clarke, J. L. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-055955 · Cited by 25 · see citing works
Women’s experiences with being pregnant and becoming a new mother during the COVID-19 pandemic
Vermeulen, J., Bilsen, J. J. R., Buyl, R., Smedt, D. D., Gucciardo, L., Faron, G., & Fobelets, M. (2022) · Sexual & Reproductive Healthcare · doi:10.1016/j.srhc.2022.100728 · Cited by 25 · see citing works
Grut, M., de Wildt, G., Clarke, J. L., Greenfield, S., & Russell, A. (2023) · PLoS ONE · doi:10.1371/journal.pone.0280733 · Cited by 25 · see citing works
Tielker, J. M., Weber, J. P., Simon, S. T., Bausewein, C., Stiel, S., & Schneider, N. (2021) · PLoS ONE · doi:10.1371/journal.pone.0254056 · Cited by 24 · see citing works
Yan, Y., Fan, T.-Y., Zheng, Y., Yang, H., Li, T., Wang, H.-T., Gu, Y.-F., Xiao, X., Du, Z., & Sun, X.-M. (2022) · BMC Health Services Research · doi:10.1186/s12913-022-07770-4 · Cited by 24 · see citing works
Vilović, T., Božić, J., Vilović, M., Rušić, D., Furlan, S. Ž., Rađa, M., & Tomičić, M. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18042093 · Cited by 23 · see citing works
Colliers, A., Man, J. D., Adriaenssens, N., Verhoeven, V., Anthierens, S., Loof, H. D., Philips, H., Coenen, S., & Morreel, S. (2021) · Antibiotics · doi:10.3390/antibiotics10121488 · Cited by 22 · see citing works
Self-citationTaylor, M. K., Kinder, K., George, J., Bazemore, A., Mannie, C., Phillips, R. L., Strydom, S., & Goodyear‐Smith, F. (2022) · SSM - Qualitative Research in Health · doi:10.1016/j.ssmqr.2022.100041 · Cited by 22 · see citing works
Makowski, L., Schrader, H., Parisi, S., Ehlers-Mondorf, J., Joos, S., Kaduszkiewicz, H., & Gágyor, I. (2023) · European Journal of General Practice · doi:10.1080/13814788.2022.2156498 · Cited by 22 · see citing works
Aerts, N., Royen, K. V., Bogaert, P. V., Peremans, L., & Bastiaens, H. (2023) · Primary Health Care Research & Development · doi:10.1017/s1463423623000063 · Cited by 23 · see citing works
Kraus, M., Stegner, C., Reiss, M., Riedel, M., Børsch, A. S., Vrangbæk, K., Michel, M., Turmaine, K., Cseh, B., Dózsa, C., et al. (2023) · BMC Health Services Research · doi:10.1186/s12913-023-09998-0 · Cited by 21 · see citing works
Ahmed, A., Mutahar, M., Daghrery, A., Albar, N. H. M., Alhadidi, I. Q. I., Asiri, A., Boreak, N. M., Alshahrani, A. A. S., Shariff, M., Shubayr, M. A., et al. (2024) · Medical Science Monitor · doi:10.12659/msm.943383 · Cited by 21 · see citing works
Kader, N., Elhusein, B., Abdulla, S. A. A., Hamza, A. H., Maslamani, M. A. R. S. A., Chandra, P., Perayil, R., Vincent, J., Gunashekaran, J., & Alabdulla, M. (2021) · Journal of Primary Care & Community Health · doi:10.1177/21501327211039714 · Cited by 22 · see citing works
Kovačević, M., Ćulafić, M., Kovačević, S. V., Borjanić, S., Keleč, B., Miljković, B., & Amidzic, R. (2021) · Health & Social Care in the Community · doi:10.1111/hsc.13590 · Cited by 20 · see citing works
The use of out-of-hours primary care during the first year of the COVID-19 pandemic
Ramerman, L., Rijpkema, C., Bos, N., Flinterman, L. E., & Verheij, R. A. (2022) · BMC Health Services Research · doi:10.1186/s12913-022-08096-x · Cited by 20 · see citing works
Shah, S. S., Safa, A., Johal, K., Obika, D., & Valentine, S. (2021) · BMC Family Practice · doi:10.1186/s12875-021-01594-7 · Cited by 19 · see citing works
Bekele, B. B., Alhaffar, M. B. A., Wasnik, R. N., & Sándor, J. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19042258 · Cited by 19 · see citing works
Accounting, valuing and investing in health care: dealing with outdated accounting models
Vesty, G. M., Kokshagina, O., Jansson, M. M., Cheong, C., & Butler-Henderson, K. A. (2022) · Meditari Accountancy Research · doi:10.1108/medar-06-2021-1334 · Cited by 19 · see citing works
Foppa, L., Alessi, J., Nemetz, B., de Matos, R., Teló, G. H., & Schaan, B. D. (2022) · Diabetology & Metabolic Syndrome · doi:10.1186/s13098-022-00845-6 · Cited by 19 · see citing works
Dale, J. N., Morken, T., Eliassen, K. E., Blinkenberg, J., Rørtveit, G., Hunskaar, S., Rebnord, I. K., & Baste, V. (2022) · BMC Health Services Research · doi:10.1186/s12913-022-08284-9 · Cited by 20 · see citing works
Platen, M., Bohlken, J., Hoffmann, W. U., Kostev, K., & Michalowsky, B. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.1006578 · Cited by 17 · see citing works
Bamford, C., Wilcock, J., Brunskill, G., Wheatley, A., Dening, K. H., Manthorpe, J., Allan, L. M., Banerjee, S., Booi, L., Griffiths, S., et al. (2023) · PLoS ONE · doi:10.1371/journal.pone.0283818 · Cited by 17 · see citing works
Anderson, H., Scantlebury, A., Galdas, P., & Adamson, J. (2023) · Journal of Advanced Nursing · doi:10.1111/jan.15921 · Cited by 19 · see citing works
Daniels, J., Ingram, J. C., Pease, A. S., Wainwright, E. M., Beckett, K., Iyadurai, L., Harris, S., Donnelly, O., Roberts, T., & Carlton, E. W. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18189675 · Cited by 17 · see citing works
Bouchez, T., Gautier, S., Breton, J. L., Bourgueil, Y., & Ramond‐Roquin, A. (2022) · BMC Family Practice · doi:10.1186/s12875-022-01694-y · Cited by 16 · see citing works
Houben, F., den Heijer, C. D. J., van Hensbergen, M., Dukers–Muijrers, N. H. T. M., de Bont, E. G. P. M., & Hoebe, C. J. P. A. (2024) · BMC Family Practice · doi:10.1186/s12875-024-02304-9 · Cited by 16 · see citing works
Mathews, M., Ryan, D., Hedden, L., Lukewich, J., Marshall, E. G., Asghari, S., Terry, A. L., Buote, R., Meredith, L., Moritz, L. R., et al. (2023) · BMC Family Practice · doi:10.1186/s12875-022-01958-7 · Cited by 16 · see citing works
Self-care Behaviors and Technology Used During COVID-19: Systematic Review
Sakur, F., Ward, K., Khatri, N. N., & Lau, A. Y. S. (2022) · JMIR Human Factors · doi:10.2196/35173 · Cited by 15 · see citing works
Poel, E. V., Collins, C., Groenewegen, P., Spreeuwenberg, P. M. M., Bojaj, G., Gabrani, J., Mallen, C. D., Murauskienė, L., Santric-Milicevic, M. M., Schaubroeck, E., et al. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20043165 · Cited by 15 · see citing works
Bousquat, A., Giovanella, L., Facchini, L. A., de Mendonça, M. H. M., Nedel, F. B., Cury, G. C., Mota, P. H. D. S., Schenkman, S., Chueiri, P. S., & Alves, M. C. G. P. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1212584 · Cited by 15 · see citing works
Pogorzelska, K., Marcinowicz, L., & Chlabicz, S. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20031963 · Cited by 16 · see citing works
- Authors
- Verhoeven, V., Tsakitzidis, G., Philips, H., & Van Royen, P.
- Affiliations
- Department of Primary and Interdisciplinary Care, University of Antwerp, Antwerpen, Belgium
- University of Antwerp (BE)
- Venue
- BMJ Open
- Publisher
- BMJ
- Published
- 2020-06
- Volume
- 10
- Issue
- 6
- Pages
- e039674
- ISSN
- 2044-6055 (ISSN-L)
- PMC
- PMC7306272
- OpenAlex
- W3035788433
- Cited by
- 332
- References
- 23
- Citations by year
- 2026: 2 · 2025: 16 · 2024: 46 · 2023: 66 · 2022: 98 · 2021: 83 · 2020: 21
- FWCI
- 69.96
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMJ Open (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Health Sciences › Health Professions › General Health Professions › Healthcare Systems and Challenges
- Health Sciences › Medicine › Oncology › COVID-19 and healthcare impacts
- Keywords
- COVID-19 pandemic, primary care, general practitioners, telephone triage, practice management, continuity of care, acute care, patient-centered care, clinician well-being, occupational infection risk, Flanders
- MeSH terms
- Clinical Decision-Making, COVID-19, Adult, Attitude of Health Personnel, Belgium, Female, Humans, Male, Middle Aged, Practice Patterns, Physicians', Pneumonia, Viral, Primary Health Care, Coronavirus Infections, Disease Management, Qualitative Research, General Practitioners, General Practice, Pandemics
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
