Accéder directement au contenu Accéder directement à la navigation
Nouvelle interface
Article dans une revue

United, can we be stronger? Did French general practitioners in multi-professional groups provide more chronic care follow-up during lockdown?

Abstract : Background Given the importance of the continuous follow-up of chronic patients, we evaluated the performance of French private practice general practitioners (GPs) practicing in multi-professional group practices (MGP) regarding chronic care management during the first Covid-19 lockdown in Spring 2020 compared to GPs not in MGP. We consider two outcomes: continuity of care provision for chronic patients and proactivity in contacting these patients. Methods The cross-sectional web questionnaire of 1191 GPs took place in April 2020. We exploit self-reported data on: 1) the frequency of consultations for chronic patients during lockdown compared to their “typical” week before the pandemic, along with 2) GPs’ proactive behaviour when contacting their chronic patients. We use probit and bivariate probit models (adjusted for endogeneity of choice of engagement in MGP) to test whether GPs in MGP had significantly different responses to the Covid-19 crisis compared to those practicing outside MGP. Results Out of 1191 participants (response rate: 43.1%), around 40% of GPs were female and 34% were younger than 50 years old. Regression results indicate that GPs in MGP were less likely to experience a drop in consultations related to complications of chronic diseases (− 45.3%). They were also more proactive (+ 13.4%) in contacting their chronic patients compared to their peers practicing outside MGP. Conclusion We demonstrate that the MGP organisational formula was beneficial to the follow-up of patients with chronic conditions during the lockdown; therefore, it appears beneficial to expand integrated practices, since they perform better when facing a major shock. Further research is needed to confirm the efficiency of these integrated practices outside the particular pandemic setup.
Type de document :
Article dans une revue
Liste complète des métadonnées

https://hal-amu.archives-ouvertes.fr/hal-03660015
Contributeur : Elisabeth Lhuillier Connectez-vous pour contacter le contributeur
Soumis le : jeudi 15 septembre 2022 - 10:35:06
Dernière modification le : samedi 17 septembre 2022 - 03:03:44

Fichier

s12913-022-07937-z.pdf
Fichiers éditeurs autorisés sur une archive ouverte

Licence


Distributed under a Creative Commons Paternité 4.0 International License

Identifiants

Collections

Citation

Anna Zaytseva, Pierre Verger, Bruno Ventelou. United, can we be stronger? Did French general practitioners in multi-professional groups provide more chronic care follow-up during lockdown?. BMC Health Services Research, 2022, 22 (1), pp.519. ⟨10.1186/s12913-022-07937-z⟩. ⟨hal-03660015⟩

Partager

Métriques

Consultations de la notice

707

Téléchargements de fichiers

4