A qualitative study of high-performing primary care practices during the COVID-19 pandemic

Abstract Background Primary care practices have remained on the frontline of health care service delivery throughout the COVID-19 pandemic. The purpose of our study was to understand the early pandemic experience of primary care practices, how they adapted care processes for chronic disease manageme...

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Autores principales:	Stephanie L. Albert, Margaret M. Paul, Ann M. Nguyen, Donna R. Shelley, Carolyn A. Berry
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Primary care COVID-19 Chronic disease Preventive care Qualitative Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/14bc98f9f72341d7b1ddbad477a87af2
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spelling	oai:doaj.org-article:14bc98f9f72341d7b1ddbad477a87af22021-11-28T12:29:41ZA qualitative study of high-performing primary care practices during the COVID-19 pandemic10.1186/s12875-021-01589-41471-2296https://doaj.org/article/14bc98f9f72341d7b1ddbad477a87af22021-11-01T00:00:00Zhttps://doi.org/10.1186/s12875-021-01589-4https://doaj.org/toc/1471-2296Abstract Background Primary care practices have remained on the frontline of health care service delivery throughout the COVID-19 pandemic. The purpose of our study was to understand the early pandemic experience of primary care practices, how they adapted care processes for chronic disease management and preventive care, and the future potential of these practices’ service delivery adaptations. Methods We interviewed 44 providers and staff at 22 high-performing primary care practices located throughout the United States between March and May 2020. Interviews were transcribed and coded using a modified rapid assessment process due to the time-sensitive nature of the study. Results Practices reported employing a variety of adaptations to care during the COVID-19 pandemic including maintaining safe and socially distanced access through increased use of telehealth visits, using disease registries to identify and proactively outreach to patients, providing remote patient education, and incorporating more home-based monitoring into care. Routine screening and testing slowed considerably, resulting in concerns about delayed detection. Patients with fewer resources, lower health literacy, and older adults were the most difficult to reach and manage during this time. Conclusion Our findings indicate that primary care structures and processes developed for remote chronic disease management and preventive care are evolving rapidly. Emerging adapted care processes, most notably remote provision of care, are promising and may endure beyond the pandemic, but issues of equity must be addressed (e.g., through payment reform) to ensure vulnerable populations receive the same benefit.Stephanie L. AlbertMargaret M. PaulAnn M. NguyenDonna R. ShelleyCarolyn A. BerryBMCarticlePrimary careCOVID-19Chronic diseasePreventive careQualitativeMedicine (General)R5-920ENBMC Family Practice, Vol 22, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Primary care COVID-19 Chronic disease Preventive care Qualitative Medicine (General) R5-920
spellingShingle	Primary care COVID-19 Chronic disease Preventive care Qualitative Medicine (General) R5-920 Stephanie L. Albert Margaret M. Paul Ann M. Nguyen Donna R. Shelley Carolyn A. Berry A qualitative study of high-performing primary care practices during the COVID-19 pandemic
description	Abstract Background Primary care practices have remained on the frontline of health care service delivery throughout the COVID-19 pandemic. The purpose of our study was to understand the early pandemic experience of primary care practices, how they adapted care processes for chronic disease management and preventive care, and the future potential of these practices’ service delivery adaptations. Methods We interviewed 44 providers and staff at 22 high-performing primary care practices located throughout the United States between March and May 2020. Interviews were transcribed and coded using a modified rapid assessment process due to the time-sensitive nature of the study. Results Practices reported employing a variety of adaptations to care during the COVID-19 pandemic including maintaining safe and socially distanced access through increased use of telehealth visits, using disease registries to identify and proactively outreach to patients, providing remote patient education, and incorporating more home-based monitoring into care. Routine screening and testing slowed considerably, resulting in concerns about delayed detection. Patients with fewer resources, lower health literacy, and older adults were the most difficult to reach and manage during this time. Conclusion Our findings indicate that primary care structures and processes developed for remote chronic disease management and preventive care are evolving rapidly. Emerging adapted care processes, most notably remote provision of care, are promising and may endure beyond the pandemic, but issues of equity must be addressed (e.g., through payment reform) to ensure vulnerable populations receive the same benefit.
format	article
author	Stephanie L. Albert Margaret M. Paul Ann M. Nguyen Donna R. Shelley Carolyn A. Berry
author_facet	Stephanie L. Albert Margaret M. Paul Ann M. Nguyen Donna R. Shelley Carolyn A. Berry
author_sort	Stephanie L. Albert
title	A qualitative study of high-performing primary care practices during the COVID-19 pandemic
title_short	A qualitative study of high-performing primary care practices during the COVID-19 pandemic
title_full	A qualitative study of high-performing primary care practices during the COVID-19 pandemic
title_fullStr	A qualitative study of high-performing primary care practices during the COVID-19 pandemic
title_full_unstemmed	A qualitative study of high-performing primary care practices during the COVID-19 pandemic
title_sort	qualitative study of high-performing primary care practices during the covid-19 pandemic
publisher	BMC
publishDate	2021
url	https://doaj.org/article/14bc98f9f72341d7b1ddbad477a87af2
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A qualitative study of high-performing primary care practices during the COVID-19 pandemic

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