Factors influencing the willingness of primary care physicians to provide care during the coronavirus disease pandemic: a nationwide survey in Taiwan.

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Tytuł:: Factors influencing the willingness of primary care physicians to provide care during the coronavirus disease pandemic: a nationwide survey in Taiwan.
Autorzy:: Huang HL; Department of Family Medicine, National Taiwan University Hospital, Taipei, Taiwan.; Department of Family Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan.
Jan CJ; Department of Family Medicine, National Taiwan University Hospital, Taipei, Taiwan.; Department of Family Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan.
Bih-Jeng Chang B; Department of Family Medicine, National Taiwan University Hospital, Taipei, Taiwan.; Department of Family Medicine, Brian's Family Doctor clinic, New Taipei City, Taiwan.; Taiwan Medical Association, Taipei, Taiwan.
Chiu TY; Department of Family Medicine, National Taiwan University Hospital, Taipei, Taiwan .; Department of Family Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan.; Taiwan Medical Association, Taipei, Taiwan.
Źródło:: BMJ open [BMJ Open] 2021 Jul 01; Vol. 11 (7), pp. e049148. Date of Electronic Publication: 2021 Jul 01.
Typ publikacji:: Journal Article; Research Support, Non-U.S. Gov't
Język:: English
Imprint Name(s):: Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
MeSH Terms:: COVID-19*
Physicians, Primary Care*
Cross-Sectional Studies ; Humans ; Pandemics ; SARS-CoV-2 ; Surveys and Questionnaires ; Taiwan/epidemiology
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Contributed Indexing:: Keywords: COVID-19; primary care; public health
Entry Date(s):: Date Created: 20210702 Date Completed: 20210708 Latest Revision: 20210710
Update Code:: 20240105
PubMed Central ID:: PMC8251678
DOI:: 10.1136/bmjopen-2021-049148
PMID:: 34210735
: Czasopismo naukowe

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Objectives: The COVID-19 pandemic continues to advance worldwide with tremendous impact on public health, economy and society. Primary healthcare is crucial in every country during the pandemic for an integrated and coordinated healthcare delivery system; hence, it is of paramount importance to maintain a sufficient frontline workforce. This study aimed to identify factors influencing the willingness of primary care physicians to provide care during the COVID-19 pandemic.
Design: Cross sectional study.
Setting: Nationwide survey PARTICIPANTS: Primary care physicians working in the community in Taiwan were selected using a cluster sampling method based on practice region from May to June 2020.
Outcome Measures: The willingness of primary care physicians to provide care during the COVID-19 pandemic.
Results: This study surveyed 1000 primary care physicians nationwide, and 625 valid questionnaires were received and included in the final analysis, with an effective response rate of 62.5%. Factors significantly associated with physicians willingness to provide care during COVID-19 were 'joining the Community Healthcare Group (CHCG)' (p<0.001), 'perceived more overall benefits for providing care' (p<0.001) 'perceived less overall barriers to providing care' (p<0.001), 'higher knowledge scores about COVID-19' (p=0.049) and 'physician's major specialties' (p=0.009) in the multivariate logistic regression model.
Conclusions: Building a comprehensive primary care system such as Taiwan's CHCG, training of more family physicians or general practitioners, and protecting and supporting primary care physicians were important in response to infectious disease pandemics. The findings of this study inform the development of guidelines to support and maintain the primary healthcare workforces during the COVID-19 pandemic and for future events.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

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