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Practice & Policy

COVID-19 and primary care in six countries

Patricia Huston, John Campbell, Grant Russell, Felicity Goodyear-Smith, Robert L Phillips, Chris van Weel and William Hogg
BJGP Open 2020; 4 (4): bjgpopen20X101128. DOI: https://doi.org/10.3399/bjgpopen20X101128
Patricia Huston
1 University of Ottawa, Faculty of Medicine, Department of Family Medicine, Ottawa, Canada
2 University of Ottawa, Faculty of Medicine, School of Epidemiology and Public Health, Ottawa, Canada
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  • ORCID record for Patricia Huston
John Campbell
3 University of Exeter Medical School, University of Exeter, Exeter, UK
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Grant Russell
1 University of Ottawa, Faculty of Medicine, Department of Family Medicine, Ottawa, Canada
4 Monash University, Department of General Practice, Clayton, Australia
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Felicity Goodyear-Smith
5 University of Auckland, Faculty of Medical & Health Sciences, Department of General Practice & Primary Health Care, Auckland, New Zealand
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Robert L Phillips Jr
6 Center for Professionalism and Value in Health Care, American Board of Family Medicine, Washington, DC, US
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Chris van Weel
7 Radboud University Medical Center, Department of Primary and Community Care, Nijmegen, The Netherlands
8 Australian National University, Department of Health Systems Research and Policy, Canberra, Australia
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William Hogg
9 Institut du Savoir, Hôpital Montfort, Ottawa, Canada
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  • For correspondence: whogg@uottawa.ca
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Article Figures & Data

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    Table 1. Site of primary care assessment of potential COVID patients in six countries.a
    CountryVirtualb(off-site)Primary care officesAssessment centresAfter-hours clinicsEmergencydepartmentsHome visits
    AustraliaCommonOccasionalCommonc SometimesCommonOccasional
    New ZealandCommonSometimesCommonSometimesOccasionalSometimes
    CanadaCommonOccasionalCommonSometimesCommonOccasional
    The NetherlandsCommonCommonOccasionalCommond CommonSometimese
    UKCommonOccasionalCommonSometimesd SometimesOccasional
    USCommonSometimesCommonSometimesSometimesOccasional
    • aThis is based on knowledge of national pandemic plans, professional communications and anecdotal evidence amassed by the authors in order to give a general picture; it does not reflect the heterogeneity that may occur within each country. bVirtual assessments were conducted to advise patients as to whether it was necessary to be clinically assessed and, if indicated, to direct them to the appropriate venue. cKnown as GP respiratory clinics. dSeeing patients in off-hours is part of primary care system. eCommonly done for the sub-population of vulnerable older persons.

    • View popup
    Table 2. COVID-19 cases, deaths, case-fatalities, and mortality per 100 000 people in six well-resourced countries
    CountryConfirmed casesDeathsCase-fatalityDeath per 100 000 population
    UK321 06441 45412.9%62.35
    US5 438 325170 4973.1%52.11
    The Netherlands64 98061949.5%35.95
    Canada124 21890757.3%24.49
    Australia23 7734381.8%1.75
    New Zealand1643221.3%0.45
    • Confirmed cases and hence case-fatality depend on the degree to which community testing and surveillance is occurring, and whether all deaths (including those at home or in aged care facilities) are included.

    • As of 18 Aug 20. Source Johns Hopkins Coronavirus Resource Center8 https://coronavirus.jhu.edu/data/mortality.

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October 2020
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COVID-19 and primary care in six countries
Patricia Huston, John Campbell, Grant Russell, Felicity Goodyear-Smith, Robert L Phillips, Chris van Weel, William Hogg
BJGP Open 2020; 4 (4): bjgpopen20X101128. DOI: 10.3399/bjgpopen20X101128

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COVID-19 and primary care in six countries
Patricia Huston, John Campbell, Grant Russell, Felicity Goodyear-Smith, Robert L Phillips, Chris van Weel, William Hogg
BJGP Open 2020; 4 (4): bjgpopen20X101128. DOI: 10.3399/bjgpopen20X101128
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  • Article
    • Introduction
    • Decrease in use of primary care services in some jurisdictions
    • Loss of primary care capacity in some countries
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Keywords

  • COVID-19
  • public health
  • Primary care
  • physicians, family
  • general practitioners
  • Communicable diseases

More in this TOC Section

  • Telehealth and primary care: a special collection from BJGP Open
  • Reconsidering the Levesque framework: a social work perspective for healthcare professionals
  • The impact of remote consultations on brief conversations in general practice
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