Effects of a pandemic in a primary care unit and its population: a retrospective study

Detalhes bibliográficos
Autor(a) principal: Vieira, Pedro Alexandre
Data de Publicação: 2021
Outros Autores: Barros, Paulo Jorge, Caseiro, Tânia, Rodrigues, Natalina, Arcanjo, João
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.32385/rpmgf.v37i5.13135
Resumo: Objectives: COVID-19 is the first severe pandemic of the modern world, having already collapsed several health systems, forcing them to adapt. This article intends to review the medical activity in a primary care unit during the first pandemic outbreak to assess its impact on the population. Methods: Retrospective study. Data were retrieved from all medical appointments carried out in a primary care unit between 1 March and 31 July 2020 and in the same period of 2019 and 2018. Results: There was an increase in the number of medical appointments in 2020 compared to the same period of 2019 and 2018 (14,871, 14,326, and 12,996, respectively), the majority being teleconsultations by e-mail or phone in contrast to previous years (71.6% in 2020, 42.6% in 2019 and 35.2% in 2018). There was also a decrease in most follow-up and routine appointments (2,562 in 2020, 3,067 in 2019, and 2,975 in 2018) and an increment in psychiatric diagnosis, mainly anxiety-related disorders (362 in 2020, 252 in 2019, and 238 in 2018). Conclusions: Despite the pandemic, the total number of medical appointments increased in 2020, mostly due to teleconsultations and with a different prevalence of diagnostics. There were fewer follow-up and routine appointments but more diagnoses of psychiatric disorders, probably related to the socio-economic impact of the pandemic. This is the first case series of primary care activity recorded during the first pandemic outbreak in Portugal.
id RCAP_c2090fafc5a4c0aae90cd44c4583da9f
oai_identifier_str oai:ojs.rpmgf.pt:article/13135
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Effects of a pandemic in a primary care unit and its population: a retrospective studyEfeitos de uma pandemia numa unidade de cuidados de saúde primários e sua população: um estudo retrospetivoCOVID-19PandemiaCuidados de saúde primáriosCentros de saúde.COVID-19PandemicsPrimary health careCommunity health centersObjectives: COVID-19 is the first severe pandemic of the modern world, having already collapsed several health systems, forcing them to adapt. This article intends to review the medical activity in a primary care unit during the first pandemic outbreak to assess its impact on the population. Methods: Retrospective study. Data were retrieved from all medical appointments carried out in a primary care unit between 1 March and 31 July 2020 and in the same period of 2019 and 2018. Results: There was an increase in the number of medical appointments in 2020 compared to the same period of 2019 and 2018 (14,871, 14,326, and 12,996, respectively), the majority being teleconsultations by e-mail or phone in contrast to previous years (71.6% in 2020, 42.6% in 2019 and 35.2% in 2018). There was also a decrease in most follow-up and routine appointments (2,562 in 2020, 3,067 in 2019, and 2,975 in 2018) and an increment in psychiatric diagnosis, mainly anxiety-related disorders (362 in 2020, 252 in 2019, and 238 in 2018). Conclusions: Despite the pandemic, the total number of medical appointments increased in 2020, mostly due to teleconsultations and with a different prevalence of diagnostics. There were fewer follow-up and routine appointments but more diagnoses of psychiatric disorders, probably related to the socio-economic impact of the pandemic. This is the first case series of primary care activity recorded during the first pandemic outbreak in Portugal.Objetivos: A COVID-19 é a primeira pandemia severa do mundo moderno, tendo já colapsado diversos sistemas de saúde, obrigando-os a adaptar-se. Este artigo pretende analisar a atividade médica numa unidade de cuidados primários durante o primeiro pico da pandemia, de modo a avaliar os impactos desta no acompanhamento clínico da população. Métodos: Estudo retrospetivo que analisou os dados de todas as consultas efetuadas numa unidade de cuidados primários entre 1 de março e 31 de julho de 2020 e em período homólogo de 2019 e 2018. Resultados: Em 2020 registou-se um aumento de consultas quando comparado com igual período de 2019 e 2018 (14.871, 14.326 e 12.996, respetivamente), sendo a maioria não presencial, ao contrário de anos anteriores (71,6% em 2020, 42,6% em 2019 e 35,2% em 2018). Verificou-se também uma diminuição da maioria das consultas de vigilância e de rotina (2.562 em 2020, 3.067 em 2019 e 2.975 em 2018) e um aumento das consultas por patologia psiquiátrica, destacando-se a ansiedade (362 em 2020, 252 em 2019 e 238 em 2018).  Conclusões: Apesar da pandemia, o número total de consultas aumentou em 2020, embora à custa de consultas não presenciais e com uma diferente prevalência de diagnósticos. Ocorreram menos consultas de vigilância e aumentaram as consultas por patologia psiquiátrica, possivelmente decorrentes do impacto socioeconómico da pandemia. Trata-se da primeira casuística da atividade médica de cuidados primários registada durante a primeira vaga da pandemia em Portugal.Associação Portuguesa de Medicina Geral e Familiar2021-11-08info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.32385/rpmgf.v37i5.13135https://doi.org/10.32385/rpmgf.v37i5.13135Portuguese Journal of Family Medicine and General Practice; Vol. 37 No. 5 (2021): Revista Portuguesa de Medicina Geral e Familiar; 393-406Revista Portuguesa de Medicina Geral e Familiar; Vol. 37 Núm. 5 (2021): Revista Portuguesa de Medicina Geral e Familiar; 393-406Revista Portuguesa de Medicina Geral e Familiar; Vol. 37 N.º 5 (2021): Revista Portuguesa de Medicina Geral e Familiar; 393-4062182-51812182-517310.32385/rpmgf.v37i5reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://rpmgf.pt/ojs/index.php/rpmgf/article/view/13135https://rpmgf.pt/ojs/index.php/rpmgf/article/view/13135/11701Direitos de Autor (c) 2021 Revista Portuguesa de Medicina Geral e Familiarhttp://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessVieira, Pedro AlexandreBarros, Paulo JorgeCaseiro, TâniaRodrigues, NatalinaArcanjo, João2024-09-17T12:00:28Zoai:ojs.rpmgf.pt:article/13135Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-09-17T12:00:28Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Effects of a pandemic in a primary care unit and its population: a retrospective study
Efeitos de uma pandemia numa unidade de cuidados de saúde primários e sua população: um estudo retrospetivo
title Effects of a pandemic in a primary care unit and its population: a retrospective study
spellingShingle Effects of a pandemic in a primary care unit and its population: a retrospective study
Vieira, Pedro Alexandre
COVID-19
Pandemia
Cuidados de saúde primários
Centros de saúde.
COVID-19
Pandemics
Primary health care
Community health centers
title_short Effects of a pandemic in a primary care unit and its population: a retrospective study
title_full Effects of a pandemic in a primary care unit and its population: a retrospective study
title_fullStr Effects of a pandemic in a primary care unit and its population: a retrospective study
title_full_unstemmed Effects of a pandemic in a primary care unit and its population: a retrospective study
title_sort Effects of a pandemic in a primary care unit and its population: a retrospective study
author Vieira, Pedro Alexandre
author_facet Vieira, Pedro Alexandre
Barros, Paulo Jorge
Caseiro, Tânia
Rodrigues, Natalina
Arcanjo, João
author_role author
author2 Barros, Paulo Jorge
Caseiro, Tânia
Rodrigues, Natalina
Arcanjo, João
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Vieira, Pedro Alexandre
Barros, Paulo Jorge
Caseiro, Tânia
Rodrigues, Natalina
Arcanjo, João
dc.subject.por.fl_str_mv COVID-19
Pandemia
Cuidados de saúde primários
Centros de saúde.
COVID-19
Pandemics
Primary health care
Community health centers
topic COVID-19
Pandemia
Cuidados de saúde primários
Centros de saúde.
COVID-19
Pandemics
Primary health care
Community health centers
description Objectives: COVID-19 is the first severe pandemic of the modern world, having already collapsed several health systems, forcing them to adapt. This article intends to review the medical activity in a primary care unit during the first pandemic outbreak to assess its impact on the population. Methods: Retrospective study. Data were retrieved from all medical appointments carried out in a primary care unit between 1 March and 31 July 2020 and in the same period of 2019 and 2018. Results: There was an increase in the number of medical appointments in 2020 compared to the same period of 2019 and 2018 (14,871, 14,326, and 12,996, respectively), the majority being teleconsultations by e-mail or phone in contrast to previous years (71.6% in 2020, 42.6% in 2019 and 35.2% in 2018). There was also a decrease in most follow-up and routine appointments (2,562 in 2020, 3,067 in 2019, and 2,975 in 2018) and an increment in psychiatric diagnosis, mainly anxiety-related disorders (362 in 2020, 252 in 2019, and 238 in 2018). Conclusions: Despite the pandemic, the total number of medical appointments increased in 2020, mostly due to teleconsultations and with a different prevalence of diagnostics. There were fewer follow-up and routine appointments but more diagnoses of psychiatric disorders, probably related to the socio-economic impact of the pandemic. This is the first case series of primary care activity recorded during the first pandemic outbreak in Portugal.
publishDate 2021
dc.date.none.fl_str_mv 2021-11-08
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.32385/rpmgf.v37i5.13135
https://doi.org/10.32385/rpmgf.v37i5.13135
url https://doi.org/10.32385/rpmgf.v37i5.13135
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rpmgf.pt/ojs/index.php/rpmgf/article/view/13135
https://rpmgf.pt/ojs/index.php/rpmgf/article/view/13135/11701
dc.rights.driver.fl_str_mv Direitos de Autor (c) 2021 Revista Portuguesa de Medicina Geral e Familiar
http://creativecommons.org/licenses/by-nc-nd/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Direitos de Autor (c) 2021 Revista Portuguesa de Medicina Geral e Familiar
http://creativecommons.org/licenses/by-nc-nd/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Associação Portuguesa de Medicina Geral e Familiar
publisher.none.fl_str_mv Associação Portuguesa de Medicina Geral e Familiar
dc.source.none.fl_str_mv Portuguese Journal of Family Medicine and General Practice; Vol. 37 No. 5 (2021): Revista Portuguesa de Medicina Geral e Familiar; 393-406
Revista Portuguesa de Medicina Geral e Familiar; Vol. 37 Núm. 5 (2021): Revista Portuguesa de Medicina Geral e Familiar; 393-406
Revista Portuguesa de Medicina Geral e Familiar; Vol. 37 N.º 5 (2021): Revista Portuguesa de Medicina Geral e Familiar; 393-406
2182-5181
2182-5173
10.32385/rpmgf.v37i5
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv mluisa.alvim@gmail.com
_version_ 1817547200040796160