Effects of a pandemic in a primary care unit and its population: a retrospective study
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
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. |
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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 |
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1817547200040796160 |