How primary healthcare in Iceland swiftly changed its strategy in response to the COVID-19 pandemic
Funding Information: Contributors All authors contributed to the planning, conduct and reporting of the study. ELS, JSJ, MOT, HH, KL worked on acquisition of the data. ELS, ABB and JSJ drafted the manuscript with input from MOT, HH, KL and JAS which was critically reviewed by all the authors. HH per...
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ftopinvisindi:oai:opinvisindi.is:20.500.11815/3422 2023-11-12T04:19:10+01:00 How primary healthcare in Iceland swiftly changed its strategy in response to the COVID-19 pandemic Sigurdsson, Emil Larus Blondal, Anna Bryndis Jonsson, Jon Steinar Tomasdottir, Margret Olafia Hrafnkelsson, Hannes Linnet, Kristjan Sigurdsson, Johann Agust Faculty of Medicine Faculty of Pharmaceutical Sciences 2020-12-07 640053 https://hdl.handle.net/20.500.11815/3422 https://doi.org/10.1136/bmjopen-2020-043151 en eng BMJ Open; 10(12) http://www.scopus.com/inward/record.url?scp=85097514676&partnerID=8YFLogxK Sigurdsson , E L , Blondal , A B , Jonsson , J S , Tomasdottir , M O , Hrafnkelsson , H , Linnet , K & Sigurdsson , J A 2020 , ' How primary healthcare in Iceland swiftly changed its strategy in response to the COVID-19 pandemic ' , BMJ Open , vol. 10 , no. 12 , e043151 . https://doi.org/10.1136/bmjopen-2020-043151 2044-6055 29998017 da890899-a2c3-4683-8523-fa564376cf51 85097514676 33293329 https://hdl.handle.net/20.500.11815/3422 doi:10.1136/bmjopen-2020-043151 info:eu-repo/semantics/openAccess COVID-19 epidemiology infectious diseases organisation of health services primary care Medicine (all) /dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article 2020 ftopinvisindi https://doi.org/20.500.11815/342210.1136/bmjopen-2020-043151 2023-11-01T23:55:22Z Funding Information: Contributors All authors contributed to the planning, conduct and reporting of the study. ELS, JSJ, MOT, HH, KL worked on acquisition of the data. ELS, ABB and JSJ drafted the manuscript with input from MOT, HH, KL and JAS which was critically reviewed by all the authors. HH performed the statistical analysis. ELS, ABB, JSJ, MOT, HH, KL, JAS read and approved the final version of the manuscript. Funding This research was supported by the Research Fund of the Icelandic College of Family Physicians. Publisher Copyright: © Objective To describe how the primary healthcare (PHC) in Iceland changed its strategy to handle the COVID-19 pandemic. Design Descriptive observational study. Setting Reykjavik, the capital of Iceland. Population The Reykjavik area has a total of 233 000 inhabitants. Main outcome measures The number and the mode of consultations carried out. Drug prescriptions and changes in the 10 most common diagnoses made in PHC. Laboratory tests including COVID-19 tests. Average numbers in March and April 2020 compared with the same months in 2018 and 2019. Results Pragmatic strategies and new tasks were rapidly applied to the clinical work to meet the foreseen healthcare needs caused by the pandemic. The number of daytime consultations increased by 35% or from 780 to 1051/1000 inhabitants (p<0.001) during the study period. Telephone and web-based consultations increased by 127% (p<0.001). The same tendency was observed in out-of-hours services. The number of consultations in maternity and well-child care decreased only by 4% (p=0.003). Changes were seen in the 10 most common diagnoses. Most noteworthy, apart from a high number of COVID-19 suspected disease, was that immunisation, depression, hypothyroidism and lumbago were not among the top 10 diagnoses during the epidemic period. The number of drug prescriptions increased by 10.3% (from 494 to 545 per 1000 inhabitants, p<0.001). The number of prescriptions from telephone and web-based consultations rose by 55.6%. No changes ... Article in Journal/Newspaper Iceland Opin vísindi (Iceland) Handle The ENVELOPE(161.983,161.983,-78.000,-78.000) BMJ Open 10 12 e043151 |
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Opin vísindi (Iceland) |
op_collection_id |
ftopinvisindi |
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English |
topic |
COVID-19 epidemiology infectious diseases organisation of health services primary care Medicine (all) |
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COVID-19 epidemiology infectious diseases organisation of health services primary care Medicine (all) Sigurdsson, Emil Larus Blondal, Anna Bryndis Jonsson, Jon Steinar Tomasdottir, Margret Olafia Hrafnkelsson, Hannes Linnet, Kristjan Sigurdsson, Johann Agust How primary healthcare in Iceland swiftly changed its strategy in response to the COVID-19 pandemic |
topic_facet |
COVID-19 epidemiology infectious diseases organisation of health services primary care Medicine (all) |
description |
Funding Information: Contributors All authors contributed to the planning, conduct and reporting of the study. ELS, JSJ, MOT, HH, KL worked on acquisition of the data. ELS, ABB and JSJ drafted the manuscript with input from MOT, HH, KL and JAS which was critically reviewed by all the authors. HH performed the statistical analysis. ELS, ABB, JSJ, MOT, HH, KL, JAS read and approved the final version of the manuscript. Funding This research was supported by the Research Fund of the Icelandic College of Family Physicians. Publisher Copyright: © Objective To describe how the primary healthcare (PHC) in Iceland changed its strategy to handle the COVID-19 pandemic. Design Descriptive observational study. Setting Reykjavik, the capital of Iceland. Population The Reykjavik area has a total of 233 000 inhabitants. Main outcome measures The number and the mode of consultations carried out. Drug prescriptions and changes in the 10 most common diagnoses made in PHC. Laboratory tests including COVID-19 tests. Average numbers in March and April 2020 compared with the same months in 2018 and 2019. Results Pragmatic strategies and new tasks were rapidly applied to the clinical work to meet the foreseen healthcare needs caused by the pandemic. The number of daytime consultations increased by 35% or from 780 to 1051/1000 inhabitants (p<0.001) during the study period. Telephone and web-based consultations increased by 127% (p<0.001). The same tendency was observed in out-of-hours services. The number of consultations in maternity and well-child care decreased only by 4% (p=0.003). Changes were seen in the 10 most common diagnoses. Most noteworthy, apart from a high number of COVID-19 suspected disease, was that immunisation, depression, hypothyroidism and lumbago were not among the top 10 diagnoses during the epidemic period. The number of drug prescriptions increased by 10.3% (from 494 to 545 per 1000 inhabitants, p<0.001). The number of prescriptions from telephone and web-based consultations rose by 55.6%. No changes ... |
author2 |
Faculty of Medicine Faculty of Pharmaceutical Sciences |
format |
Article in Journal/Newspaper |
author |
Sigurdsson, Emil Larus Blondal, Anna Bryndis Jonsson, Jon Steinar Tomasdottir, Margret Olafia Hrafnkelsson, Hannes Linnet, Kristjan Sigurdsson, Johann Agust |
author_facet |
Sigurdsson, Emil Larus Blondal, Anna Bryndis Jonsson, Jon Steinar Tomasdottir, Margret Olafia Hrafnkelsson, Hannes Linnet, Kristjan Sigurdsson, Johann Agust |
author_sort |
Sigurdsson, Emil Larus |
title |
How primary healthcare in Iceland swiftly changed its strategy in response to the COVID-19 pandemic |
title_short |
How primary healthcare in Iceland swiftly changed its strategy in response to the COVID-19 pandemic |
title_full |
How primary healthcare in Iceland swiftly changed its strategy in response to the COVID-19 pandemic |
title_fullStr |
How primary healthcare in Iceland swiftly changed its strategy in response to the COVID-19 pandemic |
title_full_unstemmed |
How primary healthcare in Iceland swiftly changed its strategy in response to the COVID-19 pandemic |
title_sort |
how primary healthcare in iceland swiftly changed its strategy in response to the covid-19 pandemic |
publishDate |
2020 |
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https://hdl.handle.net/20.500.11815/3422 https://doi.org/10.1136/bmjopen-2020-043151 |
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ENVELOPE(161.983,161.983,-78.000,-78.000) |
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Handle The |
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Handle The |
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Iceland |
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Iceland |
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BMJ Open; 10(12) http://www.scopus.com/inward/record.url?scp=85097514676&partnerID=8YFLogxK Sigurdsson , E L , Blondal , A B , Jonsson , J S , Tomasdottir , M O , Hrafnkelsson , H , Linnet , K & Sigurdsson , J A 2020 , ' How primary healthcare in Iceland swiftly changed its strategy in response to the COVID-19 pandemic ' , BMJ Open , vol. 10 , no. 12 , e043151 . https://doi.org/10.1136/bmjopen-2020-043151 2044-6055 29998017 da890899-a2c3-4683-8523-fa564376cf51 85097514676 33293329 https://hdl.handle.net/20.500.11815/3422 doi:10.1136/bmjopen-2020-043151 |
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info:eu-repo/semantics/openAccess |
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https://doi.org/20.500.11815/342210.1136/bmjopen-2020-043151 |
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