Case Numbers and Challenges in Southern Bavarian Primary Care Practices During the COVID-19 Pandemic

DOI: 10.3238/zfa.2020.0357-0362

german translation / full article

Christian Bergmaier, Antonius Schneider, Marion Torge, Bernhard Riedl, Peter Wapler, Klaus Linde

Keywords: cross-sectional survey COVID-19 SARS-CoV-2 infections primary care

BackgroundThe COVID-19 pandemic poses major challenges to family medicine practices. In a cross-sectional survey we investigated the caseload and the perceived challenges in Southern Bavarian primary care practices during the first phase of the pandemic.MethodsA four-page questionnaire was sent to all 210 practices accredited for under-graduate teaching of family medicine at the Medical Faculty of the Technical University of Munich. Answers on closed questions were analyzed using descriptive statistics; free text answers were categorized inductively.ResultsA total of 160 questionnaires were available for analysis (response rate 76 %). 92 % of participants had seen at least one patient with a SARS-CoV-2 infection, two colleagues saw more than 100 infected patients; the median number was 10. 63 % had at least one patient hospitalized and 31 % at least one death associated with SARS-CoV-2 infection. In contrast, only 23 % of the nursing homes looked after by the participants were affected by infections; in individual nursing homes, however, there were numerous hospitalizations and deaths. In 18 % of practices at least one member of the team was tested positive for SARS-CoV-2. The most important challenges were the lack of protective equipment and the adaptation of the practice process to the pandemic situation. With regard to a possible “second wave”, the need for protective equipment and a better flow of information were central issues.ConclusionsThe caseload and consequences of the SARS-CoV-2 infections experienced by participants were highly variable. A large proportion of the nursing homes remained without cases of infection. The risk of infection for physicians and practice employees in the early phase was considerable.Keywordsprimary care; COVID-19; SARS-CoV-2 infections; cross-sectional survey

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(State: 14.09.2020)

Latest Issue 9/2020

In Focus

  • Clinical Characteristics of SARS-CoV-2 Tested Patients
  • Urinary Incontinence in Family Practice
  • Challenges in Southern Bavarian Primary Care Practices During the COVID-19 Pandemic