Primary care indicators for disease burden, monitoring and surveillance of COVID-19 in 31 European countries: Eurodata Study

Sara Ares-Blanco, Marina Guisado-Clavero, Lourdes Ramos Del Rio, Ileana Gefaell Larrondo, Louise Fitzgerald, Liubovė Murauskienė, Naldy Parodi López, Ábel Perjés, Davorina Petek, Ferdinando Petrazzuoli, Goranka Petricek, Martin Sattler, Natalija Saurek-Aleksandrovska, Oliver Senn, Bohumil Seifert, Alice Serafini, Theresa Sentker, Gunta Ticmane, Paula Tiili, Péter TorzsaKirsi Valtonen, Bert Vaes, Shlomo Vinker, Limor Adler, Radost Assenova, Maria Bakola, Sabine Bayen, Elena Brutskaya-Stempkovskaya, Iliana Carmen Busneag, Asja Ćosić Divjak, Maryher Delphin Peña, Esperanza Díaz, Philippe Richard Domeyer, Sabine Feldmane, Dragan Gjorgjievski, Mila Gómez-Johansson, Ángel Gónzalez de la Fuente, Miroslav Hanževački, Kathryn Hoffmann, Shushman Ivanna, Marijana Jandrić-Kočić, Vasilis Trifon Karathanos, Erva Kirkoç Üçüncü, Aleksandar Kirkovski, Snežana Knežević, Büsra Çimen Korkmaz, Milena Kostić, Anna Krztoń-Królewiecka, Liga Kozlovska, Katarzyna Nessler, Raquel Gómez-Bravo, María Pilar Astier Peña, Heidrun Lingner*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Background: During the COVID-19 pandemic, the majority of patients received ambulatory treatment, highlighting the importance of primary health care (PHC). However, there is limited knowledge regarding PHC workload in Europe during this period. The utilization of COVID-19 PHC indicators could facilitate the efficient monitoring and coordination of the pandemic response. The objective of this study is to describe PHC indicators for disease surveillance and monitoring of COVID-19's impact in Europe. Methods: Descriptive, cross-sectional study employing data obtained through a semi-structured ad hoc questionnaire, which was collectively agreed upon by all participants. The study encompasses PHC settings in 31 European countries from March 2020 to August 2021. Key-informants from each country answered the questionnaire. Main outcome: the identification of any indicator used to describe PHC COVID-19 activity. Results: Out of the 31 countries surveyed, data on PHC information were obtained from 14. The principal indicators were: total number of cases within PHC (Belarus, Cyprus, Italy, Romania and Spain), number of follow-up cases (Croatia, Cyprus, Finland, Spain and Turkey), GP's COVID-19 tests referrals (Poland), proportion of COVID-19 cases among respiratory illnesses consultations (Norway and France), sick leaves issued by GPs (Romania and Spain) and examination and complementary tests (Cyprus). All COVID-19 cases were attended in PHC in Belarus and Italy. Conclusions: The COVID-19 pandemic exposes a crucial deficiency in preparedness for infectious diseases in European health systems highlighting the inconsistent recording of indicators within PHC organizations. PHC standardized indicators and public data accessibility are urgently needed, conforming the foundation for an effective European-level health services response framework against future pandemics.

Original languageEnglish
Pages (from-to)402-410
Number of pages9
JournalEuropean Journal of Public Health
Volume34
Issue number2
DOIs
StatePublished - 1 Apr 2024

Funding

FundersFunder number
Deutsche Forschungsgemeinschaft
Ministry of Health of Luxembourg
European General Practice Research Network2022/01

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