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Table 2 Organisational measures to control the flow of patients (Percentage of general practices that indicate that they have applied the measure)

From: Quick adaptation of the organisation of general practices during the COVID-19 pandemic in the Netherlands

 

Percentage ‘yes’

Percentage ‘usually/’agree’

Percentage ‘always’/

’strongly agree’

N

Appointments and triage

 When patients want to make an online appointment for this practice, they are shown a message informing them about which complaints they may (not) bring to the practice

71%

  

79

 Patients must state a reason when making an online appointment at the practice

88%

  

83

 Patients must state a reason when making an appointment by phone

95%

  

159

 Patients who made an appointment and where it is unclear whether they pose a risk of infection are called beforehand to verify this

 

24%

51%

146

 In the situation where telephonic triage is performed by someone other than a GP in this practice and he/she needs support when assessing a call, he/she can rely on support from a GP

 

6%

93%

161

 The home visits are organised so that potential COVID-19 patients are seen by one GP at the end of the GP’s round

 

26%

51%

148

Adaptations in the practice

 Performing triage before patients entering this practice

88%

  

155

 Limiting the number of patients in waiting room

94%

  

155

 No longer use of the waiting room

14%

  

155

 Structural changes to the reception area

72%

  

155

 Changing repeat prescription approach in terms of patient attending practice

54%

  

155

 Using e-script or health mail for prescriptions

68%

  

155

Administrative documents

 … these documents are available for pickup in this practice

 

10%

4%

143

 … these documents are sent to the patient by postal mail/are dropped in the patient’s home letterbox

 

35%

11%

142

 … these documents are sent to the patient by regular e-mail.

 

52%

13%

146

 … these documents are made available through a GDPR proof online system

 

21%

7%

152

Contact with home care services in case of …

 Patients are diagnosed with COVID-19

 

29%

28%

153

 Patients are diagnosed with a major infectious disease different from COVID-19 (e.g. HIV, hepatitis carrier status)

 

34%

16%

147

Changes in tasks

 Staff members are more involved in giving information and recommendations to patients contacting the practice by phone

 

38%

34%

160

 Staff members are more involved in giving information or explaining what a caregiver has said to illiterate patients, patients with low health literacy or migrants

 

34%

21%

148

 Staff members are more involved in actively reaching out to patients that might postpone healthcare.

 

37%

14%

157

 Staff members are more involved in the triage of patients (by phone, when entering the practice, …)

 

34%

45%

158

 Since the COVID-19 pandemic, GPs or GP trainees are more involved in actively reaching out to patients that might postpone healthcare

 

41%

9%

144