COVID-19 challenges faced by general practitioners in Australia: a survey study conducted in March 2021
Tessa Copp A D , Jennifer M. J. Isautier A , Brooke Nickel A , Kristen Pickles A , Marguerite Tracy A , Jenny Doust B , Carissa Bonner A , Rachael H. Dodd A , Julie Ayre A , Erin Cvejic A , Lyndal Trevena A , Ramesh Manocha C and Kirsten J. McCaffery AA Faculty of Medicine and Health, Sydney Health Literacy Lab, School of Public Health, The University of Sydney, Sydney, NSW 2006, Australia.
B Centre for Longitudinal and Life Course Research, School of Public Health, The University of Queensland, Brisbane, Qld 4006, Australia.
C HealthEd Pty Ltd, Sydney, NSW 1805, Australia.
D Corresponding author. Email: Tessa.copp@sydney.edu.au
Australian Journal of Primary Health 27(5) 357-363 https://doi.org/10.1071/PY21165
Submitted: 14 July 2021 Accepted: 26 August 2021 Published: 30 September 2021
Journal Compilation © CSIRO 2021 Open Access CC BY
Abstract
Limited studies at the beginning of the COVID-19 pandemic found GPs have been negatively affected by increased workload, reduced income and major concerns about staff and patient safety. This study aimed to investigate the challenges of COVID-19 in general practice 1 year since it was declared a pandemic. A national cross-sectional online survey was conducted in March 2021 of a convenience sample of 295 Australian GPs attending an online educational webcast. Twenty-five multipart and free-text questions collected information regarding GPs’ main COVID-19-related issues and concerns, including COVID-19 vaccines, useful sources of information, information needs and their perceived role as GPs in COVID-19 management. Descriptive statistics were calculated for all quantitative variables. Content analysis was used to analyse text data from open-ended questions. Of the 596 eligible attendees of the online educational webcast, 295 completed the survey (49.5% response rate). One year since COVID-19 was declared a pandemic, GPs still have concerns regarding patients ignoring prescreening and presenting with flu-like symptoms, the safety of their colleagues and family and catching COVID-19 themselves, as well as concerns about the effect of the pandemic on their patients and patients delaying essential care for non-COVID-19 conditions. More education and resources about vaccines was identified as the top information need, which will assist with what GPs’ perceived to be their key roles in managing the COVID-19 pandemic, namely educating the public, correcting misunderstandings and providing the COVID-19 vaccine. These findings highlight gaps in communication and information, particularly regarding COVID-19 vaccines. GPs need high-quality information and resources to support them in undertaking complex risk communication with their patients.
Keywords: coronavirus, general practice, public health, vaccine hesitancy, vaccines.
References
Attwooll J (2021) AstraZeneca debate a ‘failure of pandemic management’. NEWSGP. Royal Australian College of General Practitioners. Available at https://www1.racgp.org.au/newsgp/professional/astrazeneca-debate-a-failure-of-pandemic-managemen [Verified 8 June 2021]Australian Bureau of Statistics (2021) Household impacts of COVID-19 survey. Available at https://www.abs.gov.au/statistics/people/people-and-communities/household-impacts-covid-19-survey/latest-release#media-releases [Verified 8 June 2021]
Australian Medical Association (2019) ‘General Practice Facts.’ Available at https://ama.com.au/article/general-practice-facts [Verified 10 October 2021]
Bonevski B, Magin P, Horton G, Foster M, Girgis A (2011) Response rates in GP surveys: trialling two recruitment strategies. Australian Family Physician 40, 427–430.
Crimmins F (2020) You told us about your COVID-19 experience, here are the results. The Medical Republic Moose Republic Limited. Available at https://medicalrepublic.com.au/you-told-us-about-your-covid-19-experience-here-are-the-results/25945 [Verified 8 June 2021]
Danchin M, Biezen R, Manski-Nankervis J-A, Kaufman J, Leask J (2020) Preparing the public for COVID-19 vaccines: how can general practitioners build vaccine confidence and optimise uptake for themselves and their patients? Australian Journal of General Practice 49, 625–629.
| Preparing the public for COVID-19 vaccines: how can general practitioners build vaccine confidence and optimise uptake for themselves and their patients?Crossref | GoogleScholarGoogle Scholar | 33015676PubMed |
Department of Health (2017) General Practice 2016 Factsheet. Available at http://data.hwa.gov.au/.
Douglas K, O’Brian K, Hall S, Barnes K (2021) Quick COVID-19 Clinician Survey Summary (Australia) Series 9–13. Australian National University. Available at https://medicalschool.anu.edu.au/research/projects/covid-19-general-practice-clinicians-5-minute-survey [Verified 24 August 2021]
Edwards B, Biddle N, Gray M, Sollis K (2021) COVID-19 vaccine hesitancy and resistance: correlates in a nationally representative longitudinal survey of the Australian population. PLoS One 16, e0248892
| COVID-19 vaccine hesitancy and resistance: correlates in a nationally representative longitudinal survey of the Australian population.Crossref | GoogleScholarGoogle Scholar | 33760836PubMed |
Faasse K, Newby J (2020) Public perceptions of COVID-19 in Australia: perceived risk, knowledge, health-protective behaviors, and vaccine intentions. Frontiers in Psychology 11, 551004
| Public perceptions of COVID-19 in Australia: perceived risk, knowledge, health-protective behaviors, and vaccine intentions.Crossref | GoogleScholarGoogle Scholar | 33117223PubMed |
Griffin S (2020) COVID-19: ‘staggering number’ of extra deaths in community is not explained by COVID-19. BMJ 369, m1931
Huston P, Campbell J, Russell G, Goodyear-Smith F, Phillips RL, van Weel C, Hogg W (2020) COVID-19 and primary care in six countries. BJGP Open 4,
Isautier JM, Copp T, Ayre J, Cvejic E, Meyerowitz-Katz G, Batcup C, Bonner C, Dodd R, Nickel B, Pickles K (2020) People’s experiences and satisfaction with telehealth during the COVID-19 pandemic in Australia: cross-sectional survey study. Journal of Medical Internet Research 22, e24531
| People’s experiences and satisfaction with telehealth during the COVID-19 pandemic in Australia: cross-sectional survey study.Crossref | GoogleScholarGoogle Scholar | 33156806PubMed |
Isautier JMJ, McCaffery K, Sydney Health Literacy Lab COVID-19 Group (2021) Patients are a vital voice for the future of telehealth. Respirology 26, 729–730.
Kippen R, O’Sullivan B, Hickson H, Leach M, Wallace G (2020) A national survey of COVID-19 challenges, responses and effects in Australian general practice. Australian Journal of General Practice 49, 745–751.
| A national survey of COVID-19 challenges, responses and effects in Australian general practice.Crossref | GoogleScholarGoogle Scholar | 33123716PubMed |
Le Grand C (2020) Lost in transmission: GPs ‘forgotten’ in COVID-19 response. The Age (Melbourne, Vic.). Available at https://www.theage.com.au/national/victoria/lost-in-transmission-gps-forgotten-in-covid-19-response-20200726-p55fky.html [Verified 24 August 2021]
Pickles K, Cvejic E, Nickel B, Copp T, Bonner C, Leask J, Ayre J, Batcup C, Cornell S, Dakin T (2021) COVID-19 misinformation trends in Australia: prospective longitudinal national survey. Journal of Medical Internet Research 23, e23805
| COVID-19 misinformation trends in Australia: prospective longitudinal national survey.Crossref | GoogleScholarGoogle Scholar | 33302250PubMed |
Scott A (2020) The impact of COVID-19 on GPs and non-GP specialists in private practice. Melbourne Institute: Applied Economic and Social Research, The University of Melbourne. Available at https://melbourneinstitute.unimelb.edu.au/__data/assets/pdf_file/0003/3436014/UoM-MI-ANZ_Brochure-FV.pdf [Verified 20 June 2021]
Snoswell CL, Caffery LJ, Haydon HM, Thomas EE, Smith AC (2020) Telehealth uptake in general practice as a result of the coronavirus (COVID-19) pandemic. Australian Health Review 44, 737–740.
| Telehealth uptake in general practice as a result of the coronavirus (COVID-19) pandemic.Crossref | GoogleScholarGoogle Scholar | 32853536PubMed |
Thornton J (2020) Covid-19: how coronavirus will change the face of general practice forever. BMJ 368, m1279
| Covid-19: how coronavirus will change the face of general practice forever.Crossref | GoogleScholarGoogle Scholar | 32229477PubMed |
Tsirtsakis A (2021) COVID outbreak increases urgency of PPE fit-testing for GPs. NEWSGP (Royal Australian College of General Practitioners) Available at https://www1.racgp.org.au/newsgp/clinical/covid-outbreaks-increase-urgency-of-ppe-fit-testin [Verified 24 August 2021]
Weber RP (1990) ‘Basic Content Analysis.’ (Sage: CA, USA)
Young JM, O’Halloran A, McAulay C, Pirotta M, Forsdike K, Stacey I, Currow D (2015) Unconditional and conditional incentives differentially improved general practitioners’ participation in an online survey: randomized controlled trial. Journal of Clinical Epidemiology 68, 693–697.
| Unconditional and conditional incentives differentially improved general practitioners’ participation in an online survey: randomized controlled trial.Crossref | GoogleScholarGoogle Scholar | 25450450PubMed |