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Research ArticleFAMILY MEDICINE – WORLD PERSPECTIVE

Teachings After COVID-19 Outbreak From a Survey of Family Physicians

Marco Toselli, Ignazio Palazzi, Martina Lambertini, Andrea Maurizzi, Alberto Cereda, Arif Khokhar, Stefano Landi, Fabrizio Toscano and Giovanni Marasco
The Journal of the American Board of Family Medicine February 2021, 34 (Supplement) S222-S224; DOI: https://doi.org/10.3122/jabfm.2021.S1.200267
Marco Toselli
From the Interventional cardiology unit, GVM Care and Research, Maria Cecilia Hospital, Cotignola, Ravenna, Italy (MT, AC, AK); Primary Health Care Department, AUSL Romagna, Italy (IP); Dermatology unit, IRCCS di Policlinico Sant'Orsola, Via Massarenti 9, Bologna, Italy (ML); Dermatology unit, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Italy (ML); Primary Health Care Department, AUSL Bologna, Italy (AM); Gastroenterology and Interventional Endoscopy Unit, Local Health Authority of Bologna, Italy (SL); Department of Medicine, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY (FT); IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy (GM).
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Ignazio Palazzi
From the Interventional cardiology unit, GVM Care and Research, Maria Cecilia Hospital, Cotignola, Ravenna, Italy (MT, AC, AK); Primary Health Care Department, AUSL Romagna, Italy (IP); Dermatology unit, IRCCS di Policlinico Sant'Orsola, Via Massarenti 9, Bologna, Italy (ML); Dermatology unit, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Italy (ML); Primary Health Care Department, AUSL Bologna, Italy (AM); Gastroenterology and Interventional Endoscopy Unit, Local Health Authority of Bologna, Italy (SL); Department of Medicine, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY (FT); IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy (GM).
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Martina Lambertini
From the Interventional cardiology unit, GVM Care and Research, Maria Cecilia Hospital, Cotignola, Ravenna, Italy (MT, AC, AK); Primary Health Care Department, AUSL Romagna, Italy (IP); Dermatology unit, IRCCS di Policlinico Sant'Orsola, Via Massarenti 9, Bologna, Italy (ML); Dermatology unit, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Italy (ML); Primary Health Care Department, AUSL Bologna, Italy (AM); Gastroenterology and Interventional Endoscopy Unit, Local Health Authority of Bologna, Italy (SL); Department of Medicine, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY (FT); IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy (GM).
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Andrea Maurizzi
From the Interventional cardiology unit, GVM Care and Research, Maria Cecilia Hospital, Cotignola, Ravenna, Italy (MT, AC, AK); Primary Health Care Department, AUSL Romagna, Italy (IP); Dermatology unit, IRCCS di Policlinico Sant'Orsola, Via Massarenti 9, Bologna, Italy (ML); Dermatology unit, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Italy (ML); Primary Health Care Department, AUSL Bologna, Italy (AM); Gastroenterology and Interventional Endoscopy Unit, Local Health Authority of Bologna, Italy (SL); Department of Medicine, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY (FT); IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy (GM).
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Alberto Cereda
From the Interventional cardiology unit, GVM Care and Research, Maria Cecilia Hospital, Cotignola, Ravenna, Italy (MT, AC, AK); Primary Health Care Department, AUSL Romagna, Italy (IP); Dermatology unit, IRCCS di Policlinico Sant'Orsola, Via Massarenti 9, Bologna, Italy (ML); Dermatology unit, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Italy (ML); Primary Health Care Department, AUSL Bologna, Italy (AM); Gastroenterology and Interventional Endoscopy Unit, Local Health Authority of Bologna, Italy (SL); Department of Medicine, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY (FT); IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy (GM).
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Arif Khokhar
From the Interventional cardiology unit, GVM Care and Research, Maria Cecilia Hospital, Cotignola, Ravenna, Italy (MT, AC, AK); Primary Health Care Department, AUSL Romagna, Italy (IP); Dermatology unit, IRCCS di Policlinico Sant'Orsola, Via Massarenti 9, Bologna, Italy (ML); Dermatology unit, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Italy (ML); Primary Health Care Department, AUSL Bologna, Italy (AM); Gastroenterology and Interventional Endoscopy Unit, Local Health Authority of Bologna, Italy (SL); Department of Medicine, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY (FT); IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy (GM).
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Stefano Landi
From the Interventional cardiology unit, GVM Care and Research, Maria Cecilia Hospital, Cotignola, Ravenna, Italy (MT, AC, AK); Primary Health Care Department, AUSL Romagna, Italy (IP); Dermatology unit, IRCCS di Policlinico Sant'Orsola, Via Massarenti 9, Bologna, Italy (ML); Dermatology unit, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Italy (ML); Primary Health Care Department, AUSL Bologna, Italy (AM); Gastroenterology and Interventional Endoscopy Unit, Local Health Authority of Bologna, Italy (SL); Department of Medicine, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY (FT); IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy (GM).
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Fabrizio Toscano
From the Interventional cardiology unit, GVM Care and Research, Maria Cecilia Hospital, Cotignola, Ravenna, Italy (MT, AC, AK); Primary Health Care Department, AUSL Romagna, Italy (IP); Dermatology unit, IRCCS di Policlinico Sant'Orsola, Via Massarenti 9, Bologna, Italy (ML); Dermatology unit, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Italy (ML); Primary Health Care Department, AUSL Bologna, Italy (AM); Gastroenterology and Interventional Endoscopy Unit, Local Health Authority of Bologna, Italy (SL); Department of Medicine, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY (FT); IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy (GM).
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Giovanni Marasco
From the Interventional cardiology unit, GVM Care and Research, Maria Cecilia Hospital, Cotignola, Ravenna, Italy (MT, AC, AK); Primary Health Care Department, AUSL Romagna, Italy (IP); Dermatology unit, IRCCS di Policlinico Sant'Orsola, Via Massarenti 9, Bologna, Italy (ML); Dermatology unit, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Italy (ML); Primary Health Care Department, AUSL Bologna, Italy (AM); Gastroenterology and Interventional Endoscopy Unit, Local Health Authority of Bologna, Italy (SL); Department of Medicine, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY (FT); IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy (GM).
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Article Figures & Data

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    Table 1.

    Summary of Main Data of the Survey

    Family physicians’ demographics and professional informationParticipants n = 300 n (%)
    Gender—male167 (55.9)
    Age—years±SD53.6 ± 13.5
    Work setting:
     Solo practitioners143 (47.7)
     Group practitioners126 (42)
     Multispecialty group19 (6.3)
     Other12 (4)
    Number of COVID-19 positive patients managed:
     <10211 (70.3)
     10 to 3075 (25)
     30 to 509 (3)
     >505 (1.6)
    Having at least one colleague (FP) diagnosed with COVID-19253 (85.2)
    Personally tested for COVID-1983 (27.8)
    Personally COVID-19 positive9 (6.5)
    Family physicians’ perceived personal safety
    Received appropriate information about PPE:
     No202 (67.3)
     Yes, with local meetings1 (0.3)
     Yes, with courses8 (2.7)
     Yes, with protocols89 (29.7)
    Family physicians satisfied or very satisfied about the PPE information received58 (18.7)
    Family physicians feeling safe in the workplace during COVID-19 emergency106 (35.3)
    Availability of:
     Surgical masks239 (79.7)
     N95 masks234 (78)
     Disposable gowns104 (34.7)
     Goggles or screens177 (59)
     Gloves262 (87.3)
    Family physicians’ activities, concerns and perspectives for the next 6 months
    Number of weekly outpatient visits before the COVID-19 outbreak:
     <5058 (19.4)
     50 to 7561 (20.4)
     75 to 10092 (30.8)
     >10088 (29.4)
    Number of weekly outpatient visits during the COVID-19 outbreak:
     <20238 (79.8)
     20 to 5058 (19.5)
     >502 (0.7)
    Number of weekly in-house visits before the COVID-19 outbreak:
     <563 (21.1)
     5 to 10138 (46.5)
     10 to 1562 (20.9)
     >1534 (11.5)
    Number of weekly in-house visits during the COVID-19 outbreak:
     None72 (24.2)
     <5184 (61.7)
     5 to 1036 (12.1)
     10 to 150
     >152 (2)
    >50% increase in phone calls (telemedicine)287 (94.7)
    Family physicians satisfied or very satisfied about the network created by local health authority159 (53.1)
    Family physicians not satisfied or a little satisfied about the distribution of the resources between hospitals and FPs during the COVID-19 emergency259 (86.3)
    Family physicians with a high or very high fear of getting infected224 (74.6)
    Family physicians with a high or very high fear of infecting relatives and patients280 (93.3)
    Family physicians who believe that elemedicine should be used more in the future260 (87)
    • FP, family physician; PPE, personal protective equipment; SD, standard deviation.

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The Journal of the American Board of Family  Medicine: 34 (Supplement)
The Journal of the American Board of Family Medicine
Vol. 34, Issue Supplement
February 2021
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Teachings After COVID-19 Outbreak From a Survey of Family Physicians
Marco Toselli, Ignazio Palazzi, Martina Lambertini, Andrea Maurizzi, Alberto Cereda, Arif Khokhar, Stefano Landi, Fabrizio Toscano, Giovanni Marasco
The Journal of the American Board of Family Medicine Feb 2021, 34 (Supplement) S222-S224; DOI: 10.3122/jabfm.2021.S1.200267

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Teachings After COVID-19 Outbreak From a Survey of Family Physicians
Marco Toselli, Ignazio Palazzi, Martina Lambertini, Andrea Maurizzi, Alberto Cereda, Arif Khokhar, Stefano Landi, Fabrizio Toscano, Giovanni Marasco
The Journal of the American Board of Family Medicine Feb 2021, 34 (Supplement) S222-S224; DOI: 10.3122/jabfm.2021.S1.200267
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  • Prospective Studies
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