gms | German Medical Science

Background and status of (inter)national research: In spring 2020, the novel corona virus SARS-CoV-2 triggered a pandemic. In Germany, primary care physicians are responsible for the treatment of mild to moderate COVID-19 disease and provide care for the majority of COVID-19 patients in their ambulatory care settings. To decrease infection risks in their practices, primary care physicians had to implement a variety of measures and recommendations. Current literature describes a lack of personal protective equipment, inadequate dissemination of information, and the dynamic nature of the pandemic as challenging for their implementation.

Research question and objective: The aim of this student research project was to investigate the impact of COVID-19 pandemic containment measures on processes in primary care practices in Baden-Wuerttemberg, Germany.

Method or hypothesis: Using a qualitative research design, guided interviews with primary care physicians were conducted between September and November 2020. Data were subjected to content analysis using MAXQDA software.

Results: A wide variety of hygiene measures was to be implemented, requiring financial, structural, and social resources. Implementation depended on local circumstances, available resources, and organizational aspects. Measures drastically impacted care processes on different levels, including the doctor-patient relationship. Higher workloads due to increased coordination efforts were reported. A lack of support was experienced and obtaining information on recommendations and interventions was considered challenging.

Discussion: The findings of this research project provided insights into the situation of primary care providers during the COVID-19 pandemic in Baden-Wuerttemberg, Germany and highlights challenges associated with the implementation of necessary hygiene measures. Findings will be discussed regarding their significance for future planning of pandemic management.

Practical implications: According to the National Pandemic Plan, evaluating pandemic events and gaining knowledge regarding assessment of the current situation, optimization of pandemic management, and future planning are significant goals of pandemic planning. Findings of this study can contribute to optimizing future pandemic management and planning for pandemic-like scenarios.

Appeal for practice (science and/or care) in one sentence: Identified challenges can inform preparations and planning for similar future pandemic situations.