Diagnosis and treatment of occupational burnout in the Swiss outpatient sector: A national survey of healthcare professionals' attributes and attitudes.

We aimed to describe the attributes and attitudes of Swiss health professionals who treat persons with occupational burnout (POB) in the outpatient sector and explore associated determinants. The study design was descriptive cross-sectional survey, distributed to the 16,883 general practitioners (GP), psychiatrist-psychotherapists (PP), occupational physicians (OP) and psychologists registered in the Swiss Medical Association, the Swiss Federation of Psychologists, and other specialized associations. Using an online questionnaire, we identified professionals who consult and treat POB, their attributes, volume of POB consultations, diagnostics and treatment modalities and outcomes (OB severity, average proportion of POB who returned to work and who relapsed).

Case managers within general practices in 11 Western countries: repeat cross-sectional studies.

Background: In the context of an ageing population and increasing health needs, primary care reform is needed and several new models have emerged, including the introduction of case managers in general practitioner practices.

Aim: To describe the frequency of case managers in general practices in eleven Western countries between 2012 and 2019 and to investigate the characteristics of general practitioners and their practices associated with case manager frequency.

Methods: A secondary analysis of the Commonwealth Fund International Health Policy Surveys of Primary Care Physicians, which were international cross-sectional studies conducted in 2012, 2015 and 2019.

[Organization and practice in family medicine. What's new in the 2024 literature?].

This is a selection of some important studies recently published and dealing with several key organization and functioning features of family medicine. This year, the articles focus on organizational responses to emergencies in family medicine. In this field, the use of primary care professionals other than physicians is an interesting solution.

Factors for the integration of prevention in primary care: an overview of reviews.

Background: The global burden of non-communicable diseases is increasing and the need for prevention is huge. Policies have yet to produce results and prevention indicators remain low. Primary care (PC) represents an opportunity to optimise the practice of prevention, but GPs are coming up against barriers that are holding back their prevention practices.

A Cross-Sectional Study of the Prevalence and Determinants of Common Mental Health Problems in Primary Care in Switzerland.

This study investigated the prevalence of the most common mental health symptoms in a large primary care patient population and characterized their determinants. Data came from a 2015-16 cross-sectional study of a primary care population in Switzerland. An investigator presented the study to patients in waiting rooms, and 1,103 completed a tablet-based questionnaire measuring stress in daily life, sleep disorders and anxiety and depressive symptoms.

General Practitioner's Experience of Public-Private Partnerships to Develop Team-Based Care: A Qualitative Study.

A tripartite public-private partnership was established between GPs' practices, public health authorities and a university department of family medicine, to develop multidisciplinary teams and integrate nurses into GPs' practices. The present paper describes the points of view of the GPs involved in this collaboration. We conducted a qualitative study, with data coming from eight interviews with GPs, one from each practice.

[Which professionals work in general practices ?. Overview in different countries].

The development of multi-professional teamwork in primary care is one solution adopted to meet the needs of care coordination and comprehensive patient management. This article describes the composition of primary care practices in terms of professionals other than general practitioners. It highlights the fact that Western countries are at quite different stages of development in this field.

[New models of care in family medicine].

The future of primary care structures will be interprofessional or it will not be! Beyond this somewhat provocative statement, this is, in fact, a transformation that is already on the way in Western countries. This article describes developments in different countries, such as the United States, where Patient-Centered Medical Homes, based on multi-professional teams, have been developing since the 2000s, and Canada, where the evolution of financial models is accompanying that of organizational models. In Europe, two examples of integration of the health and social domains highlight the relevance of such an approach in primary care.

General Practitioner Time Availability Per Inhabitant Per Year: A New Indicator to Measure Access to Primary Care.

Introduction: The number of general practitioners (GPs) per inhabitant, used commonly as an indicator of primary care (PC) access, reports only imprecisely on the true availability of GPs. The aim of this study is to develop a new PC access indicator that better reflects the availability of GPs to take care of patients at the population level, the average GP time availability per inhabitant per year.

Methods: We extracted the data from the Commonwealth Fund International Health Policy Survey of Primary Care Physicians conducted in 2015, including 11 Western countries and 12,049 randomly drawn GPs.

Diagnostic Performance of Individual Symptoms to Predict SARS-CoV-2 RT-PCR Positivity and Symptom Persistence among Suspects Presenting in Primary Care during the First Wave of COVID-19.

This study aimed to estimate the diagnostic performance of patient symptoms and to describe the clinical course of RT-PCR-positive compared with RT-PCR-negative patients in primary care. Symptomatic COVID-19 suspects were assessed clinically at the initial consultation in primary care between March and May 2020, followed by phone consultations over a span of at least 28 days. Sensitivity and specificity were estimated for each symptom using the initial RT-PCR result as a reference standard.

Consultation frequency and general practitioners' and practices' characteristics.

Background: High workloads generated by a few patients who consult very frequently can become huge burdens for general practitioners (GPs). Patient-related factors have been repeatedly associated with frequent consultations, but there is evidence that GPs can also influence that frequency. We investigated how patients, GPs and their practices' organisational characteristics were associated with consultation frequency.

How to Better Integrate Social Determinants of Health into Primary Healthcare: Various Stakeholders' Perspectives.

This paper aims to identify challenges and opportunities related to the integration of social determinants of health (SDH) into primary healthcare at an international symposium in Orford, Quebec, Canada. A descriptive qualitative approach was conducted. Three focus groups on different topics were led by international facilitators.

Identifying complex patients in family medicine for potential benefit from a case manager: a short questionnaire derived from the INTERMED Self-Assessment (IMSA) questionnaire.

Purpose: To investigate how useful the Intermed-Self Assessment (IMSA) questionnaire and its components were for identifying which patient candidates would benefit most from case management (CM) in general practice.

Methods: The study was carried out in a group family medicine practice in Lausanne comprising seven GPs and four medical assistants, from February to April 2019. All the patients attending the practice between February and April 2019 were invited to complete the IMSA questionnaire.

[Occupational cancers: essentials for the general practioners].

Given the frequency of cancers, prevention is based on knowledge of the causes. Experts estimate the proportion of cancers attributable to work at around 5 %. If it is shown that exposure at work is involved, the patient can claim compensation for an occupational disease.

[Not Available].

Introduction: Facing COVID-19, most of health care system first responded with the confinement of the population and an increase of intensive care resources. Primary care was then mobilized variably and more or less coordinated.

Purpose Of Research: Comparing the involvement of primary care in four francophone regions with similar primary care to draw lessons for reforms directions in light of the COVID experience.

Risk of COVID-19 and Psychological Impact of the Pandemic in Swiss Primary Care Physicians.

Background And Objectives: There is limited data on primary care physicians (PCPs) who suffered from COVID-19. We aimed to assess the proportion of PCPs with COVID-19, the proportion hospitalized with COVID-19, and the number of days off work. We also explored their psychological suffering due to the pandemic.

[Organization and practice in family medicine: What's new in the 2021 literature?].

This is a selection of some important studies recently published and dealing with several key organization and functioning features of family medicine. This year, three of the four articles focus on teamwork in primary care. They show the value of such a practice, both for the well-being of professionals and for the efficiency of the healthcare system.

[Physician selfcare or the cobblers of Montaigne].

A recent survey conducted in the French-speaking part of Switzerland ("Romandie") showed that only about half of the primary care physicians (PCP) in Romandie had a personal doctor. Moreover, 37 % of the PCP declared they had foregone consulting a doctor for a health problem or a check-up during the past year. Finally, 29 % of them had chosen to continue working despite being ill.

The prevalence of five lifestyle risk factors in primary care physicians: A cross-sectional study in Switzerland.

Having a healthy lifestyle is important not only for the health of physicians, but also for the realisation and effectiveness of counselling on patients. Information on lifestyle habits and the presence of health-related behaviours in primary care physicians (PCPs) is lacking. Using a cross-sectional study design, an anonymous questionnaire was sent to a random sample of 1'000 PCPs practicing in the seven Western cantons of Switzerland.

Primary Care Physicians' Personal and Professional Attributes Associated With Forgoing Own Care and Presenteeism: A Cross Sectional Study.

The aim of this study was to describe the prevalence of forgoing care and forgoing sick leave among primary care physicians (PCPs) in Switzerland and to investigate associated factors. A random sample of 1,000 PCPs in French-speaking regions of Switzerland (participation rate: 50%) was asked whether they had forgone care and sick leave during the last year. Sociodemographic, personal and occupational characteristics were recorded.