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Table 2 Changes in clinical practices or behaviour amongst the GPs in Shenzhen during the NCP outbreak

From: Fighting against COVID-19: preparedness and implications on clinical practice in primary care in Shenzhen, China

 

Hospital

(n = 54)

CHC/Private clinic

(n = 307)

 

Clinical practice being affected by NCP

50 (92.6%)

298 (97.1%)

 

Change in service in clinic

 No change in service demand

4 (7.4%)

9 (2.9%)

 

 Lower demand for services (seeing fewer patients)

44 (81.5%)

256 (83.4%)

 

 Higher demand for services (seeing more patients)

3 (5.6%)

4 (1.3%)

 

 Others

3 (5.6%)

38 (12.4%)

 

Change in clinical practice

 Increase office hours

13 (24.1%)

86 (28.1%)

 

 Shorten patient consultation time

19 (35.2%)

93 (30.3%)

 

 Ask patients to go to other clinics or hospitals

40 (74.1%)

190 (61.9%)

 

 Cancel or change regular, non-acute appointments

50 (92.6%)

120 (39.1%)

 

 Close the clinic

4 (7.4%)

29 (9.5%)

 

 Community visits to educate and detect suspected NCP cases

11 (20.4%)

238 (77.5%)

 

 Follow up on suspected NCP cases

142 (46.3%)

13 (24.1%)

***

 Handle phone/online enquiries

12 (22.2%)

183 (59.6%)

***

 Others

9 (16.7%)

90 (29.4%)

 

Change in medical practice

 Insist every patient to wear a mask

45 (83.3%)

251 (81.5%)

 

 Screening/measure temperature as a routine procedure

40 (74.1%)

245 (79.8%)

 

 Increase distance between the doctor and the patient

37 (68.5%)

189 (61.6%)

 

 Avoid physical examination

23 (42.6%)

130 (42.3%)

 

 Order more blood tests and chest X-ray

35 (64.8%)

68 (22.1%)

***

 Order less blood tests and chest X-ray

5 (9.3%)

26 (8.5%)

 

 More referrals to A&E Department

24 (44.4%)

108 (35.2%)

 

 Advise them not to travel to those affected areas

36 (66.7%)

227 (73.9%)

 

 Others

1 (1.9%)

9 (2.9%)

 
  1. *** p-value < .001 for comparison between hospital and CHC/private clinics using Chi-squared test