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Aust J Gen Pract. 2021 Nov;50(11):845-849. doi: 10.31128/AJGP-05-21-6003.

Barriers to performing onsite COVID-19 testing during the second wave in Victoria: Experiences of general practices.

Australian journal of general practice

Monirul Haque, Ahmed Shahriar Ferdous, Jarnah Miller, Jake Andrew Linke, Cody Dixon, Eugene Athan, N Deborah Friedman

Affiliations

  1. MBBS, MMed (Fam Med), FRACGP, FACRRM (Honorary), General Practitioner, Myers Street Family Medical Practice, Geelong, Vic; General Practitioner, Sanctuary Lake Medical Practice, Point Cook, Vic; Academic, Faculty of Health Science, Deakin University, Geelong, Vic.
  2. PhD, GCHE, MMkt, BBA, Course Director, Bachelor of Business, and Associate Professor of Marketing, Deakin Business School, Deakin University, Geelong, Vic.
  3. Faculty of Health Science, Deakin University, Geelong, Vic.
  4. School of Medicine, Deakin University, Geelong, Vic.
  5. MBBS, MD, FRACP, MPH, Director of Department of Infectious Diseases, Barwon Health, Geelong, Vic; Professor, School of Medicine, Deakin University, Geelong, Vic.
  6. MBBS, FRACP, MD, MPH, Infectious Diseases Physician, Barwon Health, Geelong, Vic; Associate Professor, School of Medicine, Deakin University, Geelong, Vic.

PMID: 34713289 DOI: 10.31128/AJGP-05-21-6003

Abstract

BACKGROUND AND OBJECTIVES: The approach to performing COVID-19 testing in general practice has been going through an evolution and is variable. The aim of this study was to determine what underlying factors, if any, impeded onsite COVID-19 testing in general practices for patients during the second wave of the pandemic in Victoria.

METHOD: This study was conducted during August 2020 and October 2020. Fourteen semi-structured interviews with general practitioners, practice nurses and practice managers were conducted.

RESULTS: Barriers to performing onsite testing for COVID-19 were identified as: 1) individual, 2) practitioner perception of fear, 3) lack of personal protective equipment, 4) inappropriate clinic design/location, 5) risk of patient avoidance, 6) financial risk, 7) a lack of knowledge and 8) lack of guidelines.

DISCUSSION: This study's findings relate to a unique period in Victoria, which at the time accounted for 70% of the nation's total cases and 90% of deaths. Therefore, the barriers identified in this study may help inform policymakers in regard to planning for future responses to similar situations.

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