1. Patient consultations |
1.1 high flow of flu patients and worried-well |
• surges of people who were concerned they may get sick |
1.2 provision of information |
• patients seeking personal reassurance |
1.3 antiviral treatment |
• limited experience in prescribing antiviral drugs (Oseltamivir (Tamiflu) and Zanamivir (Relenza)) |
• prescribing according to strict guidelines |
2. Public health responsibilities |
2.1 patient segregation |
• difficulty of isolating flu patients in primary care clinics |
2.2 personal protection |
• convenience of using PPE in primary care |
• supply of PPE |
3. Communication with the health authorities |
3.1 communication of policies and guidelines to PCPs |
• redundant and conflicting communication from multiple sources |
• guidelines - frequently updated, lengthy, not oriented to primary care, conflicting with on-the ground experience |
3.2 bottom-up communication from PCPs |
• time consuming reporting to the authorities |
• no route to provide feedback about the on-the-ground experience to the authorities |