title: Experiences of General Practitioners and Practice Assistants during the Influenza A(H1N1) Pandemic in the Netherlands: A Cross-Sectional Survey.
abstract: OBJECTIVE
  Since few pandemics have occurred since the Spanish influenza pandemic, we should learn from every (mild) pandemic that occurs. The objective of this study was to report on general practitioners' and practice assistants' acceptance of the chosen national policy, and experiences in the Netherlands during the influenza A(H1N1)pdm09 pandemic.
  
  
  METHODS
  Data on experience and acceptance of the chosen national policy were obtained by structured questionnaires for general practitioners (n = 372) and practice assistants (n = 503) in April 2010.
  
  
  RESULTS
  The primary policy chosen for general practice was not always accepted and complied with by general practitioners, although the communication (of changes) and collaboration with involved organisations were rated as positive. In particular, the advised personal protective measures were difficult to implement in daily work and thus not executed by 44% of general practitioners. Half of the general practitioners were not satisfied with the patient information provided by the government. The influenza A(H1N1) pandemic highly impacted on general practitioners' and practice assistants' workloads, which was not always deemed to be adequately compensated.
  
  
  CONCLUSIONS
  Involvement of general practitioners in future infectious disease outbreaks is essential. This study addresses issues in the pandemic policy which might be critical in a more severe pandemic.
authors: NIVEL, Netherlands Institute for Health Services Research, Utrecht, The Netherlands.
authors: Christel E
authors: CE
authors: van Dijk
authors: NIVEL, Netherlands Institute for Health Services Research, Utrecht, The Netherlands.
authors: Mariette
authors: M
authors: Hooiveld
authors: NIVEL, Netherlands Institute for Health Services Research, Utrecht, The Netherlands.
authors: Anne
authors: A
authors: Jentink
authors: Preparedness and Response Unit, Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands.
authors: Leslie D
authors: LD
authors: Isken
authors: Preparedness and Response Unit, Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands.
authors: Aura
authors: A
authors: Timen
authors: NIVEL, Netherlands Institute for Health Services Research, Utrecht, The Netherlands.
authors: C Joris
authors: CJ
authors: Yzermans
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D005260:Female; D058005:General Practitioners / Q000523:psychology* / Q000706:statistics & numerical data; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype / Q000302:isolation & purification; D007252:Influenza Vaccines / Q000627:therapeutic use; D007251:Influenza, Human / Q000453:epidemiology / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D009426:Netherlands / Q000453:epidemiology; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data
chemical_list: D007252:Influenza Vaccines