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