新冠肺炎的边界-下沉或游泳。

IF 1.1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Central European journal of public health Pub Date : 2023-09-01 Epub Date: 2023-09-30 DOI:10.21101/cejph.a7549
Anasuya Guha, Pavel Kraml, Martin Chovanec, Jakub Bala, Jan Plzák, Petr Schalek
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引用次数: 0

摘要

目的:本研究的目的是解决在捷克共和国新冠肺炎第二阶段新冠肺炎病房工作的医生面临的问题,当时该国的人均新冠肺炎新增病例率在世界上最高。方法:采用谷歌在线问卷进行前瞻性研究。纳入标准是在新冠肺炎单位工作的医学和外科专业医生。捷克医学协会获得了许可,并帮助我们通过电子邮件向捷克18个医学和外科学会的主席及其各自的成员分发了带有研究目的介绍性信息的问卷。在线问卷链接已激活31天。填写调查表意味着同意参与。从已完成的答复中收集数据,并进行统计分析。结果:18个受邀社团中有15个参与了这项研究。在新冠肺炎病房的所有转诊或志愿医生中,47.6%来自9个医学专业,52.4%来自6个外科。调动最多的是有21至35年工作经验的男性外科医生,而最年轻的医生群体贡献最大。新冠肺炎的影响与性别之间没有统计学意义。尽管提供了足够的医疗服务,但42%的医生在程序诊断方法方面存在问题,40%的医生新冠肺炎检测呈阳性,31%的医生报告称裁员导致患者入院人数减少和护理受损。外科医生在新冠肺炎病房工作时遇到了更多困难。此外,在新冠肺炎收缩时,114名医生声称缺乏支持,另有26%的医生不知道任何服务。结论:我们的调查重申了职业健康和安全、患者护理标准和法医后果可能性等相关因素与新冠肺炎持续大流行之间的关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The COVID-19 frontiers - sink or swim.

Objectives: The objective of this study is to address issues faced by doctors working in the COVID-19 units during the second phase of COVID-19 in the Czech Republic, when the country registered the highest per capita rate of new COVID-19 cases in the world.

Methods: A prospective study was designed using Google online questionnaire. Inclusion criteria were doctors from medical and surgical specialties working in COVID-19 units. The Czech Medical Association was approached in obtaining permission and helping us distribute the questionnaire with an introductory message with the aims of the study via email to the chairpersons of 18 medical and surgical Czech Societies and their respective members. The online questionnaire link was active for 31 days. Completion of a questionnaire implied consent to participate. Data was collected from the completed responses and statistical analysis was done.

Results: Fifteen out of eighteen invited Societies participated in the study. Out of all the transferred or volunteering doctors at the COVID units, 47.6% were from 9 medical specialties and 52.4% from 6 surgical units. The highest transfers were seen amongst male surgeons with 21 to 35 years of work experience, whilst the youngest group of doctors made the highest contribution. There was no statistical significance between the effects of COVID-19 and gender. Despite adequate medical provisions, 42% of all doctors had issues with procedural diagnostic methods, 40% tested positive for COVID-19 and 31% reported staff reduction leading to diminished patients' admissions and compromised care. Doctors from surgical departments experienced more difficulties in working in COVID-19 units. Furthermore, on contraction of COVID-19, 114 doctors asserted a lack of support and another 26% were unaware of any services.

Conclusions: Our survey reiterates the relationship between factors related to occupational health and safety, standards of patient care and possibility of medicolegal consequences with the continuing COVID-19 pandemic.

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来源期刊
Central European journal of public health
Central European journal of public health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.90
自引率
0.00%
发文量
45
期刊介绍: The Journal publishes original articles on disease prevention and health protection, environmental impacts on health, the role of nutrition in health promotion, results of population health studies and critiques of specific health issues including intervention measures such as vaccination and its effectiveness. The review articles are targeted at providing up-to-date information in the sphere of public health. The Journal is geographically targeted at the European region but will accept specialised articles from foreign sources that contribute to public health issues also applicable to the European cultural milieu.
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