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新冠疫情对印度骨科医疗实践有何影响?一项在线调查的结果

How Much has COVID-19 Pandemic Affected Indian Orthopaedic Practice? Results of an Online Survey.

作者信息

Keshav Kumar, Kumar Amit, Sharma Pulak, Baghel Anurag, Mishra Prabhaker, Huda Najmul

机构信息

Department of Orthopaedics, Apex Trauma Centre, Sanjay Gandhi Post Graduate Institite of Medical Sciences, Vrindavan Yojna, Rae Bareli Road, Lucknow, PIN-226029 Uttar Pradesh India.

Department of Biostatistics and Health Informatics, Sanjay Gandhi Post Graduate Institite of Medical Sciences, Vrindavan Yojna, Rae Bareli Road, Lucknow, PIN-226029 Uttar Pradesh India.

出版信息

Indian J Orthop. 2020 Aug 4;54(Suppl 2):358-367. doi: 10.1007/s43465-020-00218-z. eCollection 2020 Dec.

Abstract

BACKGROUD

Coronavirus Disease 2019 (COVID-19) has spread globally affecting all strata of people including the orthopaedic surgeons of India. We have witnessed a drastic fall in the number of patients. The aim of study was to assess the extent to which the Indian orthopaedic practice has been affected by the pandemic.

METHODS

We conducted an online survey amongst currently practicing Indian orthopaedic surgeons. Those currently not in practice or under training or having left clinical practice before the onset of pandemic were excluded. A total of 533 orthopaedic surgeons took part in the study amongst which, complete responses were obtained from 407 individuals. Statistical analysis was done to see the association between demographic profile of study participants and various variables of orthopaedic practice.

RESULTS

There was drastic fall in all the parameters of orthopaedic practice. Over half of the practicing surgeons witnessed fall in out-patients over 90%. Most had stopped elective surgeries (64%) and even emergency ones (21%) altogether. More than 50% of doctors had their earnings reduced by > 75%. We found a statistically highly significant association of reduction in earnings with the sector, type of set-up and duration of practice. (-value < 0.001).

CONCLUSION

This study suggests that orthopaedic surgeons across all sectors in different kinds of set-ups have been affected in their out-patient and operative numbers. With regards to earnings, those working in private and running their own (individual) hospitals & clinics have been most severely affected while those in government sector and medical colleges have been affected the least.

摘要

背景

2019冠状病毒病(COVID-19)已在全球蔓延,影响到包括印度骨科医生在内的各阶层人群。我们目睹了患者数量的急剧下降。本研究的目的是评估印度骨科业务受疫情影响的程度。

方法

我们对目前执业的印度骨科医生进行了一项在线调查。那些目前未执业、正在接受培训或在疫情爆发前已离开临床实践的人员被排除在外。共有533名骨科医生参与了该研究,其中407人给出了完整回复。进行了统计分析,以观察研究参与者的人口统计学特征与骨科业务的各种变量之间的关联。

结果

骨科业务的所有参数都急剧下降。超过一半的执业外科医生见证门诊患者下降超过90%。大多数人完全停止了择期手术(64%),甚至急诊手术(21%)。超过50%的医生收入减少超过75%。我们发现收入减少与部门、机构类型和执业年限之间存在统计学上高度显著的关联(P值<0.001)。

结论

本研究表明,不同机构各部门的骨科医生在门诊量和手术量方面均受到影响。在收入方面,那些在私立机构经营自己的医院和诊所的医生受影响最为严重,而政府部门和医学院的医生受影响最小。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce8c/7641286/12a7c6199c25/43465_2020_218_Fig1_HTML.jpg

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