Department of General Practice, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, 310016, Zhejiang, China.
Baili Community Healthcare Center, The People's Hospital of Longhua, Shenzhen, China.
J Gen Intern Med. 2020 Nov;35(11):3278-3284. doi: 10.1007/s11606-020-06107-3. Epub 2020 Aug 31.
The coronavirus disease 2019 (COVID-19) emerged in December 2019 and posed numerous challenges to China's health system. Almost 4 million primary care practitioners (PCPs) participated in controlling the outbreak. However, PCPs' barriers to and experience of the epidemic control remain unknown and are essential for improving countermeasures.
To better understand the barriers PCPs faced in COVID-19 epidemic control and their psychological and occupational impacts, and explore potential solutions.
This qualitative study was conducted through semi-structured, in-depth interviews from February 12, to March 10, 2020.
A purposive sample of frontline PCPs affiliated with either community health centers or township health centers in four provinces of China were recruited.
Interviews were conducted by telephone, and then recorded, transcribed, and content analyzed. Themes surrounding PCPs' barriers to COVID-19 epidemic control, their experience, and potential solutions were iteratively identified using the constant comparative method.
Of the 21 PCPs interviewed, 10 (48%) were women and 5 (24%) worked in rural areas. Barriers to epidemic control in primary care included inappropriate PCP scheduling and role ambiguity, difficult tasks and inadequate capacities, and inexperienced community workers and insufficient cooperation. Some PCPs perceived respect and a sense of accomplishment and were preoccupied with the outbreak, while others were frustrated by fatigue and psychological distress. PCPs reported potential solutions for improving countermeasures, such as improving management, optimizing workflows, providing additional support, facilitating cooperation, and strengthening the primary care system.
Due to their roles in controlling the COVID-19 epidemic, PCPs in China faced a series of barriers that affected them physically and mentally. Support for PCPs should help them to overcome these barriers and work efficiently. The current findings provide insight into the challenges and potential solutions for strengthening the preparedness and response of China's primary care system in future disease outbreaks.
2019 年 12 月出现了 2019 年冠状病毒病（COVID-19），给中国的卫生系统带来了诸多挑战。近 400 万基层医疗从业者（PCP）参与了疫情的控制。然而，PCP 控制疫情所面临的障碍和经验尚不清楚，这对于改进对策至关重要。
更好地了解 PCP 在 COVID-19 疫情控制中面临的障碍及其对心理和职业的影响，并探讨潜在的解决方案。
这是一项定性研究，于 2020 年 2 月 12 日至 3 月 10 日通过半结构式深入访谈进行。
从中国四个省的社区卫生中心或乡镇卫生中心招募了有前线经验的基层医疗从业者的目的抽样。
通过电话进行访谈，然后进行记录、转录和内容分析。使用恒定性比较方法，反复确定围绕 PCP 控制 COVID-19 疫情的障碍、经验和潜在解决方案的主题。
在接受采访的 21 名 PCP 中，有 10 名（48%）为女性，5 名（24%）在农村工作。基层医疗疫情控制的障碍包括不适当的 PCP 安排和角色模糊、任务艰巨和能力不足、社区工作人员经验不足和合作不足。一些 PCP 感到受到尊重和成就感，专注于疫情，而另一些人则因疲劳和心理困扰而感到沮丧。PCP 报告了改善对策的潜在解决方案，例如改善管理、优化工作流程、提供额外支持、促进合作和加强基层医疗系统。
由于在中国控制 COVID-19 疫情中的作用，PCP 面临着一系列影响他们身心的障碍。对 PCP 的支持有助于他们克服这些障碍并提高工作效率。目前的研究结果为加强中国基层医疗系统在未来疾病爆发中的准备和应对能力提供了一些启示。
