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新冠疫情对波兰泌尿外科医生有何影响?一项全国性调查的结果。

How has the COVID-19 pandemic impacted Polish urologists? Results from a national survey.

作者信息

Rajwa Pawel, Przydacz Mikołaj, Zapała Piotr, Wieckiewicz Gniewko, Ryszawy Jakub, Chorągwicki Dominik, Drobot Rafał B, Radziszewski Piotr, Paradysz Andrzej, Chłosta Piotr L

机构信息

Department of Urology, Medical University of Silesia, Zabrze, Poland.

Department of Urology, Jagiellonian University Medical College, Cracow, Poland.

出版信息

Cent European J Urol. 2020;73(3):252-259. doi: 10.5173/ceju.2020.0252. Epub 2020 Sep 15.

Abstract

INTRODUCTION

Poland was initially less affected by the coronavirus disease 2019 (COVID-19) pandemic, however, severe restrictions, and health care restructuration have impacted all areas of medicine, including urology. Therefore, we aimed, via an online survey, to examine the impact of the COVID-19 pandemic on Polish urologists and urology residents.

MATERIAL AND METHODS

Between May 15 and June 6, 2020, 229 (28.63% response rate) urologists and urology residents responded to a 28-question online survey. The questionnaire analyzed basic demographic and professional characteristics, and the impact of the COVID-19 pandemic on physicians' everyday work, mental status as well as private life. We further compared the differences between the selected subgroups.

RESULTS

Nearly all (96.5%) responders claimed that the pandemic had a moderate to high impact on their everyday clinical practice with the majority of the residents (62.0%) believing that the COVID-19 pandemic will harm their training. Most responders (86.9%) reported over 25% declines in outpatient clinic consultations and 55.9% claimed that their income dropped over 25%. Only 38.9% wanted telemedicine to permanently replace some of the consultations after the pandemic, with residents being significantly more positive about this modality (51.4% vs. 33.1%; p = 0.01). Interestingly, 79.9% noticed the negative psychological effect of the pandemic on their colleagues, and 57.6% felt increased anxiety, sadness, or stress.

CONCLUSIONS

This study revealed the complaints and needs of Polish urologists and urology residents after the first wave of the COVID-19 pandemic. There was a significantly negative impact on their work, mental health, and private life.

摘要

引言

波兰最初受2019冠状病毒病(COVID-19)大流行的影响较小,然而,严格的限制措施和医疗保健结构调整对包括泌尿外科在内的所有医学领域都产生了影响。因此,我们旨在通过一项在线调查,研究COVID-19大流行对波兰泌尿外科医生和泌尿外科住院医师的影响。

材料与方法

2020年5月15日至6月6日期间,229名(回复率28.63%)泌尿外科医生和泌尿外科住院医师对一项包含28个问题的在线调查做出了回应。问卷分析了基本人口统计学和专业特征,以及COVID-19大流行对医生日常工作、心理状态以及私人生活的影响。我们进一步比较了选定亚组之间的差异。

结果

几乎所有(96.5%)的受访者称,大流行对他们的日常临床实践产生了中度到高度影响,大多数住院医师(62.0%)认为COVID-大流行会损害他们的培训。大多数受访者(86.9%)报告门诊会诊量下降超过25%,55.9%的人声称他们的收入下降超过25%。只有38.9%的人希望远程医疗在大流行后永久取代部分会诊,住院医师对这种方式的接受度明显更高(51.4%对33.1%;p=0.01)。有趣的是,79.9%的人注意到了大流行对同事的负面心理影响,57.6%的人感到焦虑、悲伤或压力增加。

结论

本研究揭示了COVID-19大流行第一波过后波兰泌尿外科医生和泌尿外科住院医师的抱怨和需求。这对他们的工作、心理健康和私人生活产生了显著的负面影响。

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