Department of Public Administration, Getulio Vargas Foundation, São Paulo, Brazil.
Center for Metropolitan Studies, São Paulo, Brazil.
Int J Health Plann Manage. 2021 May;36(S1):42-57. doi: 10.1002/hpm.3117. Epub 2021 Jan 27.
Public health emergencies are a test of resilience for health systems, which depend on health workforces that are well managed and cared for. The COVID-19 pandemic exposed the weakness of many health systems in preparing their health workforces. The crisis also exacerbated the unequal conditions between different professions, an issue that is still understudied in the workforce literature. This paper analyzes the consequences of the COVID-19 pandemic for different health professionals, considering the ways in which Brazil's the health system does or does not protect them. We also analyse the role of pre-existing inequalities between different professions and social groups within the workforce in shaping their different experiences of the pandemic. We present data comparing the perceptions of different health professionals facing the pandemic in Brazil: physicians, nurses, and community health workers. Data were collected in an online survey in Brazil with 1630 health care workers between June 15th and July 1st. Findings suggest that none of the professions felt well prepared to work under emergencies. However, differences relating to professional background were exacerbated during the pandemic, creating unequal conditions for different health workers. These inequalities may pose new challenges for the post-pandemic scenario.
公共卫生突发事件对卫生系统的弹性是一种考验,而卫生系统依赖于管理和关怀良好的卫生工作者。COVID-19 大流行暴露了许多卫生系统在为其卫生工作者做准备方面的弱点。这场危机还加剧了不同职业之间不平等的状况,而这一问题在劳动力文献中仍研究不足。本文分析了 COVID-19 大流行对不同卫生专业人员的影响,同时考虑了巴西卫生系统在保护他们方面做得好或不好的方面。我们还分析了劳动力中不同职业和社会群体之间预先存在的不平等状况在塑造他们对大流行的不同体验方面的作用。我们展示了一些数据,这些数据比较了巴西不同卫生专业人员在应对大流行时的看法:医生、护士和社区卫生工作者。数据是在巴西于 6 月 15 日至 7 月 1 日期间通过在线调查收集的,共有 1630 名卫生保健工作者参与。调查结果表明,没有一个职业的人认为自己已做好充分准备在紧急情况下工作。然而,与职业背景相关的差异在大流行期间加剧了,这为不同的卫生工作者创造了不平等的条件。这些不平等可能会给大流行后的情景带来新的挑战。