Suppr超能文献

巴西卫生应急人员的脆弱性:分析 COVID-19 大流行期间的个人感受、资源获取和工作动态。

The vulnerabilities of the Brazilian health workforce during health emergencies: Analysing personal feelings, access to resources and work dynamics during the COVID-19 pandemic.

机构信息

Department of Public Administration, Getulio Vargas Foundation, São Paulo, Brazil.

Center for Metropolitan Studies, São Paulo, Brazil.

出版信息

Int J Health Plann Manage. 2021 May;36(S1):42-57. doi: 10.1002/hpm.3117. Epub 2021 Jan 27.

Abstract

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.

摘要

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。

相似文献

2
[Health professionals facing the coronavirus disease 2019 (COVID-19) pandemic: What are the mental health risks?].
Encephale. 2020 Jun;46(3S):S73-S80. doi: 10.1016/j.encep.2020.04.008. Epub 2020 Apr 22.
3
Management of the health workforce in facing COVID-19: disinformation and absences in Brazil's Public Policies.
Cien Saude Colet. 2021 May;26(5):1873-1884. doi: 10.1590/1413-81232021265.01252021.
4
Nursing work in the COVID-19 pandemic and repercussions for workers' mental health.
Rev Gaucha Enferm. 2021 Feb 3;42(spe):e20200225. doi: 10.1590/1983-1447.2021.20200225. eCollection 2021.
5
Inequality in the middle of a crisis: an analysis of health workers during the COVID-19 pandemic from the profession, race, and gender perspectives.
Cien Saude Colet. 2022 Nov;27(11):4131-4144. doi: 10.1590/1413-812320222711.01992022. Epub 2022 Mar 10.
10
How has COVID-19 affected mental health nurses and the delivery of mental health nursing care in the UK? Results of a mixed-methods study.
J Psychiatr Ment Health Nurs. 2021 Apr;28(2):126-137. doi: 10.1111/jpm.12745. Epub 2021 Mar 10.

引用本文的文献

1
Home-based newborn care program braving the brunt of COVID-19 pandemic: A mixed-method study.
J Family Med Prim Care. 2025 May;14(5):1669-1674. doi: 10.4103/jfmpc.jfmpc_1406_24. Epub 2025 May 31.
4
The rise of resilient healthcare research during COVID-19: scoping review of empirical research.
BMC Health Serv Res. 2023 Aug 7;23(1):833. doi: 10.1186/s12913-023-09839-0.
10
Towards a national strategy for the provision of spiritual care during major health disasters: A qualitative study.
Int J Health Plann Manage. 2022 Jul;37(4):1990-2006. doi: 10.1002/hpm.3443. Epub 2022 Feb 22.

本文引用的文献

1
Frontline Nursing Care: The COVID-19 Pandemic and the Brazilian Health System.
SAGE Open Nurs. 2020 Oct 6;6:2377960820963771. doi: 10.1177/2377960820963771. eCollection 2020 Jan-Dec.
2
The Brazilian Government's mistakes in responding to the COVID-19 pandemic.
Lancet. 2020 Nov 21;396(10263):1636. doi: 10.1016/S0140-6736(20)32164-4. Epub 2020 Oct 20.
3
Healthcare Workers in Brazil during the COVID-19 Pandemic: A Cross-Sectional Online Survey.
Inquiry. 2020 Jan-Dec;57:46958020963711. doi: 10.1177/0046958020963711.
4
Health labour markets and the 'human face' of the health workforce: resilience beyond the COVID-19 pandemic.
Eur J Public Health. 2020 Sep 1;30(Supplement_4):iv1-iv2. doi: 10.1093/eurpub/ckaa122.
5
A public health approach to health workforce policy development in Europe.
Eur J Public Health. 2020 Sep 1;30(Suppl_4):iv3-iv4. doi: 10.1093/eurpub/ckaa123.
6
The health of healthcare professionals coping with the Covid-19 pandemic.
Cien Saude Colet. 2020 Sep;25(9):3465-3474. doi: 10.1590/1413-81232020259.19562020. Epub 2020 Aug 28.
8
Community health workers reveal COVID-19 disaster in Brazil.
Lancet. 2020 Aug 8;396(10248):365-366. doi: 10.1016/S0140-6736(20)31521-X. Epub 2020 Jul 10.
9
Impact of COVID-19 Outbreak on Healthcare Workers in Italy: Results from a National E-Survey.
J Community Health. 2020 Aug;45(4):675-683. doi: 10.1007/s10900-020-00845-5.
10
Deep impact of COVID-19 in the healthcare of Latin America: the case of Brazil.
Braz J Infect Dis. 2020 Mar-Apr;24(2):93-95. doi: 10.1016/j.bjid.2020.04.005. Epub 2020 Apr 23.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验