Department of Otorhinolaryngology, Charles University, 3rd Faculty of Medicine and University Hospital Kralovske Vinohrady, Prague, Czech Republic.
Department of Otorhinolaryngology, Head and Neck Surgery, Charles University, 1st Faculty of Medicine and University Hospital Motol, Prague, Czech Republic.
Int J Clin Pract. 2021 May;75(5):e14054. doi: 10.1111/ijcp.14054. Epub 2021 Feb 10.
The COVID-19 disease has an incredible impact on both hospital-based and private practices in the field of otorhinolaryngology and head and neck surgery. Practical issues faced by both types of practices have not been well addressed in most studies. A national survey was conducted in April 2020 to identify the challenges faced by otorhinolaryngologists practicing in the Czech Republic.
Prospective questionnaire-based study SETTING: Online Google questionnaire sent to the members of the Czech Society of Otorhinolaryngology and Head and Neck Surgery PARTICIPANTS: All doctors practicing Otorhinolaryngology in the Czech Republic with access to the online questionnaire between 15th and 26th April 2020.
The primary aims of the study were to evaluate any significant differences between the two types of practice in the field of Otorhinolaryngology. We formulated null hypotheses stating there were no statistical differences in the preparation and availability of personal protective equipment amongst both practices a month after the first case of COVID-19 in the Czech Republic. Statistical analyses including the Mann-Whitney U test were performed to test the hypotheses.
Analysis and results were based on the completion of the entire questionnaire by the doctors. There were no statistically significant differences between both the practices; however, individual analyses of both the practices showed a different outcome.
Despite our statistical results, it was observed that private practices faced more deficits and were more financially vulnerable. They were also other issues reported by both practices that could compromise the care of patients, functioning of workplaces and support of doctors.
COVID-19 疾病对耳鼻喉头颈外科学领域的医院和私人诊所都产生了巨大影响。大多数研究都没有很好地解决这两种类型的实践所面临的实际问题。2020 年 4 月进行了一项全国性调查，以确定在捷克共和国行医的耳鼻喉科医生所面临的挑战。
前瞻性基于问卷的研究
在线谷歌问卷发送给捷克耳鼻喉科学会和头颈外科学会的成员
所有在捷克共和国从事耳鼻喉科工作并在 2020 年 4 月 15 日至 26 日期间有机会访问在线问卷的医生。
研究的主要目的是评估耳鼻喉科领域两种实践类型之间是否存在任何显著差异。我们提出了零假设，即在捷克共和国首例 COVID-19 病例后一个月，两种实践在个人防护设备的准备和可用性方面没有统计学差异。进行了包括曼-惠特尼 U 检验在内的统计分析来检验假设。
分析和结果基于医生完成整个问卷。两种实践之间没有统计学上的显著差异；然而，对两种实践的单独分析显示出不同的结果。
尽管我们的统计结果表明，私人诊所面临更多的缺陷和财务脆弱性。这两种实践还报告了其他可能影响患者护理、工作场所运作和医生支持的问题。
