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COVID-19 大流行背景下的卫生人力管理:对塞尔维亚医生的调查。

Health workforce management in the context of the COVID-19 pandemic: A survey of physicians in Serbia.

机构信息

Serbian Medical Chamber, Belgrade, Serbia.

Faculty of Medicine, University of Belgrade, Belgrade, Serbia.

出版信息

Int J Health Plann Manage. 2021 May;36(S1):92-111. doi: 10.1002/hpm.3141. Epub 2021 Apr 4.

Abstract

BACKGROUND & AIM: The study describes the experiences and opinions of Serbian physicians regarding workforce management during the COVID-19 pandemic.

MATERIALS & METHODS: A total of 1553 licensed physicians (65% males; average age 44.0 years) responded to an online survey in September 2020. Differences in the respondents' general data and attitudes regarding workforce management and outbreak preparedness in Serbia were analysed in relation to their engagement during the COVID-19 pandemic (Pearson χ2 and the independent samples t-test, p < 0.05). The logistic regression model explained the need for changing health workforce management.

RESULTS

The results reveal that the physicians engaged in the fight against the spread of COVID-19 (64.4% of the respondents) more often than their counterparts, were clinicians from the public sector, younger, with less work experience, influenced negatively by the pandemic, and reassigned to other positions (p < 0.001). Health workers dissatisfied with workplace preparedness and those reassigned due to COVID-19 were by 2.61 times and 1.38 times, respectively, more likely than their counterparts to consider changes in health workforce management.

DISCUSSION & CONCLUSION: COVID-19 underlines the need for changes in health workforce management during public health emergencies. An internal incident management team and a panel of external experts may support health workforce management during the prolonged and rapidly changing crises.

摘要

背景与目的

本研究描述了塞尔维亚医生在 COVID-19 大流行期间对劳动力管理的经验和看法。

材料与方法

2020 年 9 月,共有 1553 名持照医生(65%为男性;平均年龄为 44.0 岁)对在线调查做出了回应。分析了受访者的一般数据以及他们对塞尔维亚劳动力管理和疫情准备的态度差异与其在 COVID-19 大流行期间的参与程度之间的关系(Pearson χ2 和独立样本 t 检验,p < 0.05)。逻辑回归模型解释了改变卫生劳动力管理的必要性。

结果

结果表明,与同行相比,参与抗击 COVID-19 传播的医生(64.4%的受访者)更常见,他们是来自公共部门的临床医生,年龄较小,工作经验较少,受到疫情的负面影响,被重新分配到其他岗位(p < 0.001)。对工作场所准备工作不满意的卫生工作者和因 COVID-19 而被重新分配的卫生工作者,分别有 2.61 倍和 1.38 倍的可能性比同行更倾向于考虑改变卫生劳动力管理。

讨论与结论

COVID-19 凸显了在突发公共卫生事件期间对卫生劳动力管理进行改革的必要性。内部事件管理团队和外部专家小组可能会在长期和快速变化的危机期间支持卫生劳动力管理。

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