由于 SARS-CoV-2 大流行，运动医学医师对临床实践的看法和心理健康的变化。
Changes in clinical practice perceptions and mental health of sports medicine physicians due to the SARS-CoV-2 pandemic.
机构信息
Division of Physical Medicine & Rehabilitation, University of Utah, Salt Lake City, UT, USA.
Department of Orthopaedics, University of Utah, Salt Lake City, UT, USA.
出版信息
Phys Sportsmed. 2022 Oct;50(5):419-428. doi: 10.1080/00913847.2021.1949252. Epub 2021 Jul 5.
OBJECTIVE
The SARS-CoV-2 pandemic has had an immense impact on healthcare, but little has been published on its impact on sports medicine physicians. This study aimed to assess the perceived impacts of the pandemic on practice changes, financial implications, and mental health of the physician members of the American Medical Society for Sports Medicine (AMSSM).
METHODS
Online surveys were sent to physician members of the AMSSM, with questions asking about demographic information and personal associations to COVID-19. The main outcome measures included self-reported clinical practice volumes, visit types (telemedicine, face-to-face), Patient Health Questionnaire (PHQ-4) scores, personal finances, clarity of practice guidelines, and personal protective equipment (PPE) availability.
RESULTS
A total of 825 respondents completed the initial survey, with a subset completing follow-ups. In-person clinical and procedural volumes were reported to be reduced to just 17.9% and 13.7% of the pre-pandemic baseline volumes at the first survey (March 2020), but increased to 81.1% and 77.3% (August 2020), respectively. PHQ-4 anxiety subscores significantly decreased over time ( < 0.001); younger physicians and female physicians were more likely to have higher scores ( < 0.05). Reported physician income significantly increased over time ( < 0.05), and financial concerns steadily decreased ( < 0.001). The perception of having an adequate PPE significantly increased over the study ( < 0.001) but not for having clear practice guidelines ( > 0.05). Physicians have become increasingly aware of others testing positive for the virus, but not themselves or someone they live with.
CONCLUSIONS
Sports medicine physicians have been heavily impacted by the SARS-CoV-2 pandemic, with some recovery since it started. Sports medicine physicians should be aware of pandemic-related practice changes and resulting mental health and financial implications.
目的
SARS-CoV-2 大流行对医疗保健产生了巨大影响，但关于其对运动医学医师的影响却鲜有报道。本研究旨在评估大流行对运动医学医师实践变化、财务影响和心理健康的感知影响。
方法
向美国运动医学学会（AMSSM）的医师成员发送在线调查，问题涉及人口统计学信息和个人与 COVID-19 的关联。主要观察指标包括自我报告的临床实践量、就诊类型（远程医疗、面对面）、患者健康问卷（PHQ-4）评分、个人财务状况、实践指南清晰度和个人防护设备（PPE）可用性。
结果
共有 825 名受访者完成了初始调查，其中一部分人完成了后续调查。首次调查（2020 年 3 月）时，现场临床和程序量报告减少到只有大流行前基线量的 17.9%和 13.7%，但分别增加到 81.1%和 77.3%（2020 年 8 月）。PHQ-4 焦虑子量表得分随时间显著降低（<0.001）；年轻医生和女医生更有可能得分较高（<0.05）。报告的医生收入随时间显著增加（<0.05），财务担忧稳步减少（<0.001）。对有足够 PPE 的感知在研究期间显著增加（<0.001），但对有明确实践指南的感知没有增加（>0.05）。医生越来越意识到其他人检测出病毒呈阳性，但不是自己或与自己同住的人。
结论
运动医学医师受到 SARS-CoV-2 大流行的严重影响，自大流行开始以来有所恢复。运动医学医师应了解大流行相关的实践变化以及由此产生的心理健康和财务影响。
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