Covid-19 导致医护人员生产力损失的系统评价。
Systematic review of productivity loss among healthcare workers due to Covid-19.
机构信息
Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
出版信息
Int J Health Plann Manage. 2022 Jan;37(1):94-111. doi: 10.1002/hpm.3351. Epub 2021 Oct 15.
Abstract
OBJECTIVE
To assess existing evidence on the effects of COVID-19 on healthcare workers (HCWs) using the health-related productivity loss approach.
METHODS
A systematic search of online databases including PubMed, Scopus, Ovid, Web of Science, and EMBASE was conducted up to 25 August 2020. Following two screening stages, studies related to the effects of COVID-19 on healthcare workers were included in the study.
RESULTS
82 studies were included in the analysis. The COVID-19 related death rate among HCWs ranged from 0.00-0.7%, while the positive test incidence varied between 0.00 and 24.4%. 39 evidences assessed psychological disorders. A wide range of psychological disorders observed among HCWs: 5.2 to 71.2% in anxiety, 1.00 to 88.3% in stress, 8.27 to 61.67% in insomnia, and 4.5 to 50.4% in depression.
CONCLUSIONS
The early evidence suggests that healthcare workers are one of the most vulnerable groups when it comes to positive COVID-19 infection, mortality, and mental illness.
摘要
目的
采用与健康相关的生产力损失方法评估 COVID-19 对医护人员（HCWs）的影响的现有证据。
方法
系统检索了在线数据库，包括 PubMed、Scopus、Ovid、Web of Science 和 EMBASE，检索时间截至 2020 年 8 月 25 日。经过两轮筛选，将与 COVID-19 对医护人员影响相关的研究纳入分析。
结果
共纳入 82 项研究。医护人员 COVID-19 相关死亡率为 0.00-0.7%，而阳性检测发生率在 0.00 至 24.4%之间。39 项证据评估了心理障碍。医护人员中观察到各种心理障碍：焦虑症为 5.2%至 71.2%，压力症为 1.00%至 88.3%，失眠症为 8.27%至 61.67%，抑郁症为 4.5%至 50.4%。
结论
早期证据表明，医护人员是 COVID-19 阳性感染、死亡率和精神疾病方面最脆弱的群体之一。
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