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**新冠疫情的积极影响?** 一项关于新冠疫情对医生工作经历和就业能力影响的纵向研究。

Positive impact of the COVID-19 pandemic? A longitudinal study on the impact of the COVID-19 pandemic on physicians' work experiences and employability.

机构信息

Department of Quality and Patient Safety, UMC Utrecht, Utrecht, The Netherlands

Department of Strategic Human Resource Management, Utrecht University School of Governance, Utrecht, The Netherlands.

出版信息

BMJ Open. 2021 Dec 3;11(12):e050962. doi: 10.1136/bmjopen-2021-050962.

Abstract

OBJECTIVE

The COVID-19 pandemic places an enormous demand on physicians around the world. The aim of this study was to examine the impact of the COVID-19 pandemic on physicians' work experiences and their ability and willingness to continue working in their profession until retirement (ie, their employability).

DESIGN

A longitudinal comparative design was used. Survey data were collected on three moments: before (May 2019), in the early phase (May 2020) and in a later phase (November 2020) of the COVID-19 pandemic. Time effects were tested using repeated-measures analyses of variance and one-way analyses of variance.

SETTING

This study took place among physicians of two hospitals in a large city in the Netherlands.

PARTICIPANTS

165 hospital physicians with surgical, medical and other specialties participated in this study.

RESULTS

Physicians' employability significantly increased from the time prior to the COVID-19 pandemic, compared with the period during this pandemic. Employability differs among physicians with surgical, medical and other specialties. Furthermore, physicians experienced a lower emotional, physical and quantitative workload during the first peak of the COVID-19 pandemic, compared with before the pandemic. Moreover, physicians experienced the most stress from the impact of COVID-19 on their work in general and from combining work and private life.

CONCLUSIONS

This study shows that physicians' employability and work experiences are affected by the COVID-19 pandemic. Work experiences vary for physicians with different specialties. These varieties stress the importance of attention for physicians' individual needs and challenges regarding working during the COVID-19 pandemic and the possibility of continuing work in the aftermath of this crisis. Based on this, physicians can be offered tailor-made solutions. This is important to maintain a healthy and employable workforce, which is essential for a sustainable healthcare system.

摘要

目的

新冠疫情给全球的医生带来了巨大的压力。本研究旨在考察新冠疫情对医生工作体验的影响,以及他们继续从事专业工作直至退休(即就业能力)的意愿和能力。

设计

采用纵向比较设计。在新冠疫情前(2019 年 5 月)、早期(2020 年 5 月)和后期(2020 年 11 月)三个时间点收集了调查数据。使用重复测量方差分析和单向方差分析检验时间效应。

地点

本研究在荷兰一个大城市的两家医院的医生中进行。

参与者

共有 165 名具有外科、内科和其他专业的医院医生参与了这项研究。

结果

与新冠疫情前相比,医生的就业能力在新冠疫情期间显著提高。具有外科、内科和其他专业的医生的就业能力存在差异。此外,与疫情前相比,医生在新冠疫情的第一个高峰期经历了较低的情绪、身体和定量工作量。而且,医生普遍感受到了新冠疫情对工作的影响以及工作和私人生活结合带来的最大压力。

结论

本研究表明,新冠疫情影响了医生的就业能力和工作体验。具有不同专业的医生的工作体验存在差异。这些差异强调了关注医生在新冠疫情期间的个人需求和挑战以及继续工作的可能性的重要性。在此基础上,可以为医生提供定制的解决方案。这对于维持一个健康和有就业能力的劳动力至关重要,这对可持续的医疗体系至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d91d/8646962/d6144115aa16/bmjopen-2021-050962f01.jpg

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