Budakoğlu Burçin, Sugüneş Tonguç, Aslan Ferit, Öner Şule, Nadir Aydın
Department of Internal Medicine, Division of Medical Oncology, Medical Park Ankara Hospital, Ankara, TUR.
Department of General Surgery, Medical Park Ankara Hospital, Ankara, TUR.
Cureus. 2022 Mar 16;14(3):e23236. doi: 10.7759/cureus.23236. eCollection 2022 Mar.
To examine the impact of the workforce crisis on healthcare service delivery for a year during the coronavirus disease 2019 (COVID-19) pandemic on healthcare service delivery and hospital economy in a healthcare facility.
An examination was conducted of employees who were issued with a report for incapacity to work due to the pandemic between March 2020 and March 2021. A record was made of the employees' ages, genders, fields of work and lost workdays. The employees were classified as physicians, nursing services, guest services, hotel services, and support services. Diagnoses were made of the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), based on computed tomography (CT) and polymerase chain reaction (PCR) test results. Employees diagnosed with SARS-CoV-2 infection were put into isolation in the hospital during the first months of the pandemic, and treatment was initiated in accordance with the protocols. By contrast, during the last eight months, our personnel who were not indicated for hospitalization completed their treatment in a home isolation setting. According to the Turkish Ministry of Health COVID-19 (SARS-CoV-2 Infection) Scientific Advisory Board Study Guide, the isolation period was initially 14 days, before being reduced to 7-10 days, in line with the revised guide. Employees with at least one negative PCR test result following isolation were allowed to return to work.
The study included 575 individuals who were employed at our hospital between March 2020, when the first case was identified in Turkey, and March 2021. Among these employees, 257 were issued with a report for incapacity to work due to COVID-19. Of these, 239 had a positive PCR test result. There were 11 individuals who just had symptoms and/or positive CT findings but a negative PCR test result. There were only seven individuals who were put into isolation due to high-risk contact. The combined lost workdays of the employees totaled 3792. The highest lost workday rate (52%) was in nursing services (1973 days, n = 126). There was no mortality. Conclusion: Lost workdays due to the pandemic in the midsize healthcare facility severely affected the morale and motivation of both the diagnosed and the remaining employees. Hospital administrations also had difficulties in maintaining the quality and continuity of the services provided.
研究2019年冠状病毒病（COVID-19）大流行期间，劳动力危机对一家医疗机构的医疗服务提供及医院经济的影响。
对2020年3月至2021年3月期间因疫情而被出具工作能力丧失报告的员工进行调查。记录员工的年龄、性别、工作领域和缺勤天数。员工分为医生、护理服务人员、客户服务人员、酒店服务人员和支持服务人员。根据计算机断层扫描（CT）和聚合酶链反应（PCR）检测结果，对新型严重急性呼吸综合征冠状病毒2（SARS-CoV-2）进行诊断。在疫情的头几个月，被诊断为SARS-CoV-2感染的员工在医院隔离，并按照方案开始治疗。相比之下，在最后八个月，未被指示住院的员工在居家隔离环境中完成治疗。根据土耳其卫生部COVID-19（SARS-CoV-2感染）科学咨询委员会研究指南，隔离期最初为14天，之后根据修订后的指南减至7 - 10天。隔离后至少有一次PCR检测结果为阴性的员工被允许重返工作岗位。
该研究纳入了575名在土耳其确诊首例病例的2020年3月至2021年3月期间受雇于我院的员工。在这些员工中，257人因COVID-19被出具工作能力丧失报告。其中，239人PCR检测结果呈阳性。有11人仅有症状和/或CT检查结果呈阳性，但PCR检测结果为阴性。仅有7人因高风险接触而被隔离。员工缺勤天数总计3792天。缺勤率最高的是护理服务人员（52%，1973天，n = 126）。无死亡病例。
中型医疗机构因疫情导致的缺勤严重影响了确诊员工和其余员工的士气与积极性。医院管理部门在维持所提供服务的质量和连续性方面也面临困难。
