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新冠疫情带来的机遇:国际骨科医生的视角。

Opportunities arising from the COVID-19: an international orthopaedic surgeons' perspective.

机构信息

Academic Department of Trauma and Orthopaedics, School of Medicine, Leeds Teaching Hospital, University of Leeds, George Street, Leeds, LS9 7TF, UK.

Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Oxford, UK.

出版信息

Eur J Orthop Surg Traumatol. 2023 Jul;33(5):1959-1964. doi: 10.1007/s00590-022-03334-8. Epub 2022 Sep 2.

Abstract

PURPOSE

The unprecedented COVID-19 experience has posed severe challenges to the health care system and several of these are documented in orthopaedic surgery; however, although the pandemic has also brought positive changes, these have not been precisely documented. The purpose of this survey is to identify positive perceptions by orthopaedic surgeons at an international level.

METHODS

A cross-sectional, web-based survey inviting 120 orthopaedic surgeons was conducted in April 2020 querying about the positive lessons COVID-19 would teach us. From all responses, thematic codes were obtained and an exploratory thematic analysis was carried out to determine the prevalent themes.

RESULTS

A total of 100 responses (83% response rate) from a total of seven countries were received. The variety of responses received were grouped into 13 different thematic codes. The thematic analysis generated two major themes: "Virtual reorganization" and "Wellness and sustainability". Fifty-four per cent of the participants reported positive changes in service reorganization and virtual consultation, whereas 30% replied with an increased feeling of well-being which overlapped with environmental benefits, including reduced paperwork, reduced travelling and increased quality time for family and reflection.

CONCLUSIONS

Despite the negative aspects of the pandemic, responders reported several positive changes particularly relating to service reorganization and personal well-being. This study prompts further larger scale research to unravel further detail in those positive aspects and strongly enhance our future orthopaedic practice.

摘要

目的

前所未有的 COVID-19 疫情给医疗系统带来了严峻挑战,其中一些在骨科手术中已有记录;然而,尽管疫情也带来了积极的变化,但这些变化尚未得到准确记录。本次调查的目的是在国际层面上确定骨科医生的积极看法。

方法

2020 年 4 月进行了一项横断面、基于网络的调查,邀请了 120 名骨科医生,询问 COVID-19 将给我们带来哪些积极的教训。从所有回复中,获得主题代码,并进行探索性主题分析,以确定主要主题。

结果

共收到来自七个国家的 100 份回复(83%的回复率)。收到的回复种类繁多,分为 13 个不同的主题代码。主题分析生成了两个主要主题:“虚拟重组”和“健康与可持续性”。54%的参与者报告服务重组和虚拟咨询有积极变化,而 30%的参与者表示幸福感增强,这与环境效益重叠,包括减少文书工作、减少旅行和增加与家人相处和反思的时间。

结论

尽管疫情带来了负面影响,但受访者报告了一些积极的变化,特别是在服务重组和个人健康方面。本研究进一步提示需要进行更大规模的研究,以揭示这些积极方面的更多细节,并有力地增强我们未来的骨科实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fea2/10276126/dc140d600f3c/590_2022_3334_Fig1_HTML.jpg

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