Quaglio Gianluca, Done Georgeta, Cavallin Francesco, Ojeda Maria Gil, Claes Petra
Medical Preparedness and Crisis Management Unit (MPCMU), Directorate-General for Personnel (DG PERS), European Parliament, Brussels, Belgium.
Medical Service, Directorate-General for Personnel (DG PERS), European Parliament, Luxembourg.
Int J Disaster Risk Reduct. 2023 Aug;94:103810. doi: 10.1016/j.ijdrr.2023.103810. Epub 2023 Jun 17.
We performed a quantitative and a qualitative study, addressing the experiences of health services of 16 European Union institutions during the Covid-19 pandemic. Among the 165 eligible subjects, 114 (69%) participated in the survey. The biggest problem reported was limitation of social contacts (53%). At work, the biggest problems were workload (50%) and shortage of staff (37%). The majority were positive about teamwork. Teleworking was seen positively by 81%. Most participants felt better prepared for future situations by their recent experience (94%). Participants underlined the importance of strengthening the collaboration with the local health systems (80%), as well as with medical services and internal services within their own institution (75%). The qualitative analysis also reported participants' fear of becoming infected, and of their family members getting sick. Similarly reported were the sense of isolation and anxiety, the excessive workload and work complexity, shortage of staff, and the benefits of teleworking. Study findings highlight: i) the need to strengthen mental health support to health personnel, not only during crisis situations; ii) the need for sufficient health workers, with swift recruitment strategies in times of crisis; iii) the importance of clear protocols to ensure no shortages of personal protective equipment (PPE); iv) the importance of teleworking, which represents an opportunity for major reorganisation of work within EU medical services; v) the need to strengthen collaboration with local health systems and the medical services of EU institutions.
我们开展了一项定量研究和一项定性研究，探讨了16个欧盟机构在新冠疫情期间的医疗服务情况。在165名符合条件的受试者中，114人（69%）参与了调查。报告的最大问题是社交接触受限（53%）。在工作方面，最大的问题是工作量（50%）和人员短缺（37%）。大多数人对团队合作持积极态度。81%的人对远程工作持积极看法。大多数参与者认为，近期的经历让他们对未来的情况有了更好的准备（94%）。参与者强调了加强与当地卫生系统合作的重要性（80%），以及与自身机构内医疗服务和内部服务合作的重要性（75%）。定性分析还报告了参与者对感染以及家人患病的恐惧。同样报告的还有孤独感和焦虑感、工作量过大和工作复杂、人员短缺以及远程工作的好处。研究结果突出表明：i）不仅在危机情况下，而且在平时都需要加强对卫生人员的心理健康支持；ii）需要有足够的卫生工作者，并在危机时期采取迅速的招聘策略；iii）明确的协议对于确保个人防护装备（PPE）不短缺的重要性；iv）远程工作的重要性，它为欧盟医疗服务内部的工作重大重组提供了契机；v）需要加强与当地卫生系统以及欧盟机构医疗服务的合作。
