Department of Pneumology and Critical Care Medicine, Thoraxklinik University of Heidelberg, Translational Lung Research Center Heidelberg (TLRCH), German Center for Lung Research (DZL), Heidelberg, Germany,
Helios Klinikum Siegburg, Department for Internal Medicine - Pneumology, Sleep and Respiratory Medicine, Siegburg, Germany,
Respiration. 2023;102(11):924-933. doi: 10.1159/000534327. Epub 2023 Oct 18.
Staff shortages pose a major challenge to the health system.
The objective of this study was to clarify the role of different causative factors we investigated on staff absenteeism during the COVID pandemic.
The prospective multicentre cohort study assessed the private and professional impact of the pandemic on health care workers (HCWs) using a specially developed questionnaire. HCWs from 7 specialist lung clinics throughout Germany were surveyed from December 1 to December 23, 2021. The current analysis addresses pandemic-related absenteeism.
1,134 HCW (55% female; 18.4% male, 26.3% not willing to provide information on age or gender) participated. 72.8% had received at least one vaccination dose at the time of the survey, and 9.4% reported a COVID infection. Of those with positive tests, 98% reported home quarantine for median (IQR) 14 (12-17) days; 10.3% of those who ultimately tested negative also reported quarantine periods of 14 (7-14) days. 32.2% of vaccinated respondents reported absenteeism due to vaccine reactions of 2 (1-3) days. Overall, 37% (n = 420) of HCW reported pandemic-related absenteeism, with 3,524 total days of absenteeism, of which 2,828 were due to illness/quarantine and 696 to vaccination effects. Independent risk factors for COVID-related absenteeism ≥5 days included already having COVID, but also concern about long-term effects of COVID (OR 1,782, p = 0.014); risk factors for vaccine-related absenteeism ≥2 days included concerns of late effects of vaccination (OR 2.2, 95% CI: 1.4-3.1, p < 0.000).
Staff shortages due to quarantine or infections and vaccine reactogenicity have put a strain on German respiratory specialists. The fact that staff concerns also contributed to absenteeism may be helpful in managing future pandemic events to minimize staff absenteeism.
人员短缺对医疗体系构成重大挑战。
本研究旨在阐明我们调查的不同致病因素在新冠大流行期间对员工缺勤的作用。
这项前瞻性多中心队列研究使用专门开发的问卷评估了大流行对医护人员（HCWs）的私人和职业影响。2021 年 12 月 1 日至 12 月 23 日，德国 7 家专科肺病诊所的 HCWs 接受了调查。目前的分析主要关注与大流行相关的缺勤情况。
共 1134 名 HCW（55%为女性；18.4%为男性，26.3%不愿提供年龄或性别信息）参与了调查。72.8%的人在调查时至少接种了一剂疫苗，9.4%报告了 COVID 感染。在检测呈阳性的人群中，98%报告居家隔离 14 天（中位数（IQR）为 14（12-17）天）；最终检测呈阴性的 10.3%也报告了 14 天（7-14 天）的隔离期。32.2%接种疫苗的受访者报告因疫苗反应缺勤 2 天（1-3）。总体而言，37%（n=420）的 HCW 报告了与大流行相关的缺勤，共缺勤 3724 天，其中 2828 天因疾病/隔离，696 天因疫苗接种效果。COVID 相关缺勤≥5 天的独立危险因素包括已感染 COVID，但也包括对 COVID 长期影响的担忧（OR 1.782，p=0.014）；疫苗相关缺勤≥2 天的危险因素包括对疫苗迟发效应的担忧（OR 2.2，95%CI：1.4-3.1，p<0.000）。
隔离或感染以及疫苗反应原性导致的人员短缺使德国呼吸科专家承受压力。员工的担忧也导致缺勤这一事实，这在管理未来的大流行事件以尽量减少员工缺勤方面可能会有所帮助。
