Physicians? Occupational Health During Covid-19: A Qualitative Analysis of Systems Factors

医生？

基本信息

批准号：
10472390
负责人：
Mara Helene Buchbinder
金额：
$ 20.01万
依托单位：
UNIV OF NORTH CAROLINA CHAPEL HILL
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-01 至 2023-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10472390
关键词：
Physicians Occupational Health During Covid

项目摘要

PROJECT ABSTRACT US physicians are at high risk for depression, substance abuse, suicide, overwork, exhaustion, and burnout. New working conditions imposed by the COVID-19 pandemic have exacerbated these occupational health burdens for physicians at a time when baseline levels of stress, burnout, and poor mental health were already overwhelmingly high. Research on physician burnout has expanded, yet much of it focuses on individual-level causes and solutions that do little to identify and respond to the broader structural factors shaping physicians' wellbeing. This study will apply an occupational health lens to examine the experiences of hospital physicians in New York City (NYC) and Seattle, the two epicenters of the US COVID-19 outbreak. Our socio- ecological model acknowledges the synergistic relationships between health systems, work environments, and individual wellbeing, and accounts for the complex interplay between the multi-level factors shaping physicians' occupational health. We will conduct qualitative interviews with physicians in NYC (n=40) and Seattle (n=40) who work at the front lines of COVID-19 care (i.e. hospital-based attending physicians or fellows practicing in internal medicine, family medicine, emergency medicine, infectious diseases, and pulmonary/critical care). By sampling physicians from diverse hospitals in each city, we will assess how differences in state and local public health responses and institutional factors mediate the way physicians respond to the crisis. Our specific aims are to: Aim 1: Describe the relationships among the systems-, professional-, and institutional-level factors shaping workplace conditions during the COVID-19 pandemic and physicians' perceptions of occupational health and wellbeing; Aim 2: Identify systems-, professional-, institutional-, and individual-level characteristics that protect physicians' occupational health and wellbeing during the COVID-19 pandemic; Aim 3. Develop and disseminate evidence-based recommendations to protect physicians' occupational health and wellbeing during normal and crisis conditions, with expert panel input. The study addresses a well-documented occupational health problem that has taken on new urgency due to the pandemic, and does so through novel attention to structural factors that shape occupational wellbeing during a unique historical moment. The outputs of this study include evidence-based recommendation to improve physicians' occupational health and wellbeing and organizational responses to pandemic conditions. Therefore, the study responds to NIOSH's Total Worker Health™ Initiative and meets NIOSH Research to Practice standards.

项目摘要美国医生面临抑郁症，滥用药物，自杀，劳累，疲惫，疲惫的高风险和倦怠。 COVID-19大流行施加的新工作条件加剧了这些在基线压力水平的时候占用医生的伯恩伦斯（Burnens）倦怠和心理健康状况不佳已经过分高。实物研究倦怠已经扩大了，但其中大部分集中在个人级别的原因和解决方案上几乎没有什么可以识别和应对更广泛的结构因素，从而塑造医生的健康。这研究将应用占领健康镜头来检查医院医生的经历纽约市（纽约市）和西雅图，这是美国库维德19号爆发的两个中心。我们的社会 - 生态模型承认卫生系统，工作之间的协同关系环境和个人福祉，并说明多层因素塑造医生的职业健康。我们将进行定性在纽约市（n = 40）和西雅图（n = 40）的医生的访谈 COVID-19 CARE（即基于医院的医师或研究员的内部练习医学，家庭医学，急诊医学，传染病和肺部/关键关心）。通过对每个城市潜水员医院的医生进行取样，我们将评估如何评估州和地方公共卫生的反应和机构因素的差异介导了方式医师应对危机。我们的具体目的是：目标1：描述关系在塑造工作场所条件的系统，专业和机构级别的因素中期间，在199年的大流行和医师对占领健康的看法和福利;目标2：确定系统，专业，机构和个人级别保护医师在Covid-19期间占据健康和福祉的特征大流行;目标3。制定并传播基于证据的建议以保护在正常和危机条件下，医师的健康和福祉，专家面板输入。该研究解决了有据可查的占领健康问题由于大流行而引起新的紧迫性，并通过对结构的新颖关注来做到这一点在独特的历史时刻占据占据健康的因素。输出的输出研究包括基于证据的建议，以改善医生的占领健康和福祉和组织对大流行状况的反应。因此，研究回答为NIOSH的“ Total Worker Health™倡议”，并符合NIOSH研究以实践标准。