RESUMEN
BACKGROUND: Severe mental illnesses are risk factors for SARS-CoV-2-related morbidity and mortality. Vaccination is an effective protection; therefore, high vaccination rates should be a major priority for people with mental illnesses. OBJECTIVES: (1) Identification of at-risk groups for non-vaccination and structures and interventions needed for widespread vaccination among people with mental illnesses from the perspective of outpatient psychiatrists and neurologists, (2) discussion of the results in the context of the international literature and (3) recommendations derived from them. MATERIAL AND METHODS: Qualitative content analysis of COVID-19 vaccination-related questions from the COVID Ψ online survey of nâ¯= 85 psychiatrists and neurologists in Germany. RESULTS: In the survey, people with schizophrenia, severe lack of drive, low socioeconomic status and homelessness were seen as risk groups for non-vaccination. Increased and targeted information, education, addressing and motivation and easily accessible vaccination offers by general practitioners, psychiatrists, and neurologists as well as complementary institutions were considered as important interventions. DISCUSSION: COVID-19 vaccinations as well as information, motivation and access support should be systematically offered by as many institutions of the psychiatric, psychotherapeutic and complementary care systems in Germany as possible.
Asunto(s)
COVID-19 , Trastornos Mentales , Psiquiatría , Humanos , Vacunas contra la COVID-19 , SARS-CoV-2 , COVID-19/epidemiología , COVID-19/prevención & control , Pacientes Ambulatorios , Trastornos Mentales/epidemiologíaRESUMEN
Für Beschäftigte in Gesundheits- und Pflegeeinrichtungen gilt seit dem 16. März 2022 eine gesetzliche Impfpflicht gegen COVID-19, das haben Bundestag und Bundesrat am 10. Dezember 2021 beschlossen, um das Infektionsgeschehen weiter wirksam zu bekämpfen. Betroffen sind neben Kliniken und Pflegeeinrichtungen auch Arzt- und Psychotherapeutenpraxen. Was bedeutet das im Alltag?
RESUMEN
"Die ersten Monate seit Amtsantritt von Bundesgesundheitsminister Prof. Dr. Karl Lauterbach standen und stehen ganz im Zeichen der COVID-19-Pandemie. Im Koalitionsvertrag der Ampelregierung indes finden sich darüber hinaus Angaben zu zahlreichen gesundheitspolitischen Vorhaben für die kommenden Jahre. Was soll als erstes angegangen werden, was ist zur weiteren Bekämpfung der Pandemie geplant und was bewegt die niedergelassene Ärzteschaft sowie Psychotherapierende besonders? Zu all diesen Themen haben Praxen über 500 Fragen an den Minister eingereicht, die er am 3. März 2022 im ""PraxisCheck"", einem neuen Format der KBV, beantwortet hat."
RESUMEN
AIM: To date, to our knowledge there are no studies regarding attitudes and experiences of outpatient medical personnel during a pandemic. This study's aim was to evaluate the impact of the COVID-19 pandemic in March 2020 on German psychiatrists and neurologists. METHODS: An e-mail and fax-based short survey of 2,072 practice-based psychiatrists and neurologists was performed including Likert-type questions on personal burden and concerns, anticipated risk of infection, practice management as well as anxiety and sleep problems. RESULTS: 396 physicians returned the questionnaire (19â%). More than 60â% of the participants felt restricted strongly or very strongly, more than 30â% were strongly and very strongly concerned. They anticipated a high own risk of infection. However, 91â% did not report any contact with patients positively screened for COVID-19, which they were aware of. One third felt financially threatened and loss of business volume was anticipated. 18â% reported, that the pandemic triggers substantial anxiety. Sleep problems, which occur at least almost every night, were rarely reported (9â%). CONCLUSION: Practice-based psychiatrists and neurologists are negatively affected by the COVID-19 pandemic.