Experiences of Safety-Net Practice Clinicians Participating in the National Health Service Corps During the COVID-19 Pandemic.
Public Health Rep
; 137(1): 149-162, 2022.
文章
在 英语
| MEDLINE | ID: covidwho-1480329
ABSTRACT
OBJECTIVES:
The impact of the COVID-19 pandemic has been particularly harsh for low-income and racial and ethnic minority communities. It is not known how the pandemic has affected clinicians who provide care to these communities through safety-net practices, including clinicians participating in the National Health Service Corps (NHSC).METHODS:
In late 2020, we surveyed clinicians who were serving in the NHSC as of July 1, 2020, in 20 states. Clinicians reported on work and job changes and their current well-being, among other measures. Analyses adjusted for differences in subgroup response rates and clustering of clinicians within practices.RESULTS:
Of 4263 surveyed clinicians, 1890 (44.3%) responded. Work for most NHSC clinicians was affected by the pandemic, including 64.5% whose office visit numbers fell by half and 62.5% for whom most visits occurred virtually. Fewer experienced changes in their jobs; for example, only 14.9% had been furloughed. Three-quarters (76.6%) of these NHSC clinicians scored in at-risk levels for their well-being. Compared with primary care and behavioral health clinicians, dental clinicians much more often had been furloughed and had their practices close temporarily.CONCLUSIONS:
The pandemic has disrupted the work, jobs, and mental health of NHSC clinicians in ways similar to its reported effects on outpatient clinicians generally. Because clinicians' mental health worsens after a pandemic, which leads to patient disengagement and job turnover, national programs and policies should help safety-net practices build cultures that support and give greater priority to clinicians' work, job, and mental health needs now and before the next pandemic.Keywords
全文:
可用
采集:
国际数据库
资料库:
MEDLINE
主要主题:
Attitude of Health Personnel
/
Mental Health
/
Safety-net Providers
/
COVID-19
/
Medically Underserved Area
研究类型:
观察性研究
/
预后研究
/
定性研究
限制:
成人
/
女性
/
人类
/
男性
/
中年
国家/地区名称主题:
北美
语言:
英语
期刊:
Public Health Rep
年:
2022
类型:
文章
所属国家:
00333549211054083
相关文档
MEDLINE
...
LILACS
LIS