The Impact of the COVID-19 Pandemic on Physicians' Working Hours and Earnings in São Paulo and Maranhão States, Brazil.
The Impact of the COVID-19 Pandemic on Physicians' Working Hours and Earnings in São Paulo and Maranhão States, Brazil.
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DOI：
10.3390/ijerph191610085
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发表时间：
2022-08-15
影响因子：
--
通讯作者：
Russo, Giuliano
中科院分区：
文献类型：
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作者：
de Oliveira, Bruno Luciano Carneiro Alves;Andrietta, Lucas Salvador;Reis, Regimarina Soares;de Carvalho, Ruth Helena de Souza Britto Ferreira;Alves, Maria Teresa Seabra Soares e;Scheffer, Mario Cesar;Russo, Giuliano
关键词：
现有证据表明，当前的COVID-19大流行对卫生工作者的健康影响，但对其工作动态和生计的影响知之甚少。这一点很重要，因为卫生工作者——尤其是医生——在低收入和中等收入国家是一种稀缺而昂贵的资源。我们的横断面调查旨在探讨巴西<s:1>圣保罗州（SP）和马兰赫<e:1>州（MA） 1183名医生的代表性样本在大流行第二年的工作时间和收入变化。采用描述性分析和推理统计来探讨两地公立和私营部门医生工作时间和收入的差异。在疫情的第二年，专门在公共部门工作的医生的工作量和收入增加最多，特别是在麻州。相反，我们样本中最大比例的私家医生的工作时间减少了（48.4%,95% CI 41.8-55.0），而最大比例的马萨诸塞州公立医生的工作时间增加了（44.4%,95% CI 38.0-50.8）。尽管公共部门的收入大致保持稳定，但马萨诸塞州三分之一的公共部门医生的收入有所增加（95% CI 24.4-36.2）。在这两个州，超过一半的私人医生的收入下降了（52.2%,95% CI 45.6-58.8）。双重从业人员的最大比例（巴西和我们样本中的大多数）保持其大流行前的收入水平（38.8%,95% CI 35.3-42.3）。由于公共部门医生在防治这一流行病的斗争中发挥了关键作用，因此必须对这些骨干进行投资，以便在中低收入国家开展流行病防范工作，并找到利用营利性行为体提供社会福利的新途径。
Evidence exists on the health impacts of the current COVID-19 pandemic on health workers, but less is known about its impact on their work dynamics and livelihoods. This matters, as health workers—and physicians in particular—are a scarce and expensive resource in low- and middle-income countries (LMICs). Our cross-sectional survey set out to explore changes in working hours and earnings during the second year of the pandemic in a representative sample of 1183 physicians in Brazil’s São Paulo (SP) and Maranhão (MA) states. Descriptive analysis and inferential statistics were employed to explore differences in working hours and earnings among public and private sector physicians across the two locations. The workloads and earnings of doctors working exclusively in the public sector increased the most in the second year of the epidemic, particularly in MA. Conversely, the largest proportion of private-only doctors in our sample saw a decrease in their working hours (48.4%, 95% CI 41.8–55.0), whereas the largest proportion of public-only doctors in MA saw an increase in their working hours (44.4%, 95% CI 38.0–50.8). Although earnings remained broadly stable in the public sector, a third of public sector-only physicians in MA saw an increase in their earnings (95% CI 24.4–36.2). More than half of private-only doctors across both states saw a decrease in their earnings (52.2%, 95% CI 45.6–58.8). The largest proportion of dual practitioners (the majority in Brazil and in our sample) maintained their pre-pandemic levels of income (38.8%, 95% CI 35.3–42.3). As public-sector doctors have been key in the fight against the pandemic, it is critical to invest in these cadres in order to develop epidemic preparedness in LMICs, and to find new ways to harness for-profit actors to deliver social benefits.
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影响因子：
3.2
作者：
Russo, Giuliano;McPake, Barbara;Ferrinho, Paulo
通讯作者：
Ferrinho, Paulo
影响因子：
2.1
作者：
Li J;Zhao Z;Jiang H;Jiang M;Yu G;Li X
通讯作者：
Li X
影响因子：
8.1
作者：
Andrietta, Lucas Salvador;Levi, Maria Luiza;Russo, Giuliano
通讯作者：
Russo, Giuliano
影响因子：
8.1
作者：
Massuda, Adriano;Hone, Thomas;Atun, Rifat
通讯作者：
Atun, Rifat
DOI：
10.3390/ijerph18094457
发表时间：
2021-04-22
影响因子：
--
作者：
Pappa S;Barnett J;Berges I;Sakkas N
通讯作者：
Sakkas N