Impact of the Corona Virus Disease 2019 Pandemic on Hepatology Practice and Provider Burnout.
Impact of the Corona Virus Disease 2019 Pandemic on Hepatology Practice and Provider Burnout.
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DOI：
10.1002/hep4.1870
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发表时间：
2022-05
影响因子：
5.1
通讯作者：
Reddy KR
中科院分区：
文献类型：
--
作者：
Russo MW;Kwok R;Serper M;Ufere N;Hameed B;Chu J;Goacher E;Lingerfelt J;Terrault N;Reddy KR
2019冠状病毒病（COVID - 19）大流行对医学临床实践和提供者的情绪健康产生了广泛的影响。我们的目的是确定COVID - 19大流行对肝病学提供者的实践和倦怠的影响。从2021年2月到3月，我们对美国肝病研究协会（AASLD）成员进行了一项电子调查，这些成员包括肝病学家、胃肠病学家和高级执业医师（APPs）。该调查包括26个关于临床实践和情绪健康的问题，这些问题来自于经过验证的工具。共有230名符合条件的成员完成了以下调查：107名（47%）为成人移植肝病学家，43名（19%）为成人普通肝病学家，14名（6%）为成人胃肠病学家，11名（5%）为儿科肝病学家，45名（19%）为应用内科医生，9名（4%）为其他提供者。我们发现69家（30%）的薪酬减少了，92家（40%）的员工减少了，9家（4%）关闭了他们的业务；100名（43%）受访者表示感到倦怠。在单因素分析中，倦怠更常发生在以下人群中：≤55岁（优势比[OR]， 2.2； 95%可信区间[CI]， 1.2‐4.2）、女性（OR, 2.2; 95% CI, 1.3‐3.7）、非移植肝病（OR, 2.0; 95% CI, 1.1‐3.3）、app （OR, 2.7; 95% CI, 1.4‐5.1）和执业时间小于10年的患者（OR, 1.9; 95% CI, 1.1‐3.3）。在多变量分析中，只有年龄≤55岁与职业倦怠相关（OR, 2.3; 95% CI, 1.1‐4.8）。受访者建议AASLD提供帮助的最常见方式是通过虚拟平台进行网络、指导和应对因COVID - 19大流行而导致的实践变化。结论：COVID - 19大流行对肝病学临床实践以及倦怠和情绪健康产生了重大影响。女性、app和职业生涯早期和中期的临床医生更常报告职业倦怠。已确定的应对倦怠的策略包括促进网络和指导的虚拟平台。
The corona virus disease 2019 (COVID‐19) pandemic has had a wide‐ranging impact on the clinical practice of medicine and emotional well‐being of providers. Our aim was to determine the impact of the COVID‐19 pandemic on practice and burnout among hepatology providers. From February to March 2021, we conducted an electronic survey of American Association for the Study of Liver Diseases (AASLD) members who were hepatologists, gastroenterologists, and advanced practice providers (APPs). The survey included 26 questions on clinical practice and emotional well‐being derived from validated instruments. A total of 230 eligible members completed the survey as follows: 107 (47%) were adult transplant hepatologists, 43 (19%) were adult general hepatologists, 14 (6%) were adult gastroenterologists, 11 (5%) were pediatric hepatologists, 45 (19%) were APPs, and 9 (4%) were other providers. We found that 69 (30%) experienced a reduction in compensation, 92 (40%) experienced a reduction in staff, and 9 (4%) closed their practice; 100 (43%) respondents reported experiencing burnout. In univariate analysis, burnout was more frequently reported in those ≤55 years old (odds ratio [OR], 2.2; 95% confidence interval [CI], 1.2‐4.2), women (OR, 2.2; 95% CI, 1.3‐3.7), nontransplant hepatology (OR, 2.0; 95% CI, 1.1‐3.3), APPs (OR, 2.7; 95% CI, 1.4‐5.1), and those less than 10 years in practice (OR, 1.9; 95% CI, 1.1‐3.3). In multivariable analysis, only age ≤55 years was associated with burnout (OR, 2.3; 95% CI, 1.1‐4.8). The most common ways the respondents suggested the AASLD could help was through virtual platforms for networking, mentoring, and coping with the changes in practice due to the COVID‐19 pandemic. Conclusion: The COVID‐19 pandemic has had a substantial impact on the clinical practice of hepatology as well as burnout and emotional well‐being. Women, APPs, and early and mid‐career clinicians more frequently reported burnout. Identified strategies to cope with burnout include virtual platforms to facilitate networking and mentoring.
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影响因子：
13.5
作者：
Serper, Marina;Cubell, Allen W.;Rosin, Roy M.
通讯作者：
Rosin, Roy M.
影响因子：
13.8
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影响因子：
3.1
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通讯作者：
Goyal H
影响因子：
13.5
作者：
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通讯作者：
Pak, Wesley
影响因子：
5.1
作者：
Kriss M;Te HS;Verna EC;VanWagner LB;Scott FI;Lai JC
通讯作者：
Lai JC