The impact of health inequities on physicians' occupational well-being during COVID-19: A qualitative analysis from four US cities.
The impact of health inequities on physicians' occupational well-being during COVID-19: A qualitative analysis from four US cities.
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COVID-19 期间健康不平等对医生职业福祉的影响：来自美国四个城市的定性分析。
DOI：
10.1002/jhm.13107
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发表时间：
2023
影响因子：
2.6
通讯作者：
Buchbinder,Mara
中科院分区：
文献类型：
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作者：
Browne,Alyssa;Jenkins,Tania;Berlinger,Nancy;Buchbinder,Liza;Buchbinder,Mara
本研究的目的是描述一线医生对COVID-19感染和死亡率的种族-民族和社会经济差异对其职业幸福感的影响的看法。方法2021年2月至2022年6月期间对医院医学，急诊医学，肺/重症监护，和姑息治疗医生照顾住院的COVID-19患者在四个美国城市。ResultsPhysicians报告遇到COVID-19相关的健康差距和不公平在社会，组织和个人层面。面对这些不平等，反过来又加剧了一线医生的压力，他们的担忧揭示了结构性条件如何塑造了COVID差异，并限制了他们保护风险人群免受不良后果的能力。医生报告说，感觉同谋的不公平或无助的延续，以减轻观察到的不公平和经历的悲伤，内疚，道德困扰，和burners.ConclusionsHealth不公平的感受是一个公认的来源，医生的职业压力，需要解决方案超出临床范围。
ObjectiveThe aim of this study is to describe frontline physicians' perceptions of the impact of racial–ethnic and socioeconomic disparities in COVID‐19 infection and mortality on their occupational well‐being.MethodsOne hundred and forty‐five qualitative, semistructured interviews were conducted between February 2021 and June 2022 with hospital medicine, emergency medicine, pulmonary/critical care, and palliative care physicians caring for hospitalized COVID‐19 patients in four US cities.ResultsPhysicians reported encountering COVID‐related health disparities and inequities at the societal, organizational, and individual levels. Encountering these inequities, in turn, contributed to stress among frontline physicians, whose concerns revealed how structural conditions both shaped COVID disparities and constrained their ability to protect populations at risk from poor outcomes. Physicians reported feeling complicit in the perpetuation of inequities or helpless to mitigate observed inequities and experienced feelings of grief, guilt, moral distress, and burnout.ConclusionsHealth inequities are an under‐acknowledged source of physicians' occupational stress that requires solutions beyond the clinical context.