The psychological impact of COVID-19 among primary care physicians in the province of Verona, Italy: a cross-sectional study during the first pandemic wave

Lasalvia, Antonio; Rigon, Giulio; Rugiu, Carlo; Negri, Claudia; Zotti, Franco Del; Amaddeo, Francesco; Bonetto, Chiara

doi:10.1093/fampra/cmab106

Cited by 29 publications

(33 citation statements)

References 34 publications

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“…This is in line with studies conducted among GPs in multiple countries [24][25][26][27] and confirmed by the results of our study. A study in Italy reported less professional experience was associated with higher levels of anxiety and depression, which corresponds with our findings [28].…”

Section: Discussionsupporting

confidence: 92%

Distress and Wellbeing among General Practitioners in 33 Countries during COVID-19: Results from the Cross-Sectional PRICOV-19 Study to Inform Health System Interventions

Collins¹,

Clays

Poel

et al. 2022

IJERPH

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Emerging literature is highlighting the huge toll of the COVID-19 pandemic on frontline health workers. However, prior to the crisis, the wellbeing of this group was already of concern. The aim of this paper is to describe the frequency of distress and wellbeing, measured by the expanded 9-item Mayo Clinic Wellbeing Index (eWBI), among general practitioners/family physicians during the COVID-19 pandemic and to identify levers to mitigate the risk of distress. Data were collected by means of an online self-reported questionnaire among GP practices. Statistical analysis was performed using SPSS software using Version 7 of the database, which consisted of the cleaned data of 33 countries available as of 3 November 2021. Data from 3711 respondents were included. eWBI scores ranged from −2 to 9, with a median of 3. Using a cutoff of ≥2, 64.5% of respondents were considered at risk of distress. GPs with less experience, in smaller practices, and with more vulnerable patient populations were at a higher risk of distress. Significant differences in wellbeing scores were noted between countries. Collaboration from other practices and perception of having adequate governmental support were significant protective factors for distress. It is necessary to address practice- and system-level organizational factors in order to enhance wellbeing and support primary care physicians.

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Section: Discussionsupporting

confidence: 92%

Distress and Wellbeing among General Practitioners in 33 Countries during COVID-19: Results from the Cross-Sectional PRICOV-19 Study to Inform Health System Interventions

Collins¹,

Clays

Poel

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…Despite the abundant literature on this subject, few studies specifically analyse the situation in primary care, [11][12][13][14][15] despite the relevant repercussions in this setting and the different characteristics and conditioning factors from those reported in the hospital setting.…”

Section: Introductionmentioning

confidence: 99%

Psychological impact of the COVID-19 pandemic on primary care workers: a cross-sectional study

et al. 2022

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Background The COVID-19 pandemic has had a major impact on mental health of healthcare workers. However, studies in primary care workers are scarce. Aim To investigate the prevalence and associated factors of psychological distress in primary care workers during the first COVID-19 outbreak. Design and setting A multicenter, cross-sectional, web-based survey conducted in primary healthcare workers in Spain, between May and September 2020. Method Healthcare workers were invited to complete a survey to evaluate sociodemographic and work-related characteristics, infection status and exposure to COVID-19 infected patients, resilience (Connor-Davidson Resilience Scale), in addition to being screened for common mental disorders (depression, anxiety disorders, post-traumatic stress disorder, panic attack and substance use disorder). Positive screening for any of the aforementioned disorders was analyzed globally defining it as "any current mental disorder". Results A total of 2,928 primary care professionals participated in the survey. Of them, 43.7% (CI95%:41.9– 45.4) tested positive for a mental disorder. Being a woman (OR:1.61; 95%CI:1.25–2.06), previous mental disorders (OR:2.58; 95%CI: 2.15–3.10), greater occupational exposure to COVID-19 patients (OR:2.63; 95%CI:1.98–3.51), being a woman with children or dependents under their care (respectively, OR:1.35; 95%CI:1.04-1.76; and OR:1.59; 95%CI:1.20-2.11), or an administrative job (OR:2.24; 95%CI:1.66–3.03) were associated with a higher risk of any current mental disorder. Personal resilience was shown to be a protective factor. Conclusion Almost half of primary care workers showed significant psychological distress. Establishing support strategies for mental health of primary care workers is necessary, by designing psychological support and resilience-building interventions based on the identified risk factors.

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“…A similar study on the psychological impact of the first wave of COVID-19 pandemic on 215 GPs from Italy found that being female was associated with higher exhaustion and depression rates in comparison to male PCPs. In addition, PCPs with longer clinical experiences had lower anxiety and higher professional efficacy rates [ 42 ]. Another interesting study by Cai et al on 534 frontline medical staff in Hubei, China during the initial stages of the pandemic found that younger medical staff were more anxious about infecting their families, whereas older staff were more worried about their own safety and for being exhausted for working long hours.…”

Section: Discussionmentioning

confidence: 99%

Satisfaction of primary care physicians towards initiation of phone consultations during the COVID-19 pandemic management in Qatar: a cross-sectional study

et al. 2022

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Objectives To assess primary care physicians’ satisfaction towards initiation of phone consultation during COVID-19 pandemic management in Qatar and to identify the factors associated with dis/satisfaction. Design A cross-sectional web-based survey was conducted from 1 June to 30 July 2020. Setting All the available 27 public primary healthcare centers in Qatar at the time of the study. Participants Two hundred ninety-four primary care physicians working in the publicly run primary healthcare corporation in Qatar. Primary outcome measures Overall satisfaction of primary care physicians with the initiation of phone consultation during the COVID-19 pandemic in Qatar and their satisfaction towards each aspect of this management. Results Two hundred thirty-nine primary care physicians participated in the survey with a response rate of 53.1%. Overall, about 45% and 21% of respondents agreed that COVID-19 disease management has highly impacted and very highly impacted their daily practice, respectively. More than half of the physicians (59.9%) indicated being satisfied/highly satisfied with the initiation of telephone consultation service. On the other hand, few physicians were satisfied (14.3%) or highly satisfied (3.4%) with conducting telephone consultations with patients who lack previous electronic medical records. Also, only 20.3% and 3.8% of physicians were satisfied and highly satisfied with the lack of physical examination in telephone consultations, respectively. On bivariate analysis, primary care physicians’ age was significantly associated with the perceived level of impact of COVID-19 management on daily practice (P = 0.03). There was no significant association between participants’ characteristics and the level of satisfaction toward telephone consultations. On the other hand, there was a statistically significant association between physicians’ age (p = 0.048) and gender (p = 0.014) and their level of satisfaction toward communication and support.

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The psychological impact of COVID-19 among primary care physicians in the province of Verona, Italy: a cross-sectional study during the first pandemic wave

Cited by 29 publications

References 34 publications

Distress and Wellbeing among General Practitioners in 33 Countries during COVID-19: Results from the Cross-Sectional PRICOV-19 Study to Inform Health System Interventions

Distress and Wellbeing among General Practitioners in 33 Countries during COVID-19: Results from the Cross-Sectional PRICOV-19 Study to Inform Health System Interventions

Psychological impact of the COVID-19 pandemic on primary care workers: a cross-sectional study

Satisfaction of primary care physicians towards initiation of phone consultations during the COVID-19 pandemic management in Qatar: a cross-sectional study

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