Factors Related to Self-Reported Distress Experienced by Physicians During Their First COVID-19 Triage Decisions
| Autor: | Barbara H. Lang, Ida Susser, Christina W. Hoven, Franco Mascayano, Stanford Chihuri, David M. Abramson, Charles DiMaggio, Francisca L Chou, Daniel B. Herman, Megan Ryan, Guohua Li, Howard Andrews, Ezra Susser |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
2019-20 coronavirus outbreak
medicine.medical_specialty 020205 medical informatics Coronavirus disease 2019 (COVID-19) business.industry Public Health Environmental and Occupational Health COVID-19 02 engineering and technology Distress Score Odds ratio health-care workforce Triage Confidence interval Odds 03 medical and health sciences Distress stress 0302 clinical medicine Emergency medicine 0202 electrical engineering electronic engineering information engineering Medicine 030212 general & internal medicine business Original Research |
| Zdroj: | Disaster Medicine and Public Health Preparedness |
| ISSN: | 1938-744X 1935-7893 |
| Popis: | Objective:The aim of this study was to identify factors associated with distress experienced by physicians during their first coronavirus disease 2019 (COVID-19) triage decisions.Methods:An online survey was administered to physicians licensed in New York State.Results:Of the 164 physicians studied, 20.7% experienced severe distress during their first COVID-19 triage decisions. The mean distress score was not significantly different between physicians who received just-in-time training and those who did not (6.0 ± 2.7 vs 6.2 ± 2.8; P = 0.550) and between physicians who received clinical guidelines and those who did not (6.0 ± 2.9 vs 6.2 ± 2.7; P = 0.820). Substantially increased odds of severe distress were found in physicians who reported that their first COVID-19 triage decisions were inconsistent with their core values (adjusted odds ratio, 6.33; 95% confidence interval, 2.03-19.76) and who reported having insufficient skills and expertise (adjusted odds ratio 2.99, 95% confidence interval 0.91-9.87).Conclusion:Approximately 1 in 5 physicians in New York experienced severe distress during their first COVID-19 triage decisions. Physicians with insufficient skills and expertise, and core values misaligned to triage decisions are at heightened risk of experiencing severe distress. Just-in-time training and clinical guidelines do not appear to alleviate distress experienced by physicians during their first COVID-19 triage decisions. |
| Databáze: | OpenAIRE |
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