PDF(Pubmed)
Abstract：
BACKGROUND: During the COVID-19 pandemic, family physicians (FPs) served as the the initial point of contact for patients potentially infected with the virus, necessitating frequent updates to treatment protocols. However, practices also faced organizational challenges in providing care to other patients who also needed their medical attention. The pressure on FPs increased and affected their well-being. The international PRICOV-19 study, titled \"Primary care in times of COVID-19 pandemic,\" investigated how FPs functioned during the COVID-19 pandemic. This article examines the correlation between various organizational and structural COVID-19-related variables and the well-being of FPs in Slovenia.
METHODS: Between October 2020 and January 2021, we conducted an online cross-sectional survey. The questionnaire was distributed to 1040 Slovenian FPs and 218 family medicine (FM) trainees. Part of the questionnaire assessed the cooperation and well-being of FPs. The Mayo Clinic Well-being Index was used for the assessment. FP\'s well-being was also assessed descriptively by asking open-ended questions about maintaining mental health during the pandemic. Potential factors associated with FPs\' well-being were identified using a multivariate linear regression method.
RESULTS: The final sample comprised 191 participants (response rate 14.1%). The mean value ± standard deviation of the Mayo Well-being Index was 3.3 ± 2.6 points. The FPs with the poorest well-being had 5-15 years of work experience and worked in a practice where work could not be distributed in the absence of a co-worker without compromising the well-being of colleagues. Physical activity was identified as the most common method of maintaining mental health among FPs.
CONCLUSIONS: The results of the study suggest that targeted interventions are needed to support FPs mid-career, increase resilience in practice, promote strong team dynamics, and prioritise physical activity in healthcare. Addressing these aspects can contribute to the well-being of individual FPs and the overall health of the healthcare workers.
METHODS: Between October 2020 and January 2021, we conducted an online cross-sectional survey. The questionnaire was distributed to 1040 Slovenian FPs and 218 family medicine (FM) trainees. Part of the questionnaire assessed the cooperation and well-being of FPs. The Mayo Clinic Well-being Index was used for the assessment. FP\'s well-being was also assessed descriptively by asking open-ended questions about maintaining mental health during the pandemic. Potential factors associated with FPs\' well-being were identified using a multivariate linear regression method.
RESULTS: The final sample comprised 191 participants (response rate 14.1%). The mean value ± standard deviation of the Mayo Well-being Index was 3.3 ± 2.6 points. The FPs with the poorest well-being had 5-15 years of work experience and worked in a practice where work could not be distributed in the absence of a co-worker without compromising the well-being of colleagues. Physical activity was identified as the most common method of maintaining mental health among FPs.
CONCLUSIONS: The results of the study suggest that targeted interventions are needed to support FPs mid-career, increase resilience in practice, promote strong team dynamics, and prioritise physical activity in healthcare. Addressing these aspects can contribute to the well-being of individual FPs and the overall health of the healthcare workers.
摘要：
背景：在COVID-19大流行期间，家庭医生（FPs）是可能感染病毒的患者的初始接触点，需要频繁更新治疗方案。然而,在为其他也需要医疗护理的患者提供护理方面，实践也面临着组织挑战。对FP的压力增加并影响他们的福祉。国际PRICOV-19研究，标题为“COVID-19大流行时期的初级保健，“调查了FPs在COVID-19大流行期间的功能。本文研究了斯洛文尼亚各种组织和结构COVID-19相关变量与FPs福祉之间的相关性。
方法：在2020年10月至2021年1月之间，我们进行了在线横断面调查。问卷已分发给1040名斯洛文尼亚FP和218名家庭医学（FM）学员。问卷的一部分评估了FPs的合作和福祉。梅奥诊所健康指数用于评估。还通过询问有关在大流行期间维持心理健康的开放式问题来描述性地评估FP的健康状况。使用多元线性回归方法确定与FPs健康相关的潜在因素。
结果：最终样本包括191名参与者（反应率14.1%）。梅奥幸福指数的平均值±标准偏差为3.3±2.6点。幸福感最差的FP有5-15年的工作经验，并且在没有同事的情况下无法分配工作而不会损害同事的福祉的实践中工作。身体活动被确定为FPs中保持心理健康的最常见方法。
结论：研究结果表明，需要有针对性的干预措施来支持职业生涯中期的FPs，在实践中增加弹性，促进强大的团队动力，在医疗保健中优先考虑身体活动。解决这些方面可以有助于个人FP的福祉和医护人员的整体健康。
方法：在2020年10月至2021年1月之间，我们进行了在线横断面调查。问卷已分发给1040名斯洛文尼亚FP和218名家庭医学（FM）学员。问卷的一部分评估了FPs的合作和福祉。梅奥诊所健康指数用于评估。还通过询问有关在大流行期间维持心理健康的开放式问题来描述性地评估FP的健康状况。使用多元线性回归方法确定与FPs健康相关的潜在因素。
结果：最终样本包括191名参与者（反应率14.1%）。梅奥幸福指数的平均值±标准偏差为3.3±2.6点。幸福感最差的FP有5-15年的工作经验，并且在没有同事的情况下无法分配工作而不会损害同事的福祉的实践中工作。身体活动被确定为FPs中保持心理健康的最常见方法。
结论：研究结果表明，需要有针对性的干预措施来支持职业生涯中期的FPs，在实践中增加弹性，促进强大的团队动力，在医疗保健中优先考虑身体活动。解决这些方面可以有助于个人FP的福祉和医护人员的整体健康。
