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The impact of COVID-19 on private and public primary care physicians: A cross-sectional study

PURPOSE: Primary care physicians (PCP) are at a high risk of contracting COVID-19 as they manage patients with fever or respiratory symptoms, but it is intuitive that private and public practice PCPs may face different challenges during this pandemic. This study compared work- and non-work-related c...

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Autores principales: Lau, Jerrald, Tan, David Hsien-Yung, Wong, Gretel Jianlin, Lew, Yii-Jen, Chua, Ying-Xian, Low, Lian-Leng, Koh, Gerald Choon-Huat, Kwek, Thiam-Soo, Toh, Sue-Anne Ee-Shiow, Tan, Ker-Kan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Author(s). Published by Elsevier Ltd on behalf of King Saud Bin Abdulaziz University for Health Sciences. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7778368/
https://www.ncbi.nlm.nih.gov/pubmed/33610936
http://dx.doi.org/10.1016/j.jiph.2020.12.028
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author Lau, Jerrald
Tan, David Hsien-Yung
Wong, Gretel Jianlin
Lew, Yii-Jen
Chua, Ying-Xian
Low, Lian-Leng
Koh, Gerald Choon-Huat
Kwek, Thiam-Soo
Toh, Sue-Anne Ee-Shiow
Tan, Ker-Kan
author_facet Lau, Jerrald
Tan, David Hsien-Yung
Wong, Gretel Jianlin
Lew, Yii-Jen
Chua, Ying-Xian
Low, Lian-Leng
Koh, Gerald Choon-Huat
Kwek, Thiam-Soo
Toh, Sue-Anne Ee-Shiow
Tan, Ker-Kan
author_sort Lau, Jerrald
collection PubMed
description PURPOSE: Primary care physicians (PCP) are at a high risk of contracting COVID-19 as they manage patients with fever or respiratory symptoms, but it is intuitive that private and public practice PCPs may face different challenges during this pandemic. This study compared work- and non-work-related concerns, COVID-19’s impact on personal and professional lives, and perceived pandemic preparedness between private and public PCPs in Singapore. METHODS: 216 PCPs who were a registered member of either the National University Polyclinics, National University Health System Primary Care Network or College of Family Physicians Singapore, participated in this online cross-sectional study. The data collection period lasted from 6th March 2020 to 29th March 2020. RESULTS: A final sample of 172 questionnaires were analysed. Private PCPs tended to be older and more experienced. Perceived COVID-19 exposure and overall preparedness was high in both groups. More private PCPs perceived their exposure risk as unacceptable, aOR = 3.96 (1.07, 14.62); that they should not be caring for COVID-19 patients, aOR = 3.55 (1.23, 10.24); and perceived more stigma against their loved ones, aOR = 4.27 (1.74, 10.44). Private PCPs felt less well-trained, aOR = 0.05 (0.01, 0.23); and supported, aOR = 0.14 (0.03, 0.63). CONCLUSIONS: Private PCPs are more likely to be self-employed or work in smaller practices where COVID-19 infection could mean loss of livelihood. As a healthcare system without primary care is crippled in its ability to manage outbreaks, authorities should respond appropriately to the needs of their general practitioners and family physicians.
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spelling pubmed-77783682021-01-04 The impact of COVID-19 on private and public primary care physicians: A cross-sectional study Lau, Jerrald Tan, David Hsien-Yung Wong, Gretel Jianlin Lew, Yii-Jen Chua, Ying-Xian Low, Lian-Leng Koh, Gerald Choon-Huat Kwek, Thiam-Soo Toh, Sue-Anne Ee-Shiow Tan, Ker-Kan J Infect Public Health Article PURPOSE: Primary care physicians (PCP) are at a high risk of contracting COVID-19 as they manage patients with fever or respiratory symptoms, but it is intuitive that private and public practice PCPs may face different challenges during this pandemic. This study compared work- and non-work-related concerns, COVID-19’s impact on personal and professional lives, and perceived pandemic preparedness between private and public PCPs in Singapore. METHODS: 216 PCPs who were a registered member of either the National University Polyclinics, National University Health System Primary Care Network or College of Family Physicians Singapore, participated in this online cross-sectional study. The data collection period lasted from 6th March 2020 to 29th March 2020. RESULTS: A final sample of 172 questionnaires were analysed. Private PCPs tended to be older and more experienced. Perceived COVID-19 exposure and overall preparedness was high in both groups. More private PCPs perceived their exposure risk as unacceptable, aOR = 3.96 (1.07, 14.62); that they should not be caring for COVID-19 patients, aOR = 3.55 (1.23, 10.24); and perceived more stigma against their loved ones, aOR = 4.27 (1.74, 10.44). Private PCPs felt less well-trained, aOR = 0.05 (0.01, 0.23); and supported, aOR = 0.14 (0.03, 0.63). CONCLUSIONS: Private PCPs are more likely to be self-employed or work in smaller practices where COVID-19 infection could mean loss of livelihood. As a healthcare system without primary care is crippled in its ability to manage outbreaks, authorities should respond appropriately to the needs of their general practitioners and family physicians. The Author(s). Published by Elsevier Ltd on behalf of King Saud Bin Abdulaziz University for Health Sciences. 2021-03 2021-01-02 /pmc/articles/PMC7778368/ /pubmed/33610936 http://dx.doi.org/10.1016/j.jiph.2020.12.028 Text en © 2020 The Author(s) Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Lau, Jerrald
Tan, David Hsien-Yung
Wong, Gretel Jianlin
Lew, Yii-Jen
Chua, Ying-Xian
Low, Lian-Leng
Koh, Gerald Choon-Huat
Kwek, Thiam-Soo
Toh, Sue-Anne Ee-Shiow
Tan, Ker-Kan
The impact of COVID-19 on private and public primary care physicians: A cross-sectional study
title The impact of COVID-19 on private and public primary care physicians: A cross-sectional study
title_full The impact of COVID-19 on private and public primary care physicians: A cross-sectional study
title_fullStr The impact of COVID-19 on private and public primary care physicians: A cross-sectional study
title_full_unstemmed The impact of COVID-19 on private and public primary care physicians: A cross-sectional study
title_short The impact of COVID-19 on private and public primary care physicians: A cross-sectional study
title_sort impact of covid-19 on private and public primary care physicians: a cross-sectional study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7778368/
https://www.ncbi.nlm.nih.gov/pubmed/33610936
http://dx.doi.org/10.1016/j.jiph.2020.12.028
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