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Physician Engagement before and during the COVID-19 Pandemic in Thailand
Nantana Suppapitnarm1, Montri Saengpattrachai2
1Medical Affairs Organization, Bangkok Dusit Medical Services Public Company Limited, Bangkok 10310, Thailand.
Insights
Physician engagement increased during the COVID-19 pandemic compared to pre-pandemic levels. Key areas for improvement include marketing, communication, and clinical staff competency to enhance care quality and patient safety.
Area of Science:
- Healthcare Management
- Organizational Psychology
- Public Health
Background:
- The COVID-19 pandemic significantly impacted healthcare delivery, affecting quality of care, patient safety, and physician engagement.
- Understanding changes in physician engagement is crucial for maintaining healthcare system functionality during crises.
Purpose of the Study:
- To investigate physician engagement levels before and during the COVID-19 pandemic.
- To identify specific areas for improvement to enhance physician engagement in healthcare settings.
Main Methods:
- An online survey was administered to physicians across 44 hospitals (Bangkok Dusit Medical Services Public Company Limited) from April 2019 to September 2020.
- Statistical analyses included independent T-test, one-way ANOVA, and multiple linear regression to compare engagement levels and identify key factors.
Main Results:
- Physician engagement was significantly higher during the COVID-19 pandemic (4.12) compared to the pre-pandemic period (4.06) (p < 0.001).
- Top recommendations for enhancing engagement included marketing (70%), intra- and inter-organizational communication (69%), and clinical staff competency (67%).
- Positive outcomes during the pandemic were linked to infra-organizational development.
Conclusions:
- Physician engagement demonstrated a significant increase during the COVID-19 pandemic.
- Strategic focus on marketing, communication, and clinical competency is vital for optimizing physician engagement.
- Enhanced physician engagement positively influences the quality of care and patient safety.
Abstract:
The COVID-19 pandemic has affected not only the quality of care and patient safety but also physician engagement. The aim of this study was to investigate physician engagement before and during the COVID-19 pandemic and to identify the areas to improve regarding physician engagement. An online survey was conducted from April 2019 to September 2020 among the physicians of 44 hospitals under the Bangkok Dusit Medical Services Public Company Limited (BDMS) before and during the COVID-19 pandemic. The results were analyzed using an independent T-test and one-way ANOVA to compare the continuous variables across groups. Multiple linear regression was used to identify and adjust the variables to determine the areas for improvement. Among the 10,746 respondents, physician engagement during the COVID-19 pandemic was significantly higher than in the pre-COVID-19 period (4.12 vs. 4.06, p-value < 0.001). The top three recommendations to promote physician engagement during the COVID-19 situation comprised (1) marketing (70%), (2) intra-and inter-organizational communication (69%), and (3) the competency of clinical staff (67%). During the COVID-19 pandemic, the positive outcomes toward physician engagement focused on infra-organizational development. These results can be considered in a strategy to optimize physician engagement, which affects the quality of care and patient safety.
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