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Pediatric Residency Training amid the COVID-19 Pandemic: Exploring the Impact of Supervision and Clinical Practice

Anang Endaryanto1,2, Arlina Dewi1, Kusbaryanto1

  • 1Master of Hospital Administration, Universitas Muhammadiyah Yogyakarta, Yogyakarta 55183, Indonesia.

Computational and Mathematical Methods in Medicine
|September 23, 2022
PubMed

Insights

Clinical practice guidelines (CPG) and supervision mitigated the negative effects of the COVID-19 pandemic on pediatric inpatient care. Supervision improved clinical and financial outcomes, while CPG primarily benefited financial aspects.

Area of Science:

  • Healthcare Management
  • Pediatric Medicine
  • Public Health

Background:

  • The COVID-19 pandemic significantly impacted non-COVID-19 inpatient care in academic medical centers (AMCs).
  • Pediatric residents faced challenges in managing non-COVID-19 patients during the pandemic.
  • Understanding the role of clinical practice guidelines (CPG) and supervision is crucial for mitigating pandemic-related adverse effects.

Purpose of the Study:

  • To quantify the impact of CPG and supervision on clinical and financial outcomes of non-COVID-19 pediatric inpatient care.
  • To assess the moderating effects of CPG and supervision on pandemic-related outcomes for pediatric residents in AMCs.

Main Methods:

  • A retrospective cohort study analyzed data from pediatric residency programs at Dr. Soetomo General Academic Hospital.
  • Compared non-COVID-19 pediatric patients treated before and during the COVID-19 pandemic.
  • Statistical analysis performed using SPSS 26.0 and Smart-PLS.

Main Results:

  • The pandemic led to a 41.4% decrease in pediatric inpatients, with increased severity and complexity.
  • Supervision positively moderated clinical outcomes (e.g., increased average length of stay) and financial outcomes (reduced costs, increased profit).
  • CPG moderated financial outcomes (reduced costs, increased profit) but not clinical outcomes.

Conclusions:

  • Direct supervision effectively mitigated the negative clinical and financial impacts of the pandemic on pediatric inpatient care.
  • CPG primarily buffered the financial consequences, not the clinical ones.
  • Availability of CPG and supervision is vital for AMCs to manage disasters and maintain optimal patient care and financial stability.
Abstract

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