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Cardiovascular services in Covid-19 - Impact of the pandemic and lessons learned
Richard A Josephson1, C Barton Gillombardo1
1Case Western Reserve University, Harrington Heart and Vascular Institute, University Hospitals, Cleveland, OH, United States of America.
Insights
The COVID-19 pandemic profoundly affected cardiovascular care and clinicians, leading to stress and the Great Resignation. Lessons learned can improve healthcare system resilience for future crises.
Area of Science:
- Public Health
- Cardiology
- Healthcare Management
Background:
- The COVID-19 pandemic significantly disrupted societal structures, including cardiovascular (CV) care delivery and hospital operations.
- CV clinicians initially faced challenges with societal support, but this eroded due to public health response politicization and misinformation.
- Sustained stress, disrespect, and lack of respite contributed to widespread clinician departure, termed the Great Resignation.
Purpose of the Study:
- To analyze the multifaceted impact of the COVID-19 pandemic on cardiovascular clinicians and care.
- To understand the factors contributing to clinician stress and the Great Resignation within the cardiovascular field.
- To identify insights for enhancing healthcare system resilience against future stressors.
Main Methods:
- Qualitative review and analysis of the pandemic's effects on healthcare systems and personnel.
- Examination of societal responses, including misinformation and its impact on healthcare professionals.
- Assessment of contributing factors to clinician burnout and attrition.
Main Results:
- The pandemic negatively impacted CV clinicians' roles, public perception, and self-esteem.
- Politicization and misinformation exacerbated challenges faced by healthcare professionals.
- Chronic stress and lack of support were identified as key drivers of the Great Resignation among CV clinicians.
Conclusions:
- The COVID-19 pandemic's impact on CV clinicians necessitates systemic changes to foster resilience.
- Addressing misinformation and supporting clinicians are crucial for future pandemic preparedness.
- Implementing lessons learned can improve the healthcare system's response to inevitable future stressors.
Abstract:
The coronavirus disease 2019 (COVID-19) pandemic immediately and perhaps irrevocably impacted society at large, the provision of cardiovascular (CV) care, the function and staffing of hospitals, and CV clinicians. Initially many clinicians at all career stages rose to the challenges, and support and accolades were the initial societal response. Politicization of the public health response as well as widespread misinformation and disinformation all negatively impacted CV clinicians' roles as well diminished and, in some cases, eliminated their public and self-esteem. Unabated stress, disrespect, and a likely lack of emotional and physical respite may all have contributed to the Great Resignation. Insights gained from review of the COVID-19 pandemic may help inform changes to foster system resiliency and prepare for an improved response to the inevitable next stressor.
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