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.

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