在COVID-19患者的医疗保健工作人员中存在现场主义
James C Crosby1, Eliezer Santos Leon2, Brian Chinnock3
1Department of Emergency Medicine, University of Alabama at Birmingham.
JAMA network open
|December 3, 2025
概括
从2020年到2024年,患有COVID-19的医疗保健人员 (HCP) 中的临床现场活动或在生病时工作增加了. 像最小的患者接触和高等教育等因素与这种趋势有关,突出显示了工作场所的风险.
科学领域:
- 职业健康 职业健康 职业健康
- 传染病流行病学 传染病流行病学
- 医疗保健管理的管理
背景情况:
- 被定义为在病时工作的现场主义,对公共卫生构成重大风险,特别是在脆弱患者面临医院感染风险的医疗保健机构.
- 在COVID-19大流行期间,了解医疗保健人员 (HCP) 之间的存在主义对于在医院中减轻SARS-CoV-2传播至关重要.
研究的目的:
- 确定患有COVID-19症状的医疗保健工作者中存在症的频率.
- 为了确定与这个人群中存在感相关的人口,职业和临床因素.
主要方法:
- 一项观察性队列研究利用了"通过疫苗有效性测试预防新发感染" (PREVENT) 项目的数据.
- 该研究包括从2020年12月到2024年4月的24个学术医疗中心的COVID-19症状的HP.
- 现场主义被定义为在疾病期间继续工作,分析对使用多变量模型的混因素进行调整.
主要成果:
- 总共分析了3721名医疗保健人员,其中7.9%的人报告存在主义.
- 患有COVID-19的医疗保健工作者中存在主义的频率显著增加,从2020年的1.4%增加到2024年的15.2%.
- 临场主义与患者接触最小 (aOR,3.73),高等教育 (aOR,1.90) 和收入超过10万美元 (aOR,1.74) 相关.
结论:
- 这项研究观察到,在2020年至2024年期间,COVID-19的医疗保健工作者中,存在主义的发生率在增加.
- 工作角色和社会经济因素与存在主义有显著的关联.
- 需要进一步的研究,以了解在生病时工作的根本原因以及医疗保健工作者中存在主义的日益增长的趋势.
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