☆ 4.4 Review

GP wellbeing during the COVID-19 pandemic: a systematic review

BRITISH JOURNAL OF GENERAL PRACTICE (2022)

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Perceived stress and associated factors among healthcare workers in a primary healthcare setting: the Psychological Readiness and Occupational Training Enhancement during COVID-19 Time (PROTECT) study

Eng Sing Lee et al.

Summary: This study aimed to understand the perceived stress levels of healthcare workers (HCWs) in a public primary care setting during the COVID-19 pandemic. Factors such as training, protection and support (TPS), job stress (JS), and perceived stigma and interpersonal avoidance were analyzed. The results showed that all HCWs experienced similar levels of stress, and improving their confidence and providing adequate psychological support were crucial for managing the current pandemic and future disease outbreaks.

SINGAPORE MEDICAL JOURNAL (2022)

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Article Medicine, General & Internal

Impact on mental health of the COVID-19 outbreak among general practitioners during the sanitary lockdown period

Marie Lange et al.

Summary: This study assessed the mental health impact of COVID-19 on French General Practitioners, finding that up to 42% reported psychological disturbances including burnout and post-traumatic stress symptoms. Women were more likely to experience stress and burnout symptoms compared to men.

IRISH JOURNAL OF MEDICAL SCIENCE (2022)

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Article Primary Health Care

Prepared and highly committed despite the risk of COVID-19 infection: a cross-sectional survey of primary care physicians' concerns and coping strategies in Singapore

Jerrald Lau et al.

Summary: Primary care physicians in Singapore perceive themselves to be at high risk of COVID-19 infection and acknowledge that they could pose a risk to their loved ones. Despite this, they accept the risks and prioritize the well-being of COVID-19 patients. Their coping strategies focus on the availability of personal protective equipment, strict infection prevention guidelines, accessible information about COVID-19, and the well-being of their colleagues and family. Healthcare organizations should continue to support PCPs by addressing both their psychosocial and professional needs.

BMC FAMILY PRACTICE (2021)

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Article Primary Health Care

General practitioner trainees' career perspectives after COVID-19: a qualitative study in China

Yue Yin et al.

Summary: Most Chinese GP trainees chose to continue their GP career after the COVID-19 outbreak and showed greater determination to dedicate themselves to it. They recognized changes in their work content during the epidemic, faced various challenges, experienced psychological changes, and aimed to provide better primary care.

BMC FAMILY PRACTICE (2021)

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Review Public, Environmental & Occupational Health

A rapid review of the impact of COVID-19 on the mental health of healthcare workers: implications for supporting psychological well-being

Johannes H. De Kock et al.

Summary: During the COVID-19 crisis, nurses may face higher risks of adverse mental health outcomes, especially female nurses with close contact with COVID-19 patients. In addition to gender and work environment, psychological resilience is an important factor in protecting the psychological well-being of healthcare workers.

BMC PUBLIC HEALTH (2021)

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Article Public, Environmental & Occupational Health

The impact of COVID-19 on private and public primary care physicians: A cross-sectional study

Jerrald Lau et al.

Summary: Private primary care physicians in Singapore tend to be older and more experienced, with higher perceived risk of COVID-19 exposure and overall preparedness. They are more likely to believe that their exposure risk is unacceptable and perceive more stigma against their loved ones.

JOURNAL OF INFECTION AND PUBLIC HEALTH (2021)

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Article Primary Health Care

Family medicine practitioners' stress during the COVID-19 pandemic: a cross-sectional survey

Marion Dutour et al.

Summary: In the French administrative region of Auvergne-Rhone-Alpes severely impacted by COVID-19, 49% of General Practitioners self-perceived stress during the pandemic. The primary source of stress was attributed to the diversity and quantity of information from diverse sources.

BMC FAMILY PRACTICE (2021)

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Article Primary Health Care

Video Visits: Family Physician Experiences With Uptake During the COVID-19 Pandemic

Katherine J. Gold et al.

Summary: The study found that most family physicians had high satisfaction with video visits, considering them to be shorter and comparable in quality to in-person visits. However, some physicians expressed concerns that the video platform may not be suitable for all patient encounters.

FAMILY MEDICINE (2021)

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Letter Clinical Neurology

The psychological impact of COVID-19 on general practitioners in Piedmont, Italy

Lorys Castelli et al.

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A Qualitative Study of Primary Care Physicians' Experiences With Telemedicine During COVID-19

Teresita Gomez et al.

Summary: Physicians reported that telemedicine visits offer new opportunities to improve the quality of patient care but noted changes to their interactions with patients. Many positive changes were observed, including improved patient access, more time for counseling, and better medication reconciliations. However, challenges existed when physical examinations were required, and physicians need to carefully consider their workflows to avoid burnout.

JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE (2021)

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Occupational burnout and job satisfaction among physicians in times of COVID-19 crisis: a convergent parallel mixed-method study

Hamzeh Mohammad Alrawashdeh et al.

Summary: This study investigated the prevalence of burnout and levels of job satisfaction among physicians in Jordan during the COVID-19 crisis, revealing several factors associated with burnout and job satisfaction. Thematic analysis identified work-induced psychological distress, impact on doctor-patient communication and professional skills, and economic impacts as key themes during the pandemic.

BMC PUBLIC HEALTH (2021)

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Article Primary Health Care

Transformation of primary care during the COVID-19 pandemic: experiences of healthcare professionals in eight European countries

Marta Wanat et al.

Summary: During the early stages of the COVID-19 pandemic, European primary care professionals (PCPs) had to quickly adapt to new ways of working, including remote care, amidst a lack of practical training. Despite being overwhelmed with guidance, PCPs turned to their colleagues for moral support and information to cope with uncertainty. Collaboration at the policy level and engagement with local primary care champions are crucial to facilitate easy access to information, ongoing training, and mental health support services for PCPs in future care crises.

BRITISH JOURNAL OF GENERAL PRACTICE (2021)

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Article Health Care Sciences & Services

'Reluctant pioneer': A qualitative study of doctors' experiences as patients with long COVID

Anna K. Taylor et al.

Summary: This paper reports on the experiences of doctors with long COVID, including themes such as making sense of symptoms, feeling let down, using medical knowledge and connections, and hoping for positive outcomes from their experiences. Participants highlighted the transformative potential of experiencing long COVID, as well as the ability to care for and empathize with patients with chronic conditions.

HEALTH EXPECTATIONS (2021)

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Article Public, Environmental & Occupational Health

The Impact of COVID-19 on Dual-Physician Couples: A Disproportionate Burden on Women Physicians

Andrea Soares et al.

Summary: This study found that female members of dual-physician households were more likely to worry about job security, finances, and health, and experienced increased feelings of exhaustion during the pandemic. This highlights the need for additional support for these family members.

JOURNAL OF WOMENS HEALTH (2021)

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Article Psychiatry

Psychological Distress Reported by Primary Care Physicians in China During the COVID-19 Pandemic

Xin Zeng et al.

Summary: This study found that approximately 30% of primary care physicians in China experienced high levels of distress during the COVID-19 pandemic, with factors such as low preparedness, high work impact, personal life impact, and concerns being associated with this distress. Over time, the frequency of high psychological distress decreased, highlighting the importance of addressing mental health during infectious pandemics.

PSYCHOSOMATIC MEDICINE (2021)

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Article Health Care Sciences & Services

Determinants of Mental Health and Practice Behaviors of General Practitioners During COVID-19 Pandemic in Bali, Indonesia: A Cross-sectional Study

Firman Parulian Sitanggang et al.

Summary: The study found that the mental health status of general practitioners (GPs) in Bali, Indonesia was relatively good, but there were inadequacies in their COVID-19 prevention practices. Factors such as long working hours and fear of COVID-19 negatively impacted mental health, while consistent hand hygiene was found to improve it. Determinants for personal protective equipment (PPE) use included workplace, work setting, and fear of COVID-19, with GPs in primary health centers and private hospitals showing lower adherence to hand hygiene protocols. Intervention is needed to improve practice behavior and targets for intervention have been identified in this study.

RISK MANAGEMENT AND HEALTHCARE POLICY (2021)

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Induction of SARS-CoV-2-Specific IgG and IgA in Serum and Milk with Different SARS-CoV-2 Vaccines in Breastfeeding Women: A Cross-Sectional Study in Northern Spain

Carolina Lechosa-Muniz et al.

Summary: This study found that all vaccinated breastfeeding mothers produced antibodies against the SARS-CoV-2 vaccine, regardless of the commercial vaccine used. Additionally, breastfeeding mothers provide their infants with IgA and IgG antibodies against the SARS-CoV-2 protein S through breast milk.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2021)

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General practitioners' knowledge, preparedness, and experiences of managing COVID-19 in Australia

Cristina Sotomayor-Castillo et al.

Summary: A survey conducted by the University of Sydney shows that in Australia, the majority of general practitioners have good knowledge of COVID-19, but over half of them did not receive training in the use of personal protective equipment. The main challenges they face include shortages of PPE, personal distress, and information overload.

INFECTION DISEASE & HEALTH (2021)

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Article Psychiatry

Psychological Distress Reported by Primary Care Physicians in China During the COVID-19 Pandemic

Xin Zeng et al.

Summary: This study found that approximately 30% of primary care physicians in China experienced high levels of psychological distress during the COVID-19 pandemic. Factors associated with high distress levels included low preparedness, high work impact, personal life impact, and concerns. Enhancing psychological health is crucial during infectious pandemics.

PSYCHOSOMATIC MEDICINE (2021)

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Article Primary Health Care

Physician Burnout in Primary Care during the COVID-19 Pandemic: A Cross-Sectional Study in Portugal

Sofia Baptista et al.

Summary: This study found high levels of burnout among primary care physicians during the COVID-19 pandemic, with factors such as gender, years of professional experience, depression, and anxiety being strongly associated. More long-term studies are needed to comprehensively assess the impact of COVID-19 on burnout levels among physicians and how to best address and mitigate it during such unprecedented times.

JOURNAL OF PRIMARY CARE AND COMMUNITY HEALTH (2021)

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Article Medicine, General & Internal

Probable generalized anxiety disorders in the COVID-19 pandemic: assessment in general practitioners in the Colombian Caribbean

Alvaro Monterrosa-Castro et al.

Summary: This study investigated general practitioners in the Colombian Caribbean and found that almost one quarter may have probable Generalized Anxiety Disorder related to thoughts, perceptions, feelings, subjectivities, and actions concerning medical performance and the COVID-19 pandemic. Factors associated with lower presence of GAD included feeling of employer protection, perception of sufficient government measures, and trust in authorities' information.

DUAZARY (2021)

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Article Health Policy & Services

Evaluation of Job Strain of Family Physicians in COVID-19 Pandemic Period- An Example from Turkey

Beray Gelmez TAS et al.

Summary: The study found that family physicians experienced increased anxiety levels and significantly increased job strain scores during the Covid-19 pandemic. Compared to unmarried family physicians, married family physicians showed an increase in social support scores during the pandemic period.

JOURNAL OF COMMUNITY HEALTH (2021)

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Article Medicine, General & Internal

Resilience, burnout and coping mechanisms in UK doctors: a cross-sectional study

Nicola McKinley et al.

BMJ OPEN (2020)

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Letter Psychiatry

Psychological symptoms among frontline healthcare workers during COVID-19 outbreak in Wuhan

Jiang Du et al.

GENERAL HOSPITAL PSYCHIATRY (2020)

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Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China

Wen-rui Zhang et al.

PSYCHOTHERAPY AND PSYCHOSOMATICS (2020)

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Article Medicine, General & Internal

Psychosocial factors associated with symptoms of generalized anxiety disorder in general practitioners during the COVID-19 pandemic

Alvaro Monterrosa-Castro et al.

JOURNAL OF INVESTIGATIVE MEDICINE (2020)

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Letter Psychiatry

The psychological well-being of physicians during COVID-19 outbreak in Oman

Abdallah M. Badahdah et al.

PSYCHIATRY RESEARCH (2020)

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Primary Care Practitioners' Barriers to and Experience of COVID-19 Epidemic Control in China: a Qualitative Study

Zhijie Xu et al.

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Article Primary Health Care

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Desiree Man-Sik Tse et al.

BMC FAMILY PRACTICE (2020)

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Article Health Care Sciences & Services

Methodological guidance for the conduct of mixed methods systematic reviews

Cindy Stern et al.

JBI EVIDENCE SYNTHESIS (2020)

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Article Infectious Diseases

Family Physicians' Knowledge about and Attitudes towards COVID-19 - A Cross-sectional Multicentric Study

Ozden Gokdemir et al.

INFECTION AND CHEMOTHERAPY (2020)

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Article Psychology, Multidisciplinary

Mental Health Outcomes Among Healthcare Workers and the General Population During the COVID-19 in Italy

Rodolfo Rossi et al.

FRONTIERS IN PSYCHOLOGY (2020)

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Article Health Care Sciences & Services

Professional Quality of Life and Perceived Stress in Health Professionals before COVID-19 in Spain: Primary and Hospital Care

Angela Maria Ortega-Galan et al.

HEALTHCARE (2020)

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Article Psychology, Multidisciplinary

From Resilience to Burnout: Psychological Features of Italian General Practitioners During COVID-19 Emergency

Cinzia Di Monte et al.

FRONTIERS IN PSYCHOLOGY (2020)

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Jianbo Lai et al.

JAMA NETWORK OPEN (2020)

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Editorial Material Medicine, General & Internal

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LANCET (2019)

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Review Psychiatry

Burnout and psychiatric morbidity among doctors in the UK: a systematic literature review of prevalence and associated factors

Udemezue O. Imo

BJPSYCH BULLETIN (2017)

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Burnout and Satisfaction With Work-Life Balance Among US Physicians Relative to the General US Population

Tait D. Shanafelt et al.

ARCHIVES OF INTERNAL MEDICINE (2012)

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Depersonalised doctors: a cross-sectional study of 564 doctors, 760 consultations and 1876 patient reports in UK general practice

Peter Orton et al.

BMJ OPEN (2012)

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Association of Resident Fatigue and Distress With Perceived Medical Errors

Colin P. West et al.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2009)

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David Moher et al.

BMJ-BRITISH MEDICAL JOURNAL (2009)

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