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Distress and Wellbeing among General Practitioners in 33 Countries during COVID-19: Results from the Cross-Sectional PRICOV-19 Study to Inform Health System Interventions

Author

Listed:
  • Claire Collins

    (Research Centre, Irish College of General Practitioners, D02 XR68 Dublin, Ireland)

  • Els Clays

    (Department of Public Health and Primary Care, Ghent University, 9000 Ghent, Belgium)

  • Esther Van Poel

    (Department of Public Health and Primary Care, Ghent University, 9000 Ghent, Belgium)

  • Joanna Cholewa

    (Institute of Health and Society, Catholic University of Louvain, 1348 Louvain-la-Neuve, Belgium)

  • Katica Tripkovic

    (City Institute of Public Health Belgrade, 11000 Belgrade, Serbia)

  • Katarzyna Nessler

    (Department of Family Medicine, Jagiellonian University Medical College, 31-061 Krakow, Poland)

  • Ségolène de Rouffignac

    (Institute of Health and Society, Catholic University of Louvain, 1348 Louvain-la-Neuve, Belgium)

  • Milena Šantrić Milićević

    (Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia)

  • Zoran Bukumiric

    (Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia)

  • Limor Adler

    (Department of Family Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel)

  • Cécile Ponsar

    (Institute of Health and Society, Catholic University of Louvain, 1348 Louvain-la-Neuve, Belgium)

  • Liubove Murauskiene

    (Public Health Department, Faculty of Medicine, Vilnius University, LT-01513 Vilnius, Lithuania)

  • Zlata Ožvačić Adžić

    (Department of Family Medicine, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia)

  • Adam Windak

    (Department of Family Medicine, Jagiellonian University Medical College, 31-061 Krakow, Poland)

  • Radost Asenova

    (Department of General Practice, Medical University Plovdiv, 4003 Plovdiv, Bulgaria)

  • Sara Willems

    (Department of Public Health and Primary Care, Ghent University, 9000 Ghent, Belgium)

Abstract

Emerging literature is highlighting the huge toll of the COVID-19 pandemic on frontline health workers. However, prior to the crisis, the wellbeing of this group was already of concern. The aim of this paper is to describe the frequency of distress and wellbeing, measured by the expanded 9-item Mayo Clinic Wellbeing Index (eWBI), among general practitioners/family physicians during the COVID-19 pandemic and to identify levers to mitigate the risk of distress. Data were collected by means of an online self-reported questionnaire among GP practices. Statistical analysis was performed using SPSS software using Version 7 of the database, which consisted of the cleaned data of 33 countries available as of 3 November 2021. Data from 3711 respondents were included. eWBI scores ranged from −2 to 9, with a median of 3. Using a cutoff of ≥2, 64.5% of respondents were considered at risk of distress. GPs with less experience, in smaller practices, and with more vulnerable patient populations were at a higher risk of distress. Significant differences in wellbeing scores were noted between countries. Collaboration from other practices and perception of having adequate governmental support were significant protective factors for distress. It is necessary to address practice- and system-level organizational factors in order to enhance wellbeing and support primary care physicians.

Suggested Citation

  • Claire Collins & Els Clays & Esther Van Poel & Joanna Cholewa & Katica Tripkovic & Katarzyna Nessler & Ségolène de Rouffignac & Milena Šantrić Milićević & Zoran Bukumiric & Limor Adler & Cécile Ponsar, 2022. "Distress and Wellbeing among General Practitioners in 33 Countries during COVID-19: Results from the Cross-Sectional PRICOV-19 Study to Inform Health System Interventions," IJERPH, MDPI, vol. 19(9), pages 1-13, May.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:5675-:d:810054
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    References listed on IDEAS

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    1. Tina Vilovic & Josko Bozic & Marino Vilovic & Doris Rusic & Sanja Zuzic Furlan & Marko Rada & Marion Tomicic, 2021. "Family Physicians’ Standpoint and Mental Health Assessment in the Light of COVID-19 Pandemic—A Nationwide Survey Study," IJERPH, MDPI, vol. 18(4), pages 1-17, February.
    2. Lena Werdecker & Tobias Esch, 2021. "Burnout, satisfaction and happiness among German general practitioners (GPs): A cross-sectional survey on health resources and stressors," PLOS ONE, Public Library of Science, vol. 16(6), pages 1-19, June.
    3. Kavita Batra & Tejinder Pal Singh & Manoj Sharma & Ravi Batra & Nena Schvaneveldt, 2020. "Investigating the Psychological Impact of COVID-19 among Healthcare Workers: A Meta-Analysis," IJERPH, MDPI, vol. 17(23), pages 1-33, December.
    4. Böhm, Katharina & Schmid, Achim & Götze, Ralf & Landwehr, Claudia & Rothgang, Heinz, 2013. "Five types of OECD healthcare systems: Empirical results of a deductive classification," Health Policy, Elsevier, vol. 113(3), pages 258-269.
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    Cited by:

    1. Peter Groenewegen & Esther Van Poel & Peter Spreeuwenberg & Ronald Batenburg & Christian Mallen & Liubove Murauskiene & Antoni Peris & Benoit Pétré & Emmily Schaubroeck & Stefanie Stark & Emil L. Sigu, 2022. "Has the COVID-19 Pandemic Led to Changes in the Tasks of the Primary Care Workforce? An International Survey among General Practices in 38 Countries (PRICOV-19)," IJERPH, MDPI, vol. 19(22), pages 1-20, November.
    2. Simon Kugai & Dorothea Wild & Yelda Krumpholtz & Manuela Schmidt & Katrin Balzer & Astrid Mayerböck & Birgitta Weltermann, 2023. "German GPs’ Self-Perceived Role in the COVID-19 Pandemic: Leadership, Participation in Regional Services and Preferences for Future Pandemic Preparedness," IJERPH, MDPI, vol. 20(12), pages 1-14, June.
    3. Elizaveta Fomenko & Ines Keygnaert & Esther Van Poel & Claire Collins & Raquel Gómez Bravo & Päivi Korhonen & Merja K. Laine & Liubove Murauskiene & Athina Tatsioni & Sara Willems, 2023. "Screening for and Disclosure of Domestic Violence during the COVID-19 Pandemic: Results of the PRICOV-19 Cross-Sectional Study in 33 Countries," IJERPH, MDPI, vol. 20(4), pages 1-13, February.

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