文章基本信息

标题：Psychological Impacts of the COVID-19 Pandemic on Rural Physicians in Ontario: A Qualitative Study
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作者：Anchaleena Mandal ; Eva Purkey
期刊名称：Healthcare
电子版ISSN：2227-9032
出版年度：2022
卷号：10
期号：3
DOI：10.3390/healthcare10030455
语种：English
出版社：MDPI Publishing
摘要：Frontline rural physicians in Canada are vulnerable to the psychological impacts of the COVID-19 pandemic considering their high pre-pandemic burnout rates as compared to their urban counterparts. This study aims to understand the psychological impacts of the COVID-19 pandemic on rural family physicians engaged in full-time primary care practice in Ontario and the stressors behind any identified challenges. Recruitment combined purposive, convenience, and snowball sampling. Twenty-five rural physicians participated in this study. Participants completed a questionnaire containing Patient Health Questionnaire-2 (depression), General Anxiety Disorder-2 (anxiety), and Perceived Stress Scale-4 (stress) screening as well as questions exploring self-reported perceptions of change in their mental health, followed by a semi-structured virtual interview. Quantitative data showed an overall increase in self-reported depression, anxiety, and stress levels. Thematic analysis revealed seven qualitative themes including the positive and negative psychological impacts on rural physicians, as well as the effects of increased workload, infection risk, limited resources, and strained personal relationships on the mental health of rural physicians. Coping techniques and experiences with physician wellness resources were also discussed. Recommendations include establishing a rapid locum supply system, ensuring rural representation at decision-making tables, and taking an organizational approach to support the mental health of rural physicians.
关键词：enCOVID-19mental healthpsychological impactpandemicepidemicprimary care physicianscoronavirus diseaserural