Priority health policies in the post-pandemic: the healthcare professionals’ perspective
DOI:
https://doi.org/10.32385/rpmgf.v38i6.13451Keywords:
COVID-19, Health policies, Healthcare professionals, Post-pandemicAbstract
Purpose: To know the opinion and perception of healthcare professionals about the impact of the COVID-19 pandemic on their practice and the priority health policies for post-pandemic reform.
Study design: Observational, cross-sectional, and descriptive.
Population: Adults, active healthcare professionals from any area during the year 2020.
Methods: Data collection through a questionnaire released online on diverse platforms during the first half of July 2021. Descriptive and inferential statistical analysis was performed in Microsoft Excel® and GraphPad Prism®.
Results: Of the 546 healthcare professionals who participated in this study, 93% considered that the COVID-19 pandemic had an important impact on their clinical practice; 65% of these rated this impact as high. There was a statistically significant difference for all work difficulties experienced before vs during the pandemic. It was in Primary Health Care (PHC) that the highest rate of job dissatisfaction was found in the first year of the pandemic. The most priority health policy for the post-pandemic period was the resumption of screenings (94.9%), followed by the hiring of healthcare professionals (94.1%) and the improvement of remunerations (93.2%). Other considered priorities were the planning of the Portuguese National Health Service for situations like this pandemic, the reinforcement of teams and conditions of PHC, and the reduction of bureaucratic work. In contrast, investment in telemedicine was considered the lowest priority policy of all those listed, with only about 67% of participants considering it relevant.
Conclusions: For healthcare professionals, the resumption of screenings is the highest priority health policy to adopt in the post-pandemic period. Investing in PHC is a pressing need and hiring professionals is essential.
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References
World Health Organization. Coronavirus disease (COVID-19) pandemic. Geneva: WHO; 2020 [cited 2022 Jan]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019
Direção-Geral da Saúde. COVID-19. Lisboa: DGS; 2021 [cited 2021 Sep]. Available from: https://covid19.min-saude.pt/#
Entidade Reguladora da Saúde. Impacto da pandemia COVID-19 no sistema de saúde: período de março a junho de 2020 (informação de monitorização) [Internet]. Porto: ERS; 2020 Jul. Available from: https://www.ers.pt/media/3487/im-impacto-covid-19.pdf
Santos P, Maricoto T, Nogueira R, Hespanhol A. O médico de família e o COVID-19. Rev Port Med Geral Fam. 2020;36(2):100-2.
Aires A, Oliveira CA. Depois da tempestade...: relato de um período de pandemia que abalou a bonança [After the storm...: a report of a pandemic period by COVID-19]. Rev Port Med Geral Fam. 2021;37(2):178-86. Portuguese
Carpinteiro JA, Fonseca P, editors. COVID-19: impacto na atividade e no acesso ao SNS (relatório n.º 5/2020-OAC) [Internet]. Lisboa: Tribunal de Contas; 2020 Oct. Available from: https://www.tcontas.pt/pt-pt/ProdutosTC/Relatorios/relatorios-oac/Documents/2020/relatorio-oac-2020-05.pdf
Serviço Nacional de Saúde. Transparência [homepage]. Lisboa: Ministério da Saúde; 2021 [cited 2021 Sep]. Available from: https://www.sns.gov.pt/transparencia/
Ordem dos Médicos. Distribuição por especialidades, idades e sexo: folha resumo. Lisboa: Ordem dos Médicos; 2021.
Serviço Nacional de Saúde. Relatório social do Ministério da Saúde e do Serviço Nacional de Saúde 2018 [Internet]. Lisboa: Ministério da Saúde; 2018. Available from: https://www.acss.min-saude.pt/wp-content/uploads/2019/09/Relatorio-Social-MS_SNS_2018_vf.pdf
Carmo RM, Tavares I, Cândido AF, editors. Um olhar sociológico sobre a crise COVID-19 em livro. Lisboa: Observatório das Desigualdades, CIES-ISCTE; 2020. ISBN 9789728048587
Duarte R. Uma perspetiva sobre o relatório da OCDE ‘Health at a Glance 2020’ [A perspective about the ‘Health at a glance 2020’ OECD report]. Acta Med Port. 2021;34(2):84-6. Portuguese
Sousa J. Impacto da pandemia COVID-19 na prestação de cuidados de saúde em Portugal [Internet]. Movimento Saúde em Dia; 2021. Available from: https://www.corporate.roche.pt/content/dam/rochexx/roche-pt/media/PPT_SaudeEmDia_MOAI_ToPresent.pdf
The Larry A. Green Center. Quick COVID-19 survey [homepage]. Richmond: The Larry A. Green Center; 2021 [cited 2021 Sep]. Available from: https://www.green-center.org/covid-survey
Primary Health Care Performance Initiative. Key messages: COVID-19 and primary health care [Internet]. PHCPI; 2021 [cited 2021 Sep]. Available from: https://improvingphc.org/sites/default/files/COVID-19%20and%20Primary%20Health%20Care_Key%20Messages.pdf
Movimento Saúde em Dia. Saúde em dia 2.0. MSD; 2021.
Rawaf S, Allen LN, Stigler FL, Kringos D, Yamamoto HQ, van Weel C. Lessons on the COVID-19 pandemic, for and by primary care professionals worldwide. Eur J Gen Pract. 2020;26(1):129-33.
Hardcastle L, Ogbogu U. Virtual care: enhancing access or harming care? Healthc Manage Forum. 2020;33(6):288-92.
Webb E, Hernández-Quevedo C, Williams G, Scarpetti G, Reed S, Panteli D. Providing health services effectively during the first wave of COVID-19: a cross-country comparison on planning services, managing cases, and maintaining essential services. Health Policy. 2022;126(5):382-90.
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