Challenges facing Chinese primary care in the context of COVID-19

Yu, Xiao; Li, Yunge; Du, Na; Luo, Lishi

doi:10.1093/fampra/cmab179

Cited by 2 publications

(2 citation statements)

References 16 publications

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“…This leads to shorter consultation times per patient, potentially compromising the quality of care provided and decreasing patient satisfaction (47). To address the underlying factors contributing to WPV, it is crucial to improve the quality and utilization of primary care services as a long-term strategy within the healthcare system (19,48). One strength of our study is the identification of factors associated with different types of WPV.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with workplace violence against Chinese healthcare workers: an online cross-sectional survey

Xiao,

Chen,

Zhu

et al. 2024

Front. Public Health

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ObjectivesWorkplace violence (WPV) against healthcare workers (HCWs) has reached significant levels globally, impeding the quality and accessibility of healthcare systems. However, there is limited available knowledge regarding the determinants linked with WPV among HCWs and the discrepancies observed across various levels of hospitals in China. The objective of the present research was to investigate the factors linked to WPV and job satisfaction among HCWs in China.MethodsA self-developed questionnaire based on WeChat was employed to collect data. The questionnaire consisted of demographic information as well as occupational factors. To measure WPV, the Chinese version of the Workplace Violence Scale was utilized. Career satisfaction was assessed through two questions regarding career choices. The collected data was analyzed using descriptive analyses, chi-square tests, and multivariate logistic regressions.ResultsA total of 3,781 valid questionnaires (1,029 doctors and 2,752 nurses) were collected. Among all participants, 2,201 (58.2%) reported experiencing at least one form of WPV in the past year, with emotional abuse being the most frequent occurrence (49.7%), followed by threats (27.9%). The multivariate logistic regression analysis revealed several risk factors associated with WPV, including male gender, shift work, senior professional title, bachelor’s degree education, employment in secondary-level hospitals, and working over 50 h per week (p < 0.05). Career satisfaction among HCWs who experienced high levels of WPV was low, with only 11.2% remaining confident in their profession, and a mere 2.0% supporting their children pursuing careers in healthcare.ConclusionWPV poses a significant challenge within the Chinese healthcare system. Efforts should be made to address the identified risk factors and promote a safe and satisfying working environment for HCWs.

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Section: Discussionmentioning

confidence: 99%

Factors associated with workplace violence against Chinese healthcare workers: an online cross-sectional survey

Xiao,

Chen,

Zhu

et al. 2024

Front. Public Health

Self Cite

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“…However, this research activity in Europe was limited to isolated publications. As Xiao et al pointed out, not only the appropriate education and training for pandemic situations, but also the general education for GPs is in crucial aspect of preparedness ( 35 ).…”

Section: Discussionmentioning

confidence: 99%

COVI-Prim international: Similarities and discrepancies in the way general practices from seven different countries coped with the COVID-19 pandemic

Siebenhofer

Scott

Avian

et al. 2022

Front. Public Health

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ObjectivesGeneral practitioners (GPs) are frequently patients' first point of contact with the healthcare system and play an important role in identifying, managing and monitoring cases. This study investigated the experiences of GPs from seven different countries in the early phases of the COVID-19 pandemic.DesignInternational cross-sectional online survey.SettingGeneral practitioners from Australia, Austria, Germany, Hungary, Italy, Slovenia and Switzerland.ParticipantsOverall, 1,642 GPs completed the survey.Main outcome measuresWe focused on how well-prepared GPs were, their self-confidence and concerns, efforts to control the spread of the disease, patient contacts, information flow, testing procedures and protection of staff.ResultsGPs gave high ratings to their self-confidence (7.3, 95% CI 7.1–7.5) and their efforts to control the spread of the disease (7.2, 95% CI 7.0–7.3). A decrease in the number of patient contacts (5.7, 95% CI 5.4–5.9), the perception of risk (5.3 95% CI 4.9–5.6), the provision of information to GPs (4.9, 95% CI 4.6–5.2), their testing of suspected cases (3.7, 95% CI 3.4–3.9) and their preparedness to face a pandemic (mean: 3.5; 95% CI 3.2–3.7) were rated as moderate. GPs gave low ratings to their ability to protect staff (2.2 95% CI 1.9–2.4). Differences were identified in all dimensions except protection of staff, which was consistently low in all surveyed GPs and countries.ConclusionAlthough GPs in the different countries were confronted with the same pandemic, its impact on specific aspects differed. This partly reflected differences in health care systems and experience of recent pandemics. However, it also showed that the development of structured care plans in case of future infectious diseases requires the early involvement of primary care representatives.

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Challenges facing Chinese primary care in the context of COVID-19

Cited by 2 publications

References 16 publications

Factors associated with workplace violence against Chinese healthcare workers: an online cross-sectional survey

Factors associated with workplace violence against Chinese healthcare workers: an online cross-sectional survey

COVI-Prim international: Similarities and discrepancies in the way general practices from seven different countries coped with the COVID-19 pandemic

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