What does COVID-19 tell us about the Peruvian health system?

Gianella, Camila; Gideon, Jasmine; Romero, María José

doi:10.1080/02255189.2020.1843009

Cited by 28 publications

(27 citation statements)

References 23 publications

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“…Peru is one of the countries most affected by COVID-19 in terms of incidence and mortality rates. 29 , 30 Its fragmented health system and serious funding problems 31 might further exacerbate violent episodes against health workers. Here, we sought to determine the frequency and characteristics of WPV against Peruvian doctors attending COVID-19 patients.…”

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confidence: 99%

Workplace Violence Against Physicians Treating COVID-19 Patients in Peru: A Cross-Sectional Study

Toia¹,

Carpio²,

Mayta‐Tristán³

et al. 2021

The Joint Commission Journal on Quality and Patient Safety

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Background The COVID-19 pandemic is an unprecedented challenge to health systems that has revealed shortcomings and increased unmet demands. Such situations might exacerbate workplace violence (WPV) against doctors, as has been reported in several parts of the world. Methods To identify the frequency and characteristics of WPV suffered by physicians attending COVID-19 patients in Peru, a descriptive, cross-sectional study was conducted with an online survey of 200 physicians. Results Of the survey respondents, 84.5% had suffered some type of violence 97.5% of these suffered non-physical violence. Suffering more than one incidence of violence was reported by 75.7% of respondents. The primary aggressor was a patient's family member or caregiver. Violence occurred most frequently in critical areas inside the health service facility, such as COVID-19 triage, tents, and hospital units, although it also occurred during teleconsultations. Multiple shortcomings of the health services were perceived as the main trigger of violence. Being a female physician (odds ratio [OR] = 2.8 [1.06–5.83]) and working in a COVID-19 ICU (OR = 5.84 [1.60–21.28]) were the main factors associated with WPV. Conclusion Violence against physicians attending COVID-19 patients in Peru is common; the perceived factors that contribute most to violence are linked to deficiencies in health services.

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mentioning

confidence: 99%

Workplace Violence Against Physicians Treating COVID-19 Patients in Peru: A Cross-Sectional Study

Toia¹,

Carpio²,

Mayta‐Tristán³

et al. 2021

The Joint Commission Journal on Quality and Patient Safety

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“…Esto indica la existencia de diversos sectores en donde no solo persiste un déficit de este recurso, sino que se ha agravado durante la cuarentena generando mayores limitaciones en el despliegue de la labor asistencial para la atención de pacientes infectados y el desarrollo de intervenciones esenciales en salud pública, incluyendo, por ejemplo, la realización de pruebas diagnósticas o aplicación de vacunas para el COVID-19. Ante ello, resulta urgente el despliegue de estrategias que permitan compensar la disponibilidad de RHUS en estos sectores dada las evidencias que señalan un mayor impacto del COVID en las poblaciones peruanas con deficiencias en este recurso (21,22) .…”

Section: Discussionunclassified

Cambios en la densidad de recursos humanos en salud durante la epidemia de COVID-19 en el Perú, abril - agosto 2020

et al. 2021

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Objetivo. Analizar los cambios en la Densidad de Recursos Humanos en Salud(DRHS) en el Ministerio de Salud a nivel regional y provincial en el Perú; a fin de describir la respuesta del sistema de salud sobre este componente durante la epidemia de COVID-19. Métodos. Estudio descriptivo basado en el análisis de la base de datos nacional de INFORHUS del Ministerio de Salud. Para el cálculo de la DRHS, se consideró como numerador al personal de salud registrado en la base de INFORHUS y como denominador a la población adscrita al Seguro Integral de Salud – SIS. Se excluyó a personal de salud que falleció y aún estaba registrado, y a personal diagnosticado de COVID-19 por prueba rápida o molecular durante los meses considerados en el análisis. Se analizaron los cambios porcentuales de DRHS entre los meses de abril hasta agosto de 2020 a nivel regional y provincial en el Perú. Resultados. En el periodo abril-agosto la DRHS a nivel nacional se incrementó en un 5,1%. A nivel regional este incremento se logró en 15 de las 25 regiones con una variación desde 0,2% hasta 12,3%, y se visualizó una reducción brusca y sostenida del personal nombrado, juntamente con un incremento del personal con contratos temporales. En el resto de las regiones se visualizó una reducción de DRHS la cual varió entre -0,7% hasta -7,7%. Conclusiones. La DRHS en el Perú mostró un leve incremento a nivel nacional durante el primer periodo de cuarentena por la pandemia de COVID-19; sin embargo, este resultado no ha sido equitativo en las diferentes regiones y provincias a nivel nacional. Esto sugiere una limitación en el alcance de las medidas tomadas por el gobierno, y la necesidad de tomar acciones para el fortalecimiento de la situación de salud y despliegue de RHUS en los sectores más desfavorecidos.

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“…Despite having among the highest levels of economic growth in Latin America, Peru has had the highest levels of mortality from the pandemic in the region, attributed to high levels of social inequality, underinvestment in health and social protection systems and an overfocus on hospital-based intensive care, rather than community and primary care services. 6 These outcomes signal a rising 'health and social debt' in communities, the true scale and long-term consequences of which are as yet unknown, especially for the most marginalised in society.…”

Section: Pandemic Impacts On Families Adolescents and Childrenmentioning

confidence: 99%