Derek Blevins1,2,3,4,5,6,7,8,9,10,11,12,13,14, Brandy F Henry1,2,3,4,5,6,7,8,9,10,11,12,13,14, Minhee Sung1,2,3,4,5,6,7,8,9,10,11,12,13,14, E Jennifer Edelman1,2,3,4,5,6,7,8,9,10,11,12,13,14, Anne C Black1,2,3,4,5,6,7,8,9,10,11,12,13,14, Michael Dawes1,2,3,4,5,6,7,8,9,10,11,12,13,14, Todd Molfenter1,2,3,4,5,6,7,8,9,10,11,12,13,14, Holly Hagle1,2,3,4,5,6,7,8,9,10,11,12,13,14, Karen Drexler1,2,3,4,5,6,7,8,9,10,11,12,13,14, Kathryn Cates-Wessel1,2,3,4,5,6,7,8,9,10,11,12,13,14, Frances R Levin1,2,3,4,5,6,7,8,9,10,11,12,13,14. 1. Department of Psychiatry, Columbia University Irving Medical Center, New York City (Blevins, Levin). 2. New York State Psychiatric Institute, New York City (Blevins, Levin). 3. Columbia University School of Social Work, New York City (Henry). 4. Department of Educational Psychology, Counseling and Special Education, College of Education, Pennsylvania State University, University Park (Henry). 5. U.S. Department of Veterans Affairs (VA) Health Services Research and Development, West Haven, Connecticut (Sung). 6. VA Connecticut Healthcare System, West Haven (Sung, Black). 7. Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut (Edelman, Black). 8. Department of Psychiatry, Boston University School of Medicine, Boston (Dawes). 9. Boston Medical Center, Boston (Dawes). 10. Center for Health Enhancement System Studies, University of Wisconsin, Madison (Molfenter). 11. Addiction Technology Transfer Center Network, Kansas City, Missouri (Hagle). 12. School of Nursing and Health Studies, University of Missouri, Kansas City (Hagle). 13. Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta (Drexler). 14. American Academy of Addiction Psychiatry, East Providence, Rhode Island (Cates-Wessel).
Abstract
OBJECTIVE: The COVID-19 pandemic has dramatically affected health care delivery, effects that are juxtaposed with health care professional (HCP) burnout and mental distress. The Opioid Use Disorder Provider COVID-19 Survey was conducted to better understand the impact of COVID-19 on clinical practice and HCP well-being. METHODS: The cross-sectional survey was e-mailed to listservs with approximately 157,000 subscribers of diverse professions between July 14 and August 15, 2020. Two dependent variables evaluated HCP functioning and work-life balance. Independent variables assessed organizational practices and HCP experiences. Covariates included participant demographic characteristics, addiction board certification, and practice setting. Multilevel multivariate logistic regression models were used. RESULTS: Among 812 survey respondents, most were men, White, and physicians, with 46% located in urban settings. Function-impairing anxiety was reported by 17%, and 28% reported more difficulty with work-life balance. Difficulty with functioning was positively associated with having staff who were sick with COVID-19 and feeling close to patients, and was negatively associated with being male and having no staff changes. Difficulty with work-life balance was positively associated with addiction board certification; working in multiple settings; having layoffs, furloughs, or reduced hours; staff illness with COVID-19; and group well-being check-ins. It was negatively associated with male gender, older age, and no staff changes. CONCLUSIONS: Demographic, provider, and organizational-practice variables were associated with reporting negative measures of well-being during the COVID-19 pandemic. These results should inform HCPs and their organizations on factors that may lead to burnout, with particular focus on gender and age-related concerns and the role of well-being check-ins.
OBJECTIVE: The COVID-19 pandemic has dramatically affected health care delivery, effects that are juxtaposed with health care professional (HCP) burnout and mental distress. The Opioid Use Disorder Provider COVID-19 Survey was conducted to better understand the impact of COVID-19 on clinical practice and HCP well-being. METHODS: The cross-sectional survey was e-mailed to listservs with approximately 157,000 subscribers of diverse professions between July 14 and August 15, 2020. Two dependent variables evaluated HCP functioning and work-life balance. Independent variables assessed organizational practices and HCP experiences. Covariates included participant demographic characteristics, addiction board certification, and practice setting. Multilevel multivariate logistic regression models were used. RESULTS: Among 812 survey respondents, most were men, White, and physicians, with 46% located in urban settings. Function-impairing anxiety was reported by 17%, and 28% reported more difficulty with work-life balance. Difficulty with functioning was positively associated with having staff who were sick with COVID-19 and feeling close to patients, and was negatively associated with being male and having no staff changes. Difficulty with work-life balance was positively associated with addiction board certification; working in multiple settings; having layoffs, furloughs, or reduced hours; staff illness with COVID-19; and group well-being check-ins. It was negatively associated with male gender, older age, and no staff changes. CONCLUSIONS: Demographic, provider, and organizational-practice variables were associated with reporting negative measures of well-being during the COVID-19 pandemic. These results should inform HCPs and their organizations on factors that may lead to burnout, with particular focus on gender and age-related concerns and the role of well-being check-ins.
Entities:
Keywords:
Alcohol and drug abuse; Burnout; COVID-19; Coronavirus; Health care worker; Well-being
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