Sagar B Dugani1, Karen M Fischer, Holly L Geyer, Michael J Maniaci, Ivana T Croghan, M Caroline Burton. 1. Sagar B. Dugani practices in the Division of Hospital Internal Medicine and the Division of Health Care Delivery Research, Kern Center for the Science of Health Care Delivery, at the Mayo Clinic in Rochester, Minn. Karen M. Fischer is a biostatistician in the Department of Quantitative Health Sciences at the Mayo Clinic in Rochester, Minn. Holly L. Geyer practices in the Division of Hospital Internal Medicine at the Mayo Clinic in Scottsdale, Ariz. Michael J. Maniaci practices in the Division of Hospital Internal Medicine, Mayo Clinic in Jacksonville, Fla. Ivana T. Croghan practices in the Department of Medicine, Division of General Internal Medicine, the Kern Center for the Science of Health Care Delivery, and the Department of Medicine's Clinical Research Office, all at the Mayo Clinic in Rochester, Minn. M. Caroline Burton practices in the Division of Hospital Internal Medicine at the Mayo Clinic in Rochester, Minn. Dr. Dugani discloses that he is supported by the National Institutes of Health/National Institute on Minority Health and Health Disparities (NIH K23 MD016230) and the Robert and Elizabeth Strickland Career Development Award at the Mayo Clinic in Rochester, Minn. This publication was made possible by the Mayo Clinic CTSA through grant number UL1TR002377 from the National Center for Advancing Translational Sciences (NCATS), a component of the National Institutes of Health. The funders had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication. The findings do not necessarily represent the views of the funders. The authors have disclosed no other potential conflicts of interest, financial or otherwise.
Abstract
OBJECTIVES: Hospitalists, comprising PAs, NPs, and physicians, manage patients hospitalized with COVID-19. To guide the development of support programs, this study compared the psychologic wellness of hospitalist PAs, NPs, and physicians during the COVID-19 pandemic. METHODS: We surveyed hospitalists in 16 hospitals at Mayo Clinic, from May 4 to 25, 2020. We used PROMIS surveys for self-reported global well-being (two single-item measures), anxiety, social isolation, and emotional support, before and during the pandemic. Linear and logistic regression models were adjusted for personal and professional factors. RESULTS: The response rate was 52.2% (N = 154/295). In adjusted linear regression models, the change in scores (before minus during pandemic) for anxiety, social isolation, and emotional support was similar for PAs and NPs compared with physicians. In adjusted logistic regression models, physicians, compared with PAs and NPs, had a higher odds of top global well-being for mental health (adjusted odds ratio [95% confidence interval]: 2.82 [1.12, 7.13]; P = .03) and top global well-being for social activities and relationships (adjusted odds ratio 4.08 [1.38, 12.08]; P = .01). CONCLUSIONS: During the COVID-19 pandemic, global well-being was lower for PAs and NPs compared with physician hospitalists. These results can guide support programs for hospitalists.
OBJECTIVES: Hospitalists, comprising PAs, NPs, and physicians, manage patients hospitalized with COVID-19. To guide the development of support programs, this study compared the psychologic wellness of hospitalist PAs, NPs, and physicians during the COVID-19 pandemic. METHODS: We surveyed hospitalists in 16 hospitals at Mayo Clinic, from May 4 to 25, 2020. We used PROMIS surveys for self-reported global well-being (two single-item measures), anxiety, social isolation, and emotional support, before and during the pandemic. Linear and logistic regression models were adjusted for personal and professional factors. RESULTS: The response rate was 52.2% (N = 154/295). In adjusted linear regression models, the change in scores (before minus during pandemic) for anxiety, social isolation, and emotional support was similar for PAs and NPs compared with physicians. In adjusted logistic regression models, physicians, compared with PAs and NPs, had a higher odds of top global well-being for mental health (adjusted odds ratio [95% confidence interval]: 2.82 [1.12, 7.13]; P = .03) and top global well-being for social activities and relationships (adjusted odds ratio 4.08 [1.38, 12.08]; P = .01). CONCLUSIONS: During the COVID-19 pandemic, global well-being was lower for PAs and NPs compared with physician hospitalists. These results can guide support programs for hospitalists.
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