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Impacts for health and care workers of Covid-19 and other public health emergencies of international concern

2024-12Artigo científico Acesso aberto
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dc.contributor.authorFronteira, Inês
dc.contributor.authorMathews, Verona
dc.contributor.authordos Santos, Ranailla Lima Bandeira
dc.contributor.authorMatsumoto, Karen
dc.contributor.authorAmde, Woldekidan
dc.contributor.authorPereira, Alessandra
dc.contributor.authorde Oliveira, Ana Paula Cavalcante
dc.contributor.authorCraveiro, Isabel
dc.contributor.authorChança, Raphael
dc.contributor.authorBoniol, Mathieu
dc.contributor.authorFerrinho, Paulo
dc.contributor.authorPoz, Mario Roberto Dal
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - Pólo ENSP
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.institutionInstituto de Higiene e Medicina Tropical (IHMT)
dc.contributor.institutionGlobal Health and Tropical Medicine (GHTM)
dc.contributor.pblWorld Health Organization | BioMed Central (BMC)
dc.date.accessioned2024-05-17T00:39:37Z
dc.date.available2024-05-17T00:39:37Z
dc.date.issued2024-12
dc.descriptionFunding Information: Centro de Estudos, Pesquisa e Desenvolvimento Tecnológico em Saúde Colectiva (CEPESC) provided management/administrative support. Portuguese Fundação para a Ciência e Tecnologia provides funds to Global Health and Tropical Medicine (GHTM), Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa (IHMT/UNL) (GHTM UID/04413/2020). The authors wish to thank Dr. Giorgio Cometto (Health workforce department, World Health Organization, Geneva) for helpful discussions and guidance. Funding Information: Funding from the Government of Canada and Solidarity Fund, through a grant administered by the World Health Organization. Publisher Copyright: © 2024, The Author(s).
dc.description.abstractBackground: Health and care workers (HCW) faced the double burden of the SARS-CoV-2 pandemic: as members of a society affected by a public health emergency and as HWC who experienced fear of becoming infected and of infecting others, stigma, violence, increased workloads, changes in scope of practice, among others. To understand the short and long-term impacts in terms of the COVID-19 pandemic and other public health emergencies of international concern (PHEICs) on HCW and relevant interventions to address them, we designed and conducted a living systematic review (LSR). Methods: We reviewed literature retrieved from MEDLINE—PubMed, Embase, SCOPUS, LILACS, the World Health Organization COVID-19 database, the ClinicalTrials.org and the ILO database, published from January 2000 until December 2021. We included quantitative observational studies, experimental studies, quasi-experimental, mixed methods or qualitative studies; addressing mental, physical health and well-being and quality of life. The review targeted HCW; and interventions and exposures, implemented during the COVID-19 pandemic or other PHEICs. To assess the risk of bias of included studies, we used the Johanna Briggs Institute (JBI) Critical Appraisal Tools. Data were qualitatively synthetized using meta-aggregation and meta-analysis was performed to estimate pooled prevalence of some of the outcomes. Results: The 1013 studies included in the review were mainly quantitative research, cross-sectional, with medium risk of bias/quality, addressing at least one of the following: mental health issue, violence, physical health and well-being, and quality of life. Additionally, interventions to address short- and long-term impact of PHEICs on HCW included in the review, although scarce, were mainly behavioral and individual oriented, aimed at improving mental health through the development of individual interventions. A lack of interventions addressing organizational or systemic bottlenecks was noted. Discussion: PHEICs impacted the mental and physical health of HCW with the greatest toll on mental health. The impact PHEICs are intricate and complex. The review revealed the consequences for health and care service delivery, with increased unplanned absenteeism, service disruption and occupation turnover that subvert the capacity to answer to the PHEICs, specifically challenging the resilience of health systems.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent1388279
dc.identifier.doi10.1186/s12960-024-00892-2
dc.identifier.issn1478-4491
dc.identifier.otherPURE: 91116687
dc.identifier.otherPURE UUID: f683cf80-088e-4b53-811f-56f2fac7dd72
dc.identifier.otherScopus: 85182993808
dc.identifier.otherPubMed: 38273317
dc.identifier.otherWOS: 001148749500001
dc.identifier.otherORCID: /0000-0003-1406-4585/work/159773631
dc.identifier.urihttp://hdl.handle.net/10362/167480
dc.identifier.urlhttps://www.scopus.com/pages/publications/85182993808
dc.language.isoeng
dc.peerreviewedyes
dc.subjectCOVID-19
dc.subjectEbola
dc.subjectHealth and care workers
dc.subjectInfluenza
dc.subjectLiving systematic review
dc.subjectMental health physical health
dc.subjectMERS
dc.subjectMeta-analysis
dc.subjectPublic health emergencies of international concern
dc.subjectSARS
dc.subjectSARS-CoV-2
dc.subjectPublic Administration
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectSDG 3 - Good Health and Well-being
dc.subjectSDG 16 - Peace, Justice and Strong Institutions
dc.titleImpacts for health and care workers of Covid-19 and other public health emergencies of international concernen
dc.title.subtitleliving systematic review, meta-analysis and policy recommendationsen
dc.typejournal article
degois.publication.issue1
degois.publication.titleHuman resources for health
degois.publication.volume22
dspace.entity.typePublication
rcaap.rightsopenAccess

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