An overview of Indonesian doctors in combating COVID-19
DOI:
https://doi.org/10.18203/2320-6012.ijrms20221834Keywords:
COVID-19, Doctor, Healthcare facilities, Hand hygiene, Personal protective equipmentAbstract
Background: Indonesia's COVID-19 pandemic is putting a strain on the ability of health systems around the world to adapt and maintain sustainable performance. Indonesia has had more than four million cases of the disease and more than 141 thousand deaths in Indonesia. The hospital, along with other healthcare facilities, contributes to providing comprehensive individual health care in outpatient, inpatient, and emergency settings. Changes in facilities for patient accommodation, and acquisition of personal protective equipment (PPE) are all going through substantial changes. As doctors and health workers continue to work on this case every day while out in the field, many of their colleagues become ill and some die as a result. The aim of the study was intended to provide an overview of the conditions faced by doctors in Indonesia in dealing with COVID-19.
Methods: The researchers surveyed the situation of 270 Indonesian doctors and specialists working during the COVID-19 pandemic. The questionnaires adapted from the WHO risk assessment tool for healthcare workers were translated into Bahasa Indonesia and distributed from April 2021 to May 2021 using a retrospective study.
Results: Most respondents were female (61.5%) with an average age of 27.7. Forty respondents (14.8%) had a history of COVID-19.
Conclusions: Based on compliance with using PPE and compliance with washing hands, doctors in Indonesia had a low risk of contracting COVID-19 from the healthcare facility environment. Even so, a correlation was found between the history of COVID-19 and happiness at work.
References
Harris C, Carson G, Baillie JK, Horby P, Nair H. An evidence-based framework for priority clinical research questions for COVID-19. J Glob Health. 2020;10(1):011001.
Indonesia: WHO Coronavirus Disease (COVID-19) Dashboard With Vaccination Data WHO Coronavirus (COVID-19) Dashboard With Vaccination Data. Available at: https://covid19. who.int/region/searo/country/id. Accessed on 14 February 2022.
Mitigasi T. Data terbaru ini sesuai data laporan masuk 07 September 2021 pukul 23.59 WIB, terkait para sejawat dokter yang telah berpulang mendahului. Instagram. 2021. Available at: https://www.instagram.com/p/CTmfnW4J00e/. Accessed on 12 February 2022.
Pemerintah Pusat Republik Indonesia. Undang-Undang No. 44 Tahun 2009 tentang Rumah Sakit. 2009. Available at: https://peraturan.bpk.go.id/ Home. Accessed on 12 February 2022.
Jasirwan COM, Sjaaf AC. A Scoping Review of Hospital Strategic Planning in the COVID-19 Era: Present Era and Future. 2022;45(3):28.
Pamučar D, Žižović M, Marinković D, Doljanica D, Jovanović SV, Brzaković P. Development of a Multi-Criteria Model for Sustainable Reorganization of a Healthcare System in an Emergency Situation Caused by the COVID-19 Pandemic. Sustainability. 2020;12(18):7504.
Abiya FM, Ulfa M, Setyonugroho W. Infection Control Risk Assessment (ICRA) di Instalasi Gawat Darurat Rumah Sakit PKU Muhammadiyah Gamping. 2017.
AlQahtani RM, Saadon A al, Alarifi MI, Muaygil R, Altaymani YKM, Elsaid MAM, et al. Moral distress among health care workers in the intensive care unit; a systematic review and meta-analysis. 2021;17(4):192-202.
Shreffler J, Petrey J, Huecker M. The impact of COVID-19 on healthcare worker wellness: A scoping review. Western J Emerg Med. 2020;21(5):1059-66.
Temsah MH, Alenezi S. Understanding the Psychological Stress and Optimizing the Psychological Support for the Acute-Care Health-Care Workers during the COVID-19 Pandemic. Saudi Crit Care J. 2020;4(5):25.
Temsah MH, Al-Sohime F, Alamro N, Al-Eyadhy A, Al-Hasan K, Hamal A, et al. The psychological impact of COVID-19 pandemic on health care workers in a MERS-CoV endemic country. J Infect Public Health. 2020;13(6):877-82.
WHO. Assessment of risk factors for coronavirus disease 2019 (COVID-19) in health workers protocol for a case-control study, 2020. Available at: https://www.who.int/publicationassessment-ohealth-workers-protocol-for-a-case-control-study. Accessed on 12 February 2022.
Ikatan Dokter Indonesia. Statistik Anggota – IDI, 2021. Available at: http://www.idionline.org /statistik/. Accessed on 12 February 2022.
Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al. Clinical Characteristics of Coronavirus Disease 2019 in China. N Engl J Med. 2020;382(18):1708-20.
Mo P, Xing Y, Xiao Y, Deng L, Zhao Q, Wang H, et al. Clinical characteristics of refractory COVID-19 pneumonia in Wuhan, China. Clin Infect Dis. 2020;270.
Zhao S, Cao P, Chong MKC, Gao D, Luo Y, Ran J, et al. COVID-19 and gender-specific difference: Analysis of public surveillance data in Hong Kong and Shenzhen, China, from January 10 to February 15, 2020. Infect Control Hospital Epidemiol. 2020;41(6):750-1.
Liu R, Han H, Liu F, Lv Z, Wu K, Liu Y, et al. Positive rate of RT-PCR detection of SARS-CoV-2 infection in 4880 cases from one hospital in Wuhan, China, from Jan to Feb 2020. Clinica Chimica Acta. 2020;505:172-5.
Jin JM, Bai P, He W, Wu F, Liu XF, Han DM, et al. Gender Differences in Patients With COVID-19: Focus on Severity and Mortality. Front Public Health. 2020;8:152.
Kopel J, Perisetti A, Roghani A, Aziz M, Gajendran M, Goyal H. Racial and Gender-Based Differences in COVID-19. Front Public Health. 2020;8:418.
Antos A, Kwong ML, Balmorez T, Villanueva A, Murakami S. Unusually high risks of COVID-19 mortality with age-related comorbidities: An adjusted meta-analysis method to improve the risk assessment of mortality using the comorbid mortality data. Infect Dis Rep. 2021;13(3):700-11.
Lapor Covid-19: 2.066 Tenaga Kesehatan Meninggal Akibat Corona hingga 3 Desember 2021 Databoks, 2022. Available at: https://databoks.katadata.co.id publish/2021/12/03/ 2021. Accessed on 12 February 2022.
Carmen MG, Herman J, Rao S, Hidrue MK, Ting D, Lehrfoff SR, et al. Trends and Factors Associated With Physician Burnout at a Multispecialty Academic Faculty Practice Organization. JAMA Network Open. 2019;2(3):e190554.
Amoafo E, Hanbali N, Patel A, Singh P. What are the significant factors associated with burnout in doctors? Occupational Medicine (Oxford, England). 2015;65(2):117-21.
Shanafelt TD, Hasan O, Dyrbye LN, Sinsky C, Satele D, Sloan J, et al. Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014. Mayo Clinic Proceedings. 2015;90(12):1600-13.
Shanafelt TD, West CP, Sloan JA, Novotny PJ, Poland GA, Menaker R, et al. Career Fit and Burnout Among Academic Faculty. Arch Int Med. 2009;169(10):990-5.
Çelmeçe N, Menekay M. The Effect of Stress, Anxiety and Burnout Levels of Healthcare Professionals Caring for COVID-19 Patients on Their Quality of Life. Front Psychol. 2020;11:3329.
Dai Y, Hu G, Xiong H, Qiu H, Yuan X. Psychological Impact of the Coronavirus Disease 2019 (COVID-19) Outbreak on Healthcare Workers in China. medRxiv. 2020.
Marchand A, Demers A, Durand P. Do occupation and work conditions really matter? A longitudinal analysis of psychological distress experiences among Canadian workers. Sociol Health Illness. 2005;27(5):602-27.
Brooks SK, Dunn R, Amlôt R, Rubin GJ, Greenberg N. A Systematic, Thematic Review of Social and Occupational Factors Associated With Psychological Outcomes in Healthcare Employees During an Infectious Disease Outbreak. J Occup Env Med. 2018;60(3):248-57.
Lietz J, Westermann C, Nienhaus A, Schablon A. The Occupational Risk of Influenza A (H1N1) Infection among Healthcare Personnel during the 2009 Pandemic: A Systematic Review and Meta-Analysis of Observational Studies. Plos One. 2016;11(8):e0162061.
Zumla A, Hui DS. Infection control and MERS-CoV in health-care workers. Lancet. 2014;383(9932):1869-71.
WHO. Unprecedented number of medical staff infected with Ebola, 2022. Available at: https://www.who.int/ 2014/hw_infected_ebola/en/. Accessed on 12 February 2022.
Nguyen LH, Drew DA, Graham MS, Joshi AD, Guo CG, Ma W, et al. Risk of COVID-19 among front-line health-care workers and the general community: a prospective cohort study. The Lancet Public Health. 2020;5(9):475-83.
Sampe SA, Endah PMMS, Sambo M, Abdu S. Shortage of Personal Protective Equipment and Nurse Safety in the Coronavirus Disease-19 Pandemic: A Cross-sectional Study in Indonesia. Open Access Macedonian J Med Sci. 2021;9:184-9.
WHO. Shortage of personal protective equipment endangering health workers worldwide, 2020. Available at: https://www.who.int/news/item/03-worldwide. Accessed on 12 February 2022.
Ministry of Health Republic of Indonesia. Indonesian Health Profile, 2020. Available at: https://www. kemkes.go.id/downloads/resources/download/pusdatin/profil-kesehatan-indone2020.pdf. Accessed on 12 February 2022.
Ministry of Health. Minister of Health Regulation on Hospital Classification and Licensing. 2019. Available at: https://peraturan.bpk.go.id/Home-2019. Accessed on 12 February 2022.
Saraswati. Regulasi & Kebijakan Pemerintah Tentang Peran FASYANKES Primer dalam Penanganan COVID-19. 2020. Available at: https://persi.or.id/wp-content. Accessed on 12 February 2022.
Ministry of Health Republic of Indonesia. Technical Guidelines for Hospital Services During the Adaptation of New Habits, 2020. Availanle at: https://www.kemkes.go.id/article/view/2 -kebiasaan-baru.html. Accessed on 12 February 2022.
