Health worker protests and the COVID-19 pandemic: an interrupted time-series analysis.

IF 8.4 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Bulletin of the World Health Organization Pub Date : 2024-09-01 Epub Date: 2024-07-04 DOI:10.2471/BLT.23.290330

Kartik Sharma, Sorcha Brophy, Michael Law, Veena Sriram

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Abstract

Objective: To assess the impact of the coronavirus disease 2019 (COVID-19) pandemic on protests by health workers.

Methods: We conducted an interrupted time series analysis of data from 159 countries for 2 years before and after the World Health Organization classified COVID-19 as a pandemic in March 2020, thus between 2018 and 2022. We produced models examining two main outcomes: (i) the total weekly number of health worker protests globally; and (ii) the number of countries with one or more health worker protests in a given week.

Findings: In total, there were 18 322 health worker protests in 133 countries between 2018 and 2022. The number of weekly health worker protests globally increased by 47% (30.1/63.5), an increase of 30.1 protests per week (95% confidence interval, CI: 11.7-48.6) at the onset of the COVID-19 pandemic. Furthermore, the number of countries experiencing such protests in a given week increased by 24% (5.7/24.1) following the declaration of the pandemic (an increase of 5.7 countries; 95% CI: 3.5-7.8).

Conclusion: The pandemic increased the overall level of health worker protests globally as well as the number of countries experiencing such protests. These protests highlight discontent in the health workforce. Given the ongoing global health workforce crisis, understanding and addressing the drivers of health worker discontent is important for global health policy and security.

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卫生工作者抗议与 COVID-19 大流行：间断时间序列分析。

目的：评估 2019 年冠状病毒病（COVID-19）大流行对卫生工作者抗议活动的影响：评估 2019 年冠状病毒病（COVID-19）大流行对卫生工作者抗议活动的影响：我们对世界卫生组织于 2020 年 3 月将 COVID-19 列为大流行病前后两年（即 2018 年至 2022 年）159 个国家的数据进行了间断时间序列分析。我们建立了两个主要结果模型：(i) 全球每周卫生工作者抗议活动的总数；(ii) 在某一周内发生一次或多次卫生工作者抗议活动的国家数量：2018 年至 2022 年期间，133 个国家共发生了 18 322 次卫生工作者抗议活动。在 COVID-19 大流行开始时，全球每周卫生工作者抗议活动的数量增加了 47%（30.1/63.5），每周抗议活动增加了 30.1 次（95% 置信区间，CI：11.7-48.6）。此外，疫情宣布后，一周内发生此类抗议活动的国家数量增加了 24%（5.7/24.1）（增加了 5.7 个国家；95% 置信区间：3.5-7.8）：结论：大流行病增加了全球医务工作者抗议的总体水平，也增加了发生此类抗议的国家数量。这些抗议凸显了医务工作者的不满情绪。鉴于全球卫生工作者队伍的危机仍在持续，了解和解决卫生工作者不满情绪的驱动因素对全球卫生政策和安全非常重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Bulletin of the World Health Organization 医学-公共卫生、环境卫生与职业卫生

CiteScore

11.50

自引率

0.90%

发文量

317

审稿时长

3 months

期刊介绍： The Bulletin of the World Health Organization Journal Overview: Leading public health journal Peer-reviewed monthly journal Special focus on developing countries Global scope and authority Top public and environmental health journal Impact factor of 6.818 (2018), according to Web of Science ranking Audience: Essential reading for public health decision-makers and researchers Provides blend of research, well-informed opinion, and news

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