Publication: The impact of the coronavirus disease 2019 pandemic on gastroenterologists in Southeast Asia: A mixed-methods study
Issued Date
2021-11-01
Resource Type
ISSN
14401746
08159319
08159319
Other identifier(s)
2-s2.0-85112680822
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of Gastroenterology and Hepatology (Australia). Vol.36, No.11 (2021), 3056-3068
Suggested Citation
John Ong, Andrew Ming Liang Ong, Sharon Ong, Xiaohui Xin, Yeong Yeh Lee, Nonthalee Pausawasdi, Mark Anthony De Lusong, Dadang Makmun, Vui Heng Chong, Shiaw Hooi Ho, Wanyen Lim, David Ong, Yock Young Dan, Christopher Khor The impact of the coronavirus disease 2019 pandemic on gastroenterologists in Southeast Asia: A mixed-methods study. Journal of Gastroenterology and Hepatology (Australia). Vol.36, No.11 (2021), 3056-3068. doi:10.1111/jgh.15594 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/77736
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Title
The impact of the coronavirus disease 2019 pandemic on gastroenterologists in Southeast Asia: A mixed-methods study
Other Contributor(s)
Siriraj Hospital
Department of Engineering
Duke-NUS Medical School
Raja Isteri Pengiran Anak Saleha Hospital
Philippine General Hospital
Universitas Indonesia, RSUPN Dr. Cipto Mangunkusumo
National University Hospital
Universiti Malaya
Hospital Universiti Sains Malaysia
Singapore General Hospital
National University of Singapore
School of Medical Sciences, Universiti Sains Malaysia
PAPRSB Universiti of Brunei Darussalam
Sengkang General Hospital
Department of Engineering
Duke-NUS Medical School
Raja Isteri Pengiran Anak Saleha Hospital
Philippine General Hospital
Universitas Indonesia, RSUPN Dr. Cipto Mangunkusumo
National University Hospital
Universiti Malaya
Hospital Universiti Sains Malaysia
Singapore General Hospital
National University of Singapore
School of Medical Sciences, Universiti Sains Malaysia
PAPRSB Universiti of Brunei Darussalam
Sengkang General Hospital
Abstract
Background and Aim: The coronavirus disease 2019 pandemic has impacted gastroenterology practices worldwide; however, its protracted effects within Southeast Asia were unknown. The primary aim of the study was to determine the impact of the pandemic on clinical demands including burnout among gastroenterologists within the region. The secondary aim was to identify risk factors for burnout and determine regional stressors. Methods: This was a mixed-methods study. Gastroenterologists were surveyed electronically between September 1 and December 7, 2020, via gastroenterology and endoscopy societies of Brunei, Indonesia, Malaysia, Philippines, Singapore, and Thailand. Quantitative and qualitative data were collected. The 22-item Maslach Burnout Inventory-Human Services Survey (MBI-HSS) was used to detect burnout. Quantitative data were non-parametric; non-parametric methods were used for statistical comparisons. Logistic regression was used to determine risk factors for burnout. Content analysis method was used to analyze qualitative data. Ethical approval was obtained. Results: A total of 73.0% reported that they were still significantly affected by the pandemic. Of these, 40.5% reported increased workload and 59.5% decreased workload. Statistically significant differences in weekly working hours, endoscopy, and inpatient volumes were present. No differences were observed in outpatient volumes, likely because of telemedicine. Burnout was common; however, 50.1% of gastroenterologists were unaware of or did not have access to mental health support. This, as well as depression, being a trainee, and public sector work, increased burnout risk significantly. Conclusion: The effects of the pandemic are multifaceted, and burnout is common among Southeast Asian gastroenterologists. Safeguards for mental health are suboptimal, and improvements are urgently needed.