Evidence map›Paper›PMID 35135771›Full record

ArticleBMJ open2022

Working conditions in primary healthcare during the COVID-19 pandemic: an interview study with physicians in Sweden.

Hanna Fernemark, Janna Skagerström, Ida Seing, Maria Hårdstedt, Kristina Schildmeijer, Per Nilsen

Abstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Hanna FernemarkHealth, Medicine and Caring Sciences, Linköping University, Linköping, Sweden Hanna.fernemark@liu.se.ORCID 0000-0002-9029-4406
Janna SkagerströmUnit for Research and Development, Region Östergötland, Linköping, Sweden.
Ida SeingDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Maria HårdstedtVansbro Primary Health Care Center, Region Dalarna, Falun, Sweden.
Kristina SchildmeijerDepartment of Health and Caring Sciences, Linnaeus University, Kalmar, Sweden.ORCID 0000-0002-0895-674X
Per NilsenHealth, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to explore how the COVID-19 pandemic changed the working conditions of physicians in Swedish primary healthcare.

designThis is a descriptive, qualitative study with individual semistructured interviews. Data were analysed using inductive content analysis.

settingSwedish primary healthcare units in both rural and urban areas.

participantsA total of 11 primary care physicians fulfilled participation.

resultsTwo main categories emerged: 'work organisation and routines' and 'psychosocial work environment', containing three and five subcategories, respectively. The pandemic enforced changes in work organisation and routines. Increased flexibility, including more patient-oriented delivery of care, and novel means of interorganisational and intraorganisational interactions were perceived as positive by physicians. The pandemic also caused several changes in physicians' psychosocial work environment. Increased workload, information overload, as well as ethical considerations and feelings of uncertainty made the work environment stressful for physicians.

conclusionsThe COVID-19 pandemic affected the working conditions of physicians in Swedish primary healthcare in numerous ways. The pandemic enforced changes in work organisation and routines for physicians in primary healthcare. Further research is needed to investigate how the pandemic will affect primary healthcare in the longer term. Learning from the pandemic is important because this will not be the last crisis that primary care and its healthcare professionals will face.

Indexed as

COVID-19PhysiciansHumansPandemicsPrimary Health CareSARS-CoV-2SwedenCOVID-19health services administration & managementprimary care

Identifiers

PMID35135771
PMCPMC8829841

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.