Evidence map›Paper›PMID 37070735›Full record

ArticleJournal of hospital medicine2023

The impact of health inequities on physicians' occupational well-being during COVID-19: A qualitative analysis from four US cities.

Alyssa Browne, Tania Jenkins, Nancy Berlinger, Liza Buchbinder, Mara Buchbinder

Open access · bronzeAbstract read
In one paragraph

Article in Journal of hospital medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
3.1field-weighted citation impact, top 9% of its field
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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Alyssa BrowneDepartment of Sociology, UNC-Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0001-8931-9971
Tania JenkinsDepartment of Sociology, UNC-Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0002-4495-3140
Nancy BerlingerThe Hastings Center, Philipstown, New York, USA.
Liza BuchbinderCenter for Social Medicine and Humanities and Semel Institute, UCLA, Los Angeles, California, USA.ORCID 0000-0003-1433-5103
Mara BuchbinderDepartment of Social Medicine, Center for Bioethics, UNC-Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0002-2319-662X
University of North Carolina at Chapel Hill · USHastings Center · US

Funding

Physicians? Occupational Health During Covid-19: A Qualitative Analysis of Systems FactorsR21OH012175 · OH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUCHBINDER, MARA HELENE · 2021 to 2022
$402k
NIOSH CDC HHS R21 OH012175
6 · The paper itself

Abstract

objectiveThe aim of this study is to describe frontline physicians' perceptions of the impact of racial-ethnic and socioeconomic disparities in COVID-19 infection and mortality on their occupational well-being.

methodsOne hundred and forty-five qualitative, semistructured interviews were conducted between February 2021 and June 2022 with hospital medicine, emergency medicine, pulmonary/critical care, and palliative care physicians caring for hospitalized COVID-19 patients in four US cities.

resultsPhysicians reported encountering COVID-related health disparities and inequities at the societal, organizational, and individual levels. Encountering these inequities, in turn, contributed to stress among frontline physicians, whose concerns revealed how structural conditions both shaped COVID disparities and constrained their ability to protect populations at risk from poor outcomes. Physicians reported feeling complicit in the perpetuation of inequities or helpless to mitigate observed inequities and experienced feelings of grief, guilt, moral distress, and burnout.

conclusionsHealth inequities are an under-acknowledged source of physicians' occupational stress that requires solutions beyond the clinical context.

Indexed as

COVID-19PhysiciansCitiesHealth InequitiesHumans

Identifiers

PMID37070735
PMCPMC10783652
OpenAlexW4366239185

What OpenQuestion holds

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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.