Evidence map›Paper›PMID 39334343›Full record

ArticleBMC health services research2024

Filling the gaps in the COVID-19 pandemic response: medical personnel in the US military health system.

Vivitha Mani, Alysa Pomer, Sharon Pritchett, Christian L Coles, Andrew J Schoenfeld, Joel S Weissman, Tracey Pèrez Koehlmoos

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Vivitha ManiCenter for Health Services Research, Uniformed Services University of the Health Sciences, Bethesda, MD, 20817, USA. vivitha.mani.ctr@usuhs.edu.
Alysa PomerCenter for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA, 02115, USA.
Sharon PritchettCenter for Health Services Research, Uniformed Services University of the Health Sciences, Bethesda, MD, 20817, USA.
Christian L ColesCenter for Health Services Research, Uniformed Services University of the Health Sciences, Bethesda, MD, 20817, USA.
Andrew J SchoenfeldCenter for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA, 02115, USA.
Joel S WeissmanCenter for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA, 02115, USA.
Tracey Pèrez KoehlmoosCenter for Health Services Research, Uniformed Services University of the Health Sciences, Bethesda, MD, 20817, USA.

Funding

Defense Health Agency HU001-21-2-0089
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic was an unprecedented public health emergency that heavily affected the healthcare workforce. Although the Military Health System (MHS) has robust capabilities and was able to deploy medical staff to support civilian hospitals during the crisis, it too was adversely impacted by personnel issues. We aimed to identify and address gaps in understanding the impact of the COVID-19 pandemic on healthcare personnel in the MHS.

methodsWe conducted semi-structured key informant interviews with 28 MHS stakeholders, including policymakers, program managers, and healthcare providers. We recruited respondents using purposive and snowball sampling until we reached thematic saturation. Interviews were conducted virtually from December 2022 to March 2023 and coded by deductive thematic analysis using NVivo.

resultsBurnout and mental health concerns across the workforce increased during the pandemic, although some felt military culture facilitated resilience. Reduction in personnel was noted and slow hiring processes and noncompetitive wages hindered hiring, contributing to staffing shortages. Initial disruptions occurred in training and skills readiness, although these issues were reduced over time. Concerns remain about newer trainees' preparedness and teaching staff's availability in the MHS.

conclusionThis study uniquely assessed the impact of the COVID-19 pandemic response on the MHS healthcare workforce through in-depth key informant interviews. Multi-pronged strategies are needed to promote personnel well-being in complex healthcare systems like the MHS.

Indexed as

COVID-19Health PersonnelPandemicsSARS-CoV-2AdultBurnout, ProfessionalFemaleHumansInterviews as TopicMaleMilitary Health ServicesMilitary PersonnelUnited StatesBurnoutCOVID-19 pandemicMedical personnelMilitary health system

Identifiers

PMID39334343
PMCPMC11430540

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.