Serkan ERKUŞ, Tayfun BACAKSIZ, Önder KALENDERER, Ali TURGUT

COVID-19 Pandemisi Türkiye’de Ortopedi ve Travmatoloji Hekimlerinin Günlük Uygulamalarını Nasıl Değiştirdi?

Amaç: COVID-19 enfeksiyonunun dünya çapında hızla yayılması, bazı önlemleri ve kısıtlamaları beraberinde getirmiştir. Bu yeni dönemde, tıbbi uygulamalarda aksamalar ve yeniden önceliklendirmeler yaşanmıştır. Bu çalışmanın amacı, Türkiye’de Ortopedi ve Travmatoloji pratiğinde poliklinik ve cerrahi hizmetlerindeki değişimi anket çalışması kullanılarak hem asistan hem de uzman hekimlerin görüşleriyle ortaya koymaktır. Yöntem: Yaşanan değişiklikleri değerlendirmek için Türkiye’de asistan ve uzman hekimlere sırasıyla 42 ve 45 sorudan oluşan bir anket hazırlandı. Anket, 6 Aralık 2020 ile 31 Ocak 2021 tarihleri arasında çevrimiçi olar ak yayınlandı. Veri analizi 4 alt gruba ayrılarak yapıldı: 1) Demografik bilgiler, 2) Hizmet içi görevlendirme ve çalışma koşullarındaki değişiklikler, 3) Sağlanan hizmetlerin çeşitliliği ve hasta uygulamaları, 4) Sağlık hizmeti sunum sürecindeki değişiklikler. Sonuçlar: Ankete Türkiye’nin her yerinden 62 asistan ve 230 uzman hekim katıldı. Araştırmaya katılan uzmanların %80,4’ü (185) ve asistanların %96,8’i (60) pandemi hastanesinde çalışıyordu. Pandemi sürecinde hekimlerin çalışma saatlerinin neredeyse yarı yarıya azaldığı, elektif vakaların çeşit ve sayısında da azalma olduğu belirlendi. Ayrıca bu dönemde acil servislere ve polikliniklere başvuruların azaldığı gözlendi. İhmal edilen travma vakalarının artmasının yanı sıra tedavi reddi oranlarının artması da gözlenen sonuçlar arasındadır. Çıkarım: Pandemi döneminde ortopedi ve travmatoloji sağlık hizmeti sunum ve eğitim süreçlerinde önemli aksaklıklar olduğu görülmektedir. Deneyimler ışığında, olası diğer pandemi durumları veya mutasyonlar nedeniyle yeni COVID-19 salgın dalgaları için sağlık hizmeti eylem planlarının hazırlanması büyük önem taşımaktadır.

How Has the COVID-19 Pandemic Revised the Daily Practices of Orthopedics and Traumatology Physicians in Turkey?

Aim: The rapid spread of COVID-19 infection around the world has integrated some precautions and restrictions. In this new period, disruptions and re-prioritizations were experienced in medical practices. The aim of this study is to reveal the changes in the outpatient clinics and surgical services in the practice of Orthopedics and Traumatology in Turkey from the perspective of both residents and specialist physicians with a survey study. Materials and Methods: In order to evaluate the changes, a survey was prepared which had consisted 42 and 45 questions for residents and specialist working in Turkey, respectively. The survey was published online between December 6, 2020 and January 31, 2021. Data analysis were performed by dividing into 4 subgroups: 1) Demographic information, 2) Changes in internal tasking and working conditions, 3)Variety of services provided and changes in patient applications, 4) Changes in the health care delivery process. Results: From all over Turkey 62 residents and 230 specialists participated in the survey. 80.4% (185) of the specialists participating in the study and 96.8% (60) of the residents were working in the pandemic hospital. During the pandemic, it was determined that the working hours of physicians were reduced by almost half, and also there was a decrease in the variety and quantity of elective cases. Furthermore, it was observed that the number of applications to emergency services and outpatients clinics decreased during this period. In addition to increased neglected trauma cases, increment of treatment rejection rates are among the observed results. Conclusion: During the pandemic period, it is observed that there are significant disruptions in orthopedics and traumatology health care delivery and training processes. In the light of experiences, it is crucial to prepare health service action plans for other possible pandemic situations or new waves of COVID-19 due to mutations.

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