Abstract
The COVID-19 pandemic has had a significant impact on the operation of medical facilities. In this period, they have seen increased absence of medical staff from work, a decrease in the number of hospitalizations and in the value of healthcare services provided. We assess the impact of this pandemic on the operation of a non-COVID-19 orthopedic and rehabilitation hospital using International Classification of Functioning, Disability and Health (ICF) categories. The authors analyzed these parameters in relation to the operation of a non-COVID-19 orthopedic, rehabilitation and rheumatological hospital in Q1 2020 compared to Q1 2019. For the analysis, the categories and qualifiers of the ICF were used, allowing for a simple and easily readable data analysis. In March 2020, in comparison to March 2019, the average working time of medical workers (p < 0.001) and the number of hospitalizations (p < 0.034) decreased significantly. In April 2020, compared to April 2019, the average working time of medical workers (<0.001) and the number of hospitalizations (0.002) also decreased significantly. In addition, in April 2020, the percentage value of the contracted services provided decreased significantly (p = 0.017), which was not observed in March of that year. The COVID-19 pandemic has affected the operation of a non-COVID-19 hospital, causing an increase in staff absences from work, a decrease in the number of hospitalizations and a decrease in the value of the revenue generated from health services provided. The ICF is a useful tool for the evaluation of a hospital’s healthcare services.
Highlights
The continuous spread of the COVID-19 pandemic has had a significant impact on private and professional life, including the operation of medical facilities [1]
The study was retrospective in nature and included a global analysis of medical staff absences, the number of patients hospitalized, and the value of revenue earned from services provided in Q1 2020 compared with Q1 2019 at the Wiktor Dega Orthopedic and Rehabilitation Hospital in Poznan
In April 2020, the percentage value of the contracted services provided decreased significantly (p = 0.017), which was not observed in March of that year
Summary
The continuous spread of the COVID-19 pandemic has had a significant impact on private and professional life, including the operation of medical facilities [1]. Especially hospitals, have been forced to reduce or alter the nature of the medical services they provide. The medical staff working in these hospitals experienced increased burnout due to uncertainty about the future of the facility, tension and work overload, as well as staff shortages [3,4,5]. Previous studies have identified the factors contributing to burnout of healthcare workers, such as stress at work, anxiety and depression, which result from the direct nature of the work and the possibility of transmitting the infection to family members and the risk of social isolation [6,7,8]. The increasing rate of infection among medical staff resulted in increased absence from work [9,10]. There are few publications in the medical literature on the functioning of non-uniform hospitals during the COVID-19 pandemic [13,14]
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