The Impact of the COVID-19 Pandemic on Physicians' Working Hours and Earnings in Sao Paulo and Maranhao States, Brazil

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorOLIVEIRA, Bruno Luciano Carneiro Alves de
dc.contributor.authorANDRIETTA, Lucas Salvador
dc.contributor.authorREIS, Regimarina Soares
dc.contributor.authorCARVALHO, Ruth Helena de Souza Britto Ferreira de
dc.contributor.authorALVES, Maria Teresa Seabra Soares e
dc.contributor.authorSCHEFFER, Mario Cesar
dc.contributor.authorRUSSO, Giuliano
dc.date.accessioned2022-12-21T13:27:05Z
dc.date.available2022-12-21T13:27:05Z
dc.date.issued2022
dc.description.abstractEvidence exists on the health impacts of the current COVID-19 pandemic on health workers, but less is known about its impact on their work dynamics and livelihoods. This matters, as health workers-and physicians in particular-are a scarce and expensive resource in low- and middle-income countries (LMICs). Our cross-sectional survey set out to explore changes in working hours and earnings during the second year of the pandemic in a representative sample of 1183 physicians in Brazil's Sao Paulo (SP) and Maranhao (MA) states. Descriptive analysis and inferential statistics were employed to explore differences in working hours and earnings among public and private sector physicians across the two locations. The workloads and earnings of doctors working exclusively in the public sector increased the most in the second year of the epidemic, particularly in MA. Conversely, the largest proportion of private-only doctors in our sample saw a decrease in their working hours (48.4%, 95% CI 41.8-55.0), whereas the largest proportion of public-only doctors in MA saw an increase in their working hours (44.4%, 95% CI 38.0-50.8). Although earnings remained broadly stable in the public sector, a third of public sector-only physicians in MA saw an increase in their earnings (95% CI 24.4-36.2). More than half of private-only doctors across both states saw a decrease in their earnings (52.2%, 95% CI 45.6-58.8). The largest proportion of dual practitioners (the majority in Brazil and in our sample) maintained their pre-pandemic levels of income (38.8%, 95% CI 35.3-42.3). As public-sector doctors have been key in the fight against the pandemic, it is critical to invest in these cadres in order to develop epidemic preparedness in LMICs, and to find new ways to harness for-profit actors to deliver social benefits.eng
dc.description.indexMEDLINEeng
dc.description.sponsorshipFundacao de Pesquisa do Estado Maranhao (FAPEMA) [COOPI-00709/18]
dc.description.sponsorshipCoordenacao de Aperfeicoamento de Pessoal de Nivel Superior-Brasil [001, MR/R022747/1]
dc.description.sponsorshipFundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP-Brazil) [2017/50356-7]
dc.identifier.citationINTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, v.19, n.16, article ID 10085, 13p, 2022
dc.identifier.doi10.3390/ijerph191610085
dc.identifier.eissn1660-4601
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/50631
dc.language.isoeng
dc.publisherMDPIeng
dc.relation.ispartofInternational Journal of Environmental Research and Public Health
dc.rightsopenAccesseng
dc.rights.holderCopyright MDPIeng
dc.subjectCOVID-19eng
dc.subjectphysician healtheng
dc.subjecthealth workers in Brazileng
dc.subjecthealth systemeng
dc.subjecthealth labor marketeng
dc.subjecthealth workforce in LMICseng
dc.subject.otherhealtheng
dc.subject.otherrecessionseng
dc.subject.otherworkerseng
dc.subject.othertimeeng
dc.subject.wosEnvironmental Scienceseng
dc.subject.wosPublic, Environmental & Occupational Healtheng
dc.titleThe Impact of the COVID-19 Pandemic on Physicians' Working Hours and Earnings in Sao Paulo and Maranhao States, Brazileng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryInglaterra
hcfmusp.affiliation.countryisogb
hcfmusp.author.externalOLIVEIRA, Bruno Luciano Carneiro Alves de:Univ Fed Maranhao, Program Publ Hlth, BR-65080805 Sao Luis, Maranhao, Brazil
hcfmusp.author.externalREIS, Regimarina Soares:Joaquim Venancio Polytech Sch Hlth, Oswaldo Cruz Fdn, BR-21040900 Rio De Janeiro, Brazil
hcfmusp.author.externalCARVALHO, Ruth Helena de Souza Britto Ferreira de:Univ Fed Maranhao, Program Publ Hlth, BR-65080805 Sao Luis, Maranhao, Brazil
hcfmusp.author.externalALVES, Maria Teresa Seabra Soares e:Univ Fed Maranhao, Program Publ Hlth, BR-65080805 Sao Luis, Maranhao, Brazil
hcfmusp.author.externalRUSSO, Giuliano:Queen Mary Univ London, Wolfson Inst Populat Hlth, London E1 4NS, England
hcfmusp.citation.scopus2
hcfmusp.contributor.author-fmusphcLUCAS SALVADOR ANDRIETTA
hcfmusp.contributor.author-fmusphcMARIO CESAR SCHEFFER
hcfmusp.description.articlenumber10085
hcfmusp.description.issue16
hcfmusp.description.volume19
hcfmusp.origemWOS
hcfmusp.origem.pubmed36011716
hcfmusp.origem.scopus2-s2.0-85136855263
hcfmusp.origem.wosWOS:000845720200001
hcfmusp.publisher.cityBASELeng
hcfmusp.publisher.countrySWITZERLANDeng
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Artigos e Materiais de Revistas Científicas - FM/MPR
Artigos e Materiais de Revistas Científicas - COVID-19
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