Mental health symptoms in Australian general practitioners during the COVID-19 pandemic
Irene Ng A B , Kate Robins-Browne C , Mark Putland D E , Amy Pascoe
F , Eldho Paul G , Karen Willis H I and Natasha Smallwood F J *
+ Author Affiliations
- Author Affiliations
A Department of Anaesthesia and Pain Management, Royal Melbourne Hospital, Grattan Street, Parkville, Vic. 3050, Australia.
B Centre for Integrated Critical Care, Melbourne Medical School, The University of Melbourne, Grattan Street, Parkville, Vic. 3050, Australia.
C Department of General Practice, The University of Melbourne, Elizabeth Street, Melbourne, Vic. 3004, Australia.
D Department of Emergency Services, Royal Melbourne Hospital, Grattan Street, Parkville, Vic. 3050, Australia.
E Department of Critical Care, Faculty of Medicine Dentistry and Health Sciences, University of Melbourne, Melbourne, Australia.
F Department of Allergy, Immunology and Respiratory Medicine, Central Clinical School, The Alfred Hospital, Monash University, Melbourne, Vic. 3004, Australia.
G Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Vic. 3004, Australia.
H Public Health, College of Health and Biomedicine, Victoria University, Footscray Park, Vic. 3011, Australia.
I Division of Critical Care and Investigative Services, Royal Melbourne Hospital, Grattan Street, Parkville, Vic. 3050, Australia.
J Department of Respiratory Medicine, The Alfred Hospital, 55 Commercial Road, Prahran, Vic. 3004, Australia.
* Correspondence to: Natasha.smallwood@monash.edu
Australian Journal of Primary Health 28(5) 387-398 https://doi.org/10.1071/PY21308
Submitted: 30 December 2021 Accepted: 6 April 2022 Published: 19 July 2022
© 2022 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of La Trobe University. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND)
Abstract
Background: General practitioners (GPs) play a central role during the COVID-19 pandemic, and yet awareness of their mental health is limited.
Methods: A nationwide online survey of self-identified frontline healthcare workers was conducted between 27 August and 23 October 2020. Participants were recruited through health and professional organisations, colleges, universities, government contacts, and media. A subset of the findings on GPs and hospital medical staff (HMS) was used for this study.
Results: Of 9518 responses, there were 389 (4%) GPs and 1966 (21%) HMS. Compared with HMS, GPs received significantly less training on personal protective equipment usage or care for COVID-19 patients, and less support or communication within their workplace. GPs were significantly more concerned about household income, disease transmission to family and being blamed by colleagues if they became infected, all of which were associated with worse psychological outcomes. Significantly more GPs reported burnout, and experienced moderate-to-severe emotional exhaustion than HMS. Both groups used similar coping strategies, except fewer GPs than HMS used digital health applications or increased alcohol consumption. Less than 25% of either group sought professional help.
Conclusions: GPs are vital in our healthcare systems, yet face unique workplace challenges and mental health stressors during the pandemic. Targeted workplace and psychological support is essential to protect wellbeing among the primary care workforce.
Keywords: anxiety, burnout, COVID-19, depression, general practitioners, mental health, primary care, survey.
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