BACKGROUND The COVID-19 pandemic has led to a massive over-exertion of doctors, multiplying their work intensity, overload and stress. Yet no studies have been conducted on the changes in primary care physician overload during the pandemic. OBJECTIVE To address this research gap, the aim of this article is to document the subjective dimensions of physicians' work during the peak of the pandemic for comparison with a pre-COVID-19 situation. In addition, the relationship between workload and the individual characteristics of the physician or the percentage of tele-assistance is examined. METHODS This study performs a subjective measurement procedure for the analysis of work overload through the NASA-TLX questionnaire, with a total of 102 records from 16 doctors from a Primary Health Centers of the Granada-Metropolitan Health district (Andalusia, Spain). RESULTS The results reflect a significantly higher workload during COVID-19 in relation to a previous situation (66.1% versus 48.6% before COVID-19). All the dimensions of the NASA-TLX test suffered an increase during the COVID-19, this increase being higher in the physical, temporal and frustration levels. Interestingly, the findings reflect the higher the percentage of telematic consultations, the lower workload. CONCLUSIONS Work overload and the emotional state of health workers is one of the many repercussions of the COVID-19 pandemic. The results derived from this study may be useful in formulating policies and practices related to the workforce development, funding streams to prepare for the next wave of COVID-19 infections as well as for future public health emergencies.

中文翻译：

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COVID-19 是否改变了初级保健医生的工作量？以西班牙为例。

背景 COVID-19 大流行导致医生大量过度劳累，增加了他们的工作强度、超负荷和压力。然而，尚未对大流行期间初级保健医生超负荷的变化进行研究。目的 为了弥补这一研究空白，本文的目的是记录大流行高峰期间医生工作的主观维度，以便与 COVID-19 之前的情况进行比较。此外，还检查了工作量与医生的个人特征或远程协助百分比之间的关系。方法 本研究通过 NASA-TLX 调查问卷执行主观测量程序来分析工作超负荷，共有来自格拉纳达大都会卫生区（西班牙安达卢西亚）初级卫生中心 16 名医生的 102 份记录。结果 结果反映出，与之前的情况相比，COVID-19 期间的工作量显着增加（66.1% 与 COVID-19 之前的 48.6%）。在 COVID-19 期间，NASA-TLX 测试的所有维度均有所增加，其中物理、时间和挫折水平的增加更高。有趣的是，调查结果反映出远程信息咨询的比例越高，工作量就越低。结论 卫生工作者的超负荷工作和情绪状态是 COVID-19 大流行的众多影响之一。这项研究的结果可能有助于制定与劳动力发展、资金流相关的政策和实践，为下一波 COVID-19 感染以及未来的公共卫生紧急情况做好准备。