Data_Sheet_1_Impact of COVID-19 Pandemic on the Clinical Activities in Obstetrics and Gynecology: A National Survey in China.XLSX

Objective: Few studies have quantified the influence of coronavirus disease 2019 (COVID-19) pandemic on medical providers. This is the first national study to investigate the impact of the pandemic on physicians practicing obstetrics and gynecology in China.
Methods: A two-stage, stratified, cluster sampling method was performed based on the city categories (category 1, fewer than 10,000 beds; category 2, 10,000–30,000; and category 3, more than 30,000) and public hospital levels (primary, secondary, and tertiary). Physicians practicing obstetrics and gynecology reported the relevant changes in their general clinical activities and changes in the management of specific diseases or conditions occurring during the periods that they were most strongly affected. These changes were compared by municipal and hospital characteristics.
Results: Questionnaires were collected from a representative sample of 11,806 physicians actively practicing obstetrics and gynecology in 779 hospitals from 157 cities of 31 provinces. Except emergency visits and online consultations, category 3 cities, tertiary hospitals and general hospitals had greater reductions in overall clinical activities than category 1 cities, primary hospitals and specialized hospitals (all adjusted p < 0.05), respectively. The differences also existed in the management of specific diseases and conditions, especially for less urgent conditions, including cervical cancer screening, instructions regarding contraception and miscarriage, and assisted reproduction (all p < 0.05).
Conclusions: During the COVID-19 pandemic, the clinical obstetrics and gynecology activities in China markedly decreased, with significant differences across municipal and hospital characteristics.
Trial Registration: This study was registered with ClinicalTrials.gov on July 27, 2020 (NCT04491201).

研究目的：目前鲜有研究量化评估新型冠状病毒肺炎（Coronavirus Disease 2019, COVID-19）疫情对医疗从业者的影响。本研究为国内首项针对中国妇产科执业医师受疫情影响情况开展的全国性研究。
研究方法：采用两阶段分层整群抽样方法，抽样依据为城市床位规模分类（类别1：床位少于10000张；类别2：床位10000~30000张；类别3：床位多于30000张）以及公立医院等级（一级、二级、三级）。妇产科执业医师报告了其临床常规工作的相关变化，以及在受疫情影响最严重时期内特定疾病或病症诊疗管理的变化；并按城市与医院特征对上述变化进行比较分析。
研究结果：本研究从全国31个省份157个城市的779家医院中，回收了11806名在职妇产科执业医师的代表性样本问卷。除急诊诊疗与在线咨询外，类别3城市、三级医院及综合医院的整体临床业务量降幅分别高于类别1城市、一级医院及专科医院（所有校正后P值均<0.05）。特定疾病与病症的诊疗管理亦存在类似差异，尤以非急症病症为著，包括宫颈癌筛查、避孕与流产相关指导及辅助生殖技术服务（所有P值均<0.05）。
研究结论：新冠疫情期间，我国妇产科临床业务量显著下降，且不同城市与医院特征群体间的降幅存在显著差异。
试验注册：本研究于2020年7月27日在ClinicalTrials.gov注册（注册号：NCT04491201）。