The healthcare system is continuously evolving to adapt to the population's needs, both in terms of healthcare practices, and in financial and organizational aspects. The current COVID-19 pandemic has added additional pressure to the healthcare system and shown its limits in terms of preparedness. It has also shown once again that both healthcare professionals (HCPs) and informal caregivers (ICs) play a central role for the functioning of the healthcare system. An increasing number of studies are alerting on HCPs' situation, regarding their physical and mental health (e.g. emotional exhaustion, professional well-being) on the one hand, and the functioning of the healthcare system (e.g. absenteeism, turnover, career change) on the other hand. Besides healthcare professionals, ICs, defined as "a person in the immediate entourage of an individual whose health and/or autonomy is impaired and who requires assistance with certain \[basic or instrumental\] activities of daily living. The IC provides the person, on a non-professional and informal basis, and on a regular basis, with assistance, care or presence services of varying nature and intensity, designed to compensate for their incapacities or difficulties or to ensure their safety, identity and social ties". Caring for others has shown to have negative impact on the ICs' life, in terms of health-related implications, psychological burden, quality of life, etc. Despite being increasingly recognized as having a key role in the provision of care, they have only been limitedly considered in studies on healthcare professionals. In that context, the investigators develop SCOHPICA project, the Swiss cohort of healthcare professionals and informal caregivers, which is an open prospective national cohort using a concurrent embedded mixed method design. This project targets all types of HCPs and ICs, and will investigate determinants of intent to stay and well-being according to participants' trajectories.
Study Type
OBSERVATIONAL
Enrollment
6,000
Online questionnaires is used to collect data, at recruitment and follow-up once a year. For the ICs, paper questionnaire will be provided upon request.
Remote focus groups or semi-structured interviews will be proposed to a subsample of the participants, first in 2025 and then every two years
Center for Primary Care and Public Health (Unisante), University of Lausanne, Switzerland
Lausanne, Switzerland
RECRUITINGProfessional trajectories (HCPs), constructed from socio-professional variables [1]
Professional trajectories will be formulated based on socio-professional information (current and past occupation, education, work setting, career continuity, part-time contracts). Clustering procedures will be used to group healthcare professionals with similar trajectories, building thus a typology of professional trajectories in the Swiss health workforce.
Time frame: At baseline
Professional trajectories (HCPs), constructed from socio-professional variables [2]
Follow-up data will be used to complement the professional trajectories constructed on baseline socio-professional information. Changes in the variables which form the trajectories will be assessed and new typologies will be derived from the enhanced trajectories.
Time frame: 1 year after the baseline
Professional trajectories (HCPs), constructed from socio-professional variables [3]
Follow-up data will be used to complement the professional trajectories constructed on baseline socio-professional information. Changes in the variables which form the trajectories will be assessed and new typologies will be derived from the enhanced trajectories.
Time frame: 2 years after the baseline
Professional trajectories (HCPs), constructed from socio-professional variables [4]
Follow-up data will be used to complement the professional trajectories constructed on baseline socio-professional information. Changes in the variables which form the trajectories will be assessed and new typologies will be derived from the enhanced trajectories.
Time frame: 3 years after the baseline
Professional trajectories (HCPs), constructed from socio-professional variables [5]
Follow-up data will be used to complement the professional trajectories constructed on baseline socio-professional information. Changes in the variables which form the trajectories will be assessed and new typologies will be derived from the enhanced trajectories.
Time frame: 4 years after the baseline
Intention to stay in the profession/position (HCPs) [1]
Assessed using two questions: 1) intent to stay in the profession and 2) intent to stay in the current position
Time frame: At baseline
Intention to stay in the profession/position (HCPs) [2]
Assessed using two questions: 1) intent to stay in the profession and 2) intent to stay in the current position
Time frame: 1 year after the baseline
Intention to stay in the profession/position (HCPs) [3]
Assessed using two questions: 1) intent to stay in the profession and 2) intent to stay in the current position
Time frame: 2 years after the baseline
Intention to stay in the profession/position (HCPs) [4]
Assessed using two questions: 1) intent to stay in the profession and 2) intent to stay in the current position
Time frame: 3 years after the baseline
Intention to stay in the profession/position (HCPs) [5]
Assessed using two questions: 1) intent to stay in the profession and 2) intent to stay in the current position
Time frame: 4 years after the baseline
Intention to leave the profession/position/health sector (HCPs) [1]
Assessed using three questions: within next 5 years …1) intent to leave the profession, 2) intent to leave the current position and 3) intent to leave the health sector
Time frame: At baseline
Intention to leave the profession/position/health sector (HCPs) [2]
Assessed using three questions: within next 5 years …1) intent to leave the profession, 2) intent to leave the current position and 3) intent to leave the health sector
Time frame: 1 year after the baseline
Intention to leave the profession/position/health sector (HCPs) [3]
Assessed using three questions: within next 5 years …1) intent to leave the profession, 2) intent to leave the current position and 3) intent to leave the health sector
Time frame: 2 years after the baseline
Intention to leave the profession/position/health sector (HCPs) [4]
Assessed using three questions: within next 5 years …1) intent to leave the profession, 2) intent to leave the current position and 3) intent to leave the health sector
Time frame: 3 years after the baseline
Intention to leave the profession/position/health sector (HCPs) [5]
Assessed using three questions: within next 5 years …1) intent to leave the profession, 2) intent to leave the current position and 3) intent to leave the health sector
Time frame: 4 years after the baseline
Well-being (HCPs) [1]
Assessed using the10 items of the Flourish Index (FI). FI score can range from 0 (lowest response category for the 10 items) to 10 (highest response category for the 10 items). High scores imply that respondents perceive themselves very positively in terms of human flourishing.
Time frame: At baseline
Well-being (HCPs) [2]
Assessed using the10 items of the Flourish Index (FI). FI score can range from 0 (lowest response category for the 10 items) to 10 (highest response category for the 10 items). High scores imply that respondents perceive themselves very positively in terms of human flourishing.
Time frame: 1 year after the baseline
Well-being (HCPs) [3]
Assessed using the10 items of the Flourish Index (FI). FI score can range from 0 (lowest response category for the 10 items) to 10 (highest response category for the 10 items). High scores imply that respondents perceive themselves very positively in terms of human flourishing.
Time frame: 2 years after the baseline
Well-being (HCPs) [4]
Assessed using the10 items of the Flourish Index (FI). FI score can range from 0 (lowest response category for the 10 items) to 10 (highest response category for the 10 items). High scores imply that respondents perceive themselves very positively in terms of human flourishing.
Time frame: 3 years after the baseline
Well-being (HCPs) [5]
Assessed using the10 items of the Flourish Index (FI). FI score can range from 0 (lowest response category for the 10 items) to 10 (highest response category for the 10 items). High scores imply that respondents perceive themselves very positively in terms of human flourishing.
Time frame: 4 years after the baseline
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.