Challenges facing workstyle reform for Japanese obstetricians and gynecologists revealed from time studies
Challenges facing workstyle reform for Japanese obstetricians and gynecologists revealed from time studies
复制标题
DOI：
10.1111/jog.15230
复制
发表时间：
2022-04-06
影响因子：
1.6
通讯作者：
Enomoto, Takayuki
中科院分区：
文献类型：
--
作者：
Sekine, Masayuki;Nishijima, Koji;Enomoto, Takayuki
目的采用厚生劳动省（MHLW）的相同方法，尽可能准确地掌握日本妇产科医生（OB/GYN医生）的实际工作时间。方法以新泻大学等全国10所大学的妇产科医生和新泻县的21所围产期保健机构的妇产科医生为对象进行时间研究。每周的工作时间是根据以下类别计算的：医院内的常规和加班，医院外的工作，自我提高，教育，研究和其他。每周工作时数的数据转换为年度数据进行分析。结果全国10所高校的时间研究显示，30%的医生加班超过1860小时，即使他们不包括在他们的工作时间随叫随到的变化。在新泻的21个机构中，新泻大学的医生加班时间比其他医院更长。很明显，社区卫生保健得到了在大学工作的医生的支持。此外，模拟的结果预测了新泻的围产期医疗保健的悲观局势。结论我们的研究表明，每年加班超过1860小时的妇产科医生可能比厚生劳动省根据2019年全国调查提供的数据要多得多。兼职的工作时间对大学医生超时工作的增加有很大影响，这一事实与厚生劳动省于2021年发布的报告的结果相同。
Aim We aimed to grasp the actual working hours of Japanese obstetricians and gynecologists (OB/GYN doctors) as accurately as possible, using the same method of the Ministry of Health, Labour, and Welfare (MHLW). Methods The time study targeted OB/GYN doctors working at 10 universities nationwide including Niigata University and 21 institutions which take a role of perinatal care in Niigata prefecture. Working hours per week were calculated based on the following categories: regular and overtime work inside the hospital, work outside the hospital, self-improvement, education, research, and others. Data on weekly working hours were converted to yearly data for analyses. Results A time study of 10 universities nationwide revealed that 30% of doctors work overtime for more than 1860 h even if they do not include on-call shifts in their working hours. In 21 institutions in Niigata, physicians in Niigata University worked more overtime than other hospitals. It became clear that community health care was supported by dispatching physicians working at university. Furthermore, the results of simulations predicted the pessimistic situation of perinatal medical care in Niigata. Conclusions Our study showed the possibility to exist much more OB/GYN doctors who work more than 1860 h of overtime work per year than the data presented by the MHLW based on nation-wide survey in 2019. The fact that the working hours at the side jobs had a great influence on the increase in overtime work of physicians in University was the same result as the report of MHLW published in 2021.