Overwork Death of Chinese Physicians under High-Intensity Pressure, 2007-2018.

Overwork Death of Chinese Physicians under High-Intensity Pressure, 2007-2018.
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DOI:
10.18502/ijph.v49i12.4804
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发表时间:
2020-12
影响因子:
1.4
通讯作者:
Gao X
Gao X
中科院分区:
医学4区
文献类型:
--
作者:
Xu Y;Chen G;Han X;Gao X

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总结2007年1月至2018年12月期间医生过劳死的案例,这一悲剧值得当局和政策制定者重视,加大力度减少中国医生的死亡。数据来源于医学数据库、当地大众媒体、官方文献和医学公告板系统(BBS),其中仅包含检索策略中列出的文章、报告和新闻,排除未发表的数据。总体而言,本研究纳入了 110 例病例(7 名女性和 103 名男性)。大多数事件发生在2012年以来,特别是2017年。其中,86名(78.18%)医生在公立三级医院工作,是二级医院发生病例数的四倍。此外,过劳死亡以外科相关科室最为常见,高达65例(59.1%)。值得注意的是,这些活动在中国一线城市和东南沿海地区举行,共有27名主任医师、31名副主任医师、21名主治医师、10名住院医师和4名标准化培训医师。中国医生过劳死不仅是当代健康问题,也是严重的社会问题。应完善法律法规,防止此类事件的发生。同时,公众应该意识到中国需要更多地理解和信任医生。
To summarize the cases of physicians overwork death between Jan 2007 and Dec 2018, the tragedy merits the attention of the authorities and policy-makers to increase their efforts to reduce death among physicians in China. Data were extracted from medical databases, local mass media, official documents and medical Bulletin Board System (BBS), in which only included articles, reports and news listed in the retrieval strategy, and unpublished data were excluded. Overall, 110 cases (7 females and 103 males) were enrolled in this study. Most incidents have occurred since 2012, especially in 2017. Of these, 86 (78.18%) physicians worked in public tertiary hospitals, four times more than the number of cases taking place in secondary hospitals. Additionally, overwork death was the most common in surgery-related departments that account for up to 65 (59.1%). Notably, these events, taking place in first-tier cities and the southeastern coastal areas of China, included 27 chief physicians, 31 associate of chief physicians, 21 attending physicians, 10 resident physicians and 4 standardized training physicians. Overwork death among Chinese physicians is not only a contemporary health problem but also a critical social issue. The laws and regulations should be perfected to prevent the events. Meanwhile, the public should be aware of the need for more understanding and trust in physicians in China.
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