Overwork among resident physicians: national questionnaire survey results.
Overwork among resident physicians: national questionnaire survey results.
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常驻医师的劳累：国家问卷调查结果。
DOI：
10.1186/s12909-022-03789-7
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发表时间：
2022-10-20
影响因子：
3.6
通讯作者：
Ishikawa, Masatoshi
中科院分区：
文献类型：
--
作者：
Ishikawa, Masatoshi
住院医生的工作时间是医生中最长的。因此，在日本全国范围内对居民的长工作时间和推动日本居民工作时间上限的背景因素进行调查将是有益的。本研究旨在以问卷调查方式，探讨医师超时工作的现况及其背景因素。调查对象为924家医院。医生的一般属性，工作时间和条件，以及雇主的基本实体进行了探讨。多元Logistic回归分析，以阐明长时间工作的背景因素。在4306名做出答复的住院医师中，67%的住院医师每周住院时间≥ 60小时，27%的住院医师每周住院时间≥ 80小时; 51%的住院医师每月随叫随到≥ 4次。他们中的许多人希望增加报酬。此外，女性（参考：男性，OR：0.65，95% CI：0.55-0.76），35-40岁（参考：25-30岁，OR：1.83，95% CI：1.32-2.54），无子女（参考：儿童，OR：1.41，95% CI：1.12-1.75），外科专业化（参考文献：内科，OR：2.51，95% CI：1.96-3.23），神经外科专业（参考：内科，OR：4.38，95%CI：2.92-6.59）和200-400名医生的医院（参考：<100名医生，OR：1.82，95%CI：1.12-2.96）与≥ 80住院小时/周显示出显著相关性。了解增加居民长时间工作可能性的因素有助于做出有针对性的改变，以解决具体问题。此外，将工作时间减少到合理的限度可以改善住院医生的健康和他们在社区提供的护理质量。
Residents experience the longest working hours among physicians. Thus, it would be beneficial to perform a nationwide survey in Japan on residents’ long work hours and the background factors promoting upper limits on working hours of Japanese residents. The aim of this study was to study or assess the state of physicians’ excessive work hours and its background factors using a questionnaire survey. The survey was sent to 924 hospitals. The physicians’ general attributes, work hours and conditions, and employers’ foundational entities were explored. Multiple logistic regression analysis was performed to elucidate the background factors for long work hours. Of the 4306 resident physicians who responded, 67% had ≥ 60 in-hospital hours/week and 27% had ≥ 80 h/week; 51% were on-call ≥ four times/month. Many of them hoped for increased remuneration. Additionally, female (reference: male, OR: 0.65, 95% CI: 0.55–0.76), 35–40 years old (reference: 25–30 years old, OR: 1.83, 95% CI: 1.32–2.54), childlessness (reference: child, OR: 1.41, 95% CI: 1.12–1.75), surgical specialization (reference: internal medicine, OR: 2.51, 95% CI: 1.96–3.23), neurosurgical specialization (reference: internal medicine, OR: 4.38, 95% CI: 2.92–6.59) and hospitals with 200–400 physicians (reference: <100 physicians, OR: 1.82, 95% CI: 1.12–2.96) exhibited significant correlations with ≥ 80 in-hospital hours/week. Understanding the factors that increase the likelihood of residents working very long hours could aid in making targeted changes to address the specific concerns. Moreover, reducing working hours to a reasonable limit can improve resident physicians’ health and the quality of care they provide in their community.
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影响因子：
5.9
作者：
Weaver, Matthew D.;Landrigan, Christopher P.;Barger, Laura K.
通讯作者：
Barger, Laura K.
影响因子：
158.5
作者：
Bilimoria, Karl Y.;Chung, Jeanette W.;Lewis, Frank R.
通讯作者：
Lewis, Frank R.
影响因子：
158.5
作者：
Landrigan, CP;Rothschild, JM;Czeisler, CA
通讯作者：
Czeisler, CA
影响因子：
158.5
作者：
Silber, Jeffrey H.;Bellini, Lisa M.;Asch, David A.
通讯作者：
Asch, David A.
DOI：
10.3390/healthcare8040421
发表时间：
2020-10-22
期刊：
Healthcare (Basel, Switzerland)
影响因子：
--
作者：
Amanullah S;Ramesh Shankar R
通讯作者：
Ramesh Shankar R