Physicians' Workloads in China: 1998⁻2016.

Physicians' Workloads in China: 1998⁻2016.
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DOI:
10.3390/ijerph15081649
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发表时间:
2018-08-03
影响因子:
--
通讯作者:
Hu G
Hu G
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Fu Y;Schwebel DC;Hu G

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背景:医生在患者的健康中发挥着主要作用。繁重的工作量会威胁医生和患者的健康。该研究调查了1998-2016年中国医疗机构医生的工作量变化。研究方法:这项研究检查了1999-2017年在线中国统计年鉴的数据,该年鉴由中华人民共和国国家统计局每年发布。检索了三个相关和可用的指标:(1)医生人数,(2)患者就诊人数和(3)住院人数。计算了1998-2016年每名医生的患者就诊次数和每名医生的住院人数,以近似中国医疗机构的医生工作量。结果:1998年至2016年,中国每名医生的患者就诊人数增加了135%,每名医生的住院人数增加了184%。这两项指标在最近五年都显示出稳定的趋势,包括自2012年以来每位医生的患者就诊次数略有下降(7%)。结论:从1998年到2016年,中国医生的工作量急剧增加,这一趋势可能会威胁到医生的健康和患者护理质量。研究结果强调了干预措施和努力减轻中国医生工作量的重要性。
Background: Physicians play a primary role in patients’ health. Heavy workloads can threaten the health of physicians and their patients. This study examined workload changes among physicians in Chinese health institutions from 1998–2016. Methods: This study examined data from the online China Statistical Yearbook of 1999–2017, which is released annually by the National Bureau of Statistics of the People’s Republic of China. Three relevant and available indicators were retrieved: (1) number of physicians, (2) number of patient visits and (3) number of inpatient admissions. Patient visits per physician and inpatient admissions per physician from 1998–2016 were calculated to approximate physician workloads in Chinese health institutions. Results: Between 1998 and 2016, patient visits per physician in China increased by 135% and inpatient admissions per physician rose by 184%. Both indicators demonstrate a stabilizing trend in the most recent five years, including a slight decrease (7%) in patient visits per physician since 2012. Conclusions: Physician workload increased dramatically for Chinese physicians from 1998–2016, a trend that could potentially threaten physicians’ health and the quality of patient care. The findings highlight the importance of interventions and efforts to relieve physician workloads in China.
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