دورية أكاديمية

Overwork among resident physicians: national questionnaire survey results.

التفاصيل البيبلوغرافية
العنوان: Overwork among resident physicians: national questionnaire survey results.
المؤلفون: Ishikawa M; Faculty of Medicine, University of Tsukuba, 1 Chome-1-1 Tennodai, 305-8577, Tsukuba, Ibaraki, Japan. masa.ishikawa1221@gmail.com.; Research Institute, Tokyo Healthcare University, Shinagawa, Tokyo, Japan. masa.ishikawa1221@gmail.com.
المصدر: BMC medical education [BMC Med Educ] 2022 Oct 20; Vol. 22 (1), pp. 729. Date of Electronic Publication: 2022 Oct 20.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101088679 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6920 (Electronic) Linking ISSN: 14726920 NLM ISO Abbreviation: BMC Med Educ Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Internship and Residency* , Physicians*, Adult ; Female ; Humans ; Male ; Internal Medicine ; Japan ; Surveys and Questionnaires ; Workload
مستخلص: Background: 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.
Methods: 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.
Results: 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.
Conclusion: 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.
(© 2022. The Author(s).)
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فهرسة مساهمة: Keywords: Burnout; Japan; Physicians; Questionnaire survey; Work hours
تواريخ الأحداث: Date Created: 20221021 Date Completed: 20221025 Latest Revision: 20221025
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC9584270
DOI: 10.1186/s12909-022-03789-7
PMID: 36266644
قاعدة البيانات: MEDLINE
الوصف
تدمد:1472-6920
DOI:10.1186/s12909-022-03789-7