Doctors' Workload in China: A Status-quo Study_Chinese Journal of Evidence-Based Medicine

Authors：

 WENJin ¹ , HAOTian-you ² , HUXiu-ying ³

1. Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu 610041, China;
2. Department of Epidemiology and Biostatistics, School of Public Health, Sichuan University, Chengdu 610041, China;
3. Department of Nursing, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

Keywords：

Workload; Doctor; Status-quo study

DOI：

10.7507/1672-2531.20150024

Video：

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Objective To study the status-quo of doctors' workload in China, analyze its influential factors, and to provide references for relevant policy-making. Methods A multi-centre cross-sectional study was conducted. Clinical doctors who had worked for more than 6 months from 46 hospitals in 10 provinces were enrolled. The included doctors' workload was measured with working time per week and number of daily service patients. SPSS 20.0 software was used to analyze the data. Results A total of 1 537 doctors were included. The number of daily service outpatients and that of daily service inpatients per doctor were 22.17±20.95 person and 13.24±11.13 h, respectively. Working time per week were 54.06±10.76 h. The significant influential factors of the number of daily service outpatients were gender, employment relationship, hospital grade, age, professional title, and location; while those of the number of daily service inpatients were hospital grade, professional title, and location. Besides, type of department, hospital grade, doctor's age, education background and location were closely related to working time per week. Conclusion Chinese doctors' workload is very heavy especially for long-time work. Hospitals and health departments should develop some target measures to reduce doctor's workload, so as to ensure medical safety.

Citation： WENJin, HAOTian-you, HUXiu-ying. Doctors' Workload in China: A Status-quo Study. Chinese Journal of Evidence-Based Medicine, 2015, 15(2): 133-136. doi: 10.7507/1672-2531.20150024 Copy

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9.	张新庆. 医生职业压力纵深比较. 中国医院院长, 2014, (7):47-49.
10.	尚磊, 高湘伟, 石岳勤, 等. 某医院门诊出诊医生工作效率分析. 现代医院管理, 2006, 4(4):40-42.
11.	孔辉. 基于某样本区的门诊医生工作负荷研究. 中国卫生资源, 2011, 14(6):401-403.
12.	McCranie, Lambert EW, Lambert VA, et al. Work stress, hardiness, and burnout among hospital staff nurses. Nurs Res, 1987, 36(6):374-378.
13.	邵秀贞, 陈新, 徐东方, 等. 县级公立医院医生职业生命质量及影响因素. 职业与健康, 2014, 30(7):889-892.
14.	Wada K, Arimatsu M, Yoshikawa T, et al. Factors on working conditions and prolonged fatigue among physicians in Japan. Int Arch Occup Environ Health, 2008, 82(1):59-66.
15.	黄冬梅, 尹文强, 张宜闵, 等. 医生工作家庭冲突与社会支持、制度支持的关系. 中国心理卫生杂志, 2009, 23(1):27-32.
16.	West CP, Tan AD, Habermann TM, et al. Association of Resident Fatigue and Distress With Perceived Medical Errors. JAMA, 2009, 302(12):1294-1300.
17.	赵光斌, 杜光会, 林敏. 制约双向转诊制度实施因素研究. 中国全科医学, 2013, 16(9):2930-2932.

1. 2013年卫生统计年鉴. Available at:http://www.nhfpc.gov.cn/htmlfiles/zwgkzt/ptjnj/year2013/index2013.html.
2. Chen K, Yang C, Lien C, et al. Burnout, Job Satisfaction, and Medical Malpractice among Physicians. Int J Med Sci, 2013, 10(11):1471-1478.
3. 朱力, 袁迎春. 现阶段我国医患矛盾的类型、特征与对策. 社会科学研究, 2014, 21(6):104-108.
4. 刘淼. 社区医生人格、应对方式、工作负荷与职业倦怠的关系研究. 南京师范大学, 2013.
5. Wickens CD. Engineering psychology and human performance. New York(1992):HarperCollins.
6. 卢润德, 方艳. 国内外工作负荷评估研究综述. 商业现代化, 2008, 37(11):366.
7. Jefferson L, Bloor K, Spilsbury K. Exploring gender differences in the working lives of UK hospital consultants. J R Soc Med, 2015, pii:0141076814558523.
8. Michtalik HJ, Pronovost P J, Marsteller J A, et al. Identifying Potential Predictors of a Safe Attending Physician Workload:A Survey of Hospitalists. J Hosp Med, 2008, 8(11):644-646.
9. 张新庆. 医生职业压力纵深比较. 中国医院院长, 2014, (7):47-49.
10. 尚磊, 高湘伟, 石岳勤, 等. 某医院门诊出诊医生工作效率分析. 现代医院管理, 2006, 4(4):40-42.
11. 孔辉. 基于某样本区的门诊医生工作负荷研究. 中国卫生资源, 2011, 14(6):401-403.
12. McCranie, Lambert EW, Lambert VA, et al. Work stress, hardiness, and burnout among hospital staff nurses. Nurs Res, 1987, 36(6):374-378.
13. 邵秀贞, 陈新, 徐东方, 等. 县级公立医院医生职业生命质量及影响因素. 职业与健康, 2014, 30(7):889-892.
14. Wada K, Arimatsu M, Yoshikawa T, et al. Factors on working conditions and prolonged fatigue among physicians in Japan. Int Arch Occup Environ Health, 2008, 82(1):59-66.
15. 黄冬梅, 尹文强, 张宜闵, 等. 医生工作家庭冲突与社会支持、制度支持的关系. 中国心理卫生杂志, 2009, 23(1):27-32.
16. West CP, Tan AD, Habermann TM, et al. Association of Resident Fatigue and Distress With Perceived Medical Errors. JAMA, 2009, 302(12):1294-1300.
17. 赵光斌, 杜光会, 林敏. 制约双向转诊制度实施因素研究. 中国全科医学, 2013, 16(9):2930-2932.

Chinese Journal of Evidence-Based Medicine

Doctors' Workload in China: A Status-quo Study

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