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

1.	2013年衛生統計年鑒. 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. 現階段我國醫患矛盾的類型、特征與對策. 社會科學研究, 2014, 21(6):104-108.
4.	劉淼. 社區醫生人格、應對方式、工作負荷與職業倦怠的關系研究. 南京師范大學, 2013.
5.	Wickens CD. Engineering psychology and human performance. New York(1992):HarperCollins.
6.	盧潤德, 方艷. 國內外工作負荷評估研究綜述. 商業現代化, 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.	張新慶. 醫生職業壓力縱深比較. 中國醫院院長, 2014, (7):47-49.
10.	尚磊, 高湘偉, 石岳勤, 等. 某醫院門診出診醫生工作效率分析. 現代醫院管理, 2006, 4(4):40-42.
11.	孔輝. 基于某樣本區的門診醫生工作負荷研究. 中國衛生資源, 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.	邵秀貞, 陳新, 徐東方, 等. 縣級公立醫院醫生職業生命質量及影響因素. 職業與健康, 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.	黃冬梅, 尹文強, 張宜閔, 等. 醫生工作家庭沖突與社會支持、制度支持的關系. 中國心理衛生雜志, 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.	趙光斌, 杜光會, 林敏. 制約雙向轉診制度實施因素研究. 中國全科醫學, 2013, 16(9):2930-2932.

1. 2013年衛生統計年鑒. 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. 現階段我國醫患矛盾的類型、特征與對策. 社會科學研究, 2014, 21(6):104-108.
4. 劉淼. 社區醫生人格、應對方式、工作負荷與職業倦怠的關系研究. 南京師范大學, 2013.
5. Wickens CD. Engineering psychology and human performance. New York(1992):HarperCollins.
6. 盧潤德, 方艷. 國內外工作負荷評估研究綜述. 商業現代化, 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. 張新慶. 醫生職業壓力縱深比較. 中國醫院院長, 2014, (7):47-49.
10. 尚磊, 高湘偉, 石岳勤, 等. 某醫院門診出診醫生工作效率分析. 現代醫院管理, 2006, 4(4):40-42.
11. 孔輝. 基于某樣本區的門診醫生工作負荷研究. 中國衛生資源, 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. 邵秀貞, 陳新, 徐東方, 等. 縣級公立醫院醫生職業生命質量及影響因素. 職業與健康, 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. 黃冬梅, 尹文強, 張宜閔, 等. 醫生工作家庭沖突與社會支持、制度支持的關系. 中國心理衛生雜志, 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. 趙光斌, 杜光會, 林敏. 制約雙向轉診制度實施因素研究. 中國全科醫學, 2013, 16(9):2930-2932.

Chinese Journal of Evidence-Based Medicine

Doctors' Workload in China: A Status-quo Study

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