Impact of the 2024 work style reform on cardiovascular surgeons in Japan: a comparative cross-sectional study using pre- and post-reform survey data.

IF 1.6 4区医学 Q2 SURGERY

Surgery Today Pub Date : 2025-10-06 DOI:10.1007/s00595-025-03144-5

Ikuko Shibasaki, Akira Shiose, Yasushi Takagi, Aya Saito, Yuji Hiramatsu, Takashi Miura, Minoru Ono

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引用次数: 0

Abstract

Purpose: Traditionally, cardiovascular surgeons (CSs) in Japan work long hours. To evaluate the impact of the 2024 Work Style Reform on their work environment, we analyzed how the working conditions of CSs have changed since the reform's implementation.

Methods: We conducted an anonymous web-based survey during a patient-safety session at the 55th Annual Meeting of the Japanese Society for Cardiovascular Surgery.

Results: Of the 1,229 respondents, 1,124 board-certified CSs were included in the analysis. Among them, 64.6% reported working over 60 h per week and 29.5% were unaware of their institution's designated work-hour category. Younger age (adjusted odds ratio [aOR]: 0.594) and employment at a university hospital (aOR: 2.071) were independently associated with extended working hours. Over 80% of respondents reported no significant change in their working hours or job responsibilities post-reform. The availability of nurse practitioners (NPs) or nurses certified in specified medical-acts training (SNs) had no significant impact on workload, although most surgeons perceived their benefit.

Conclusion: Extended working hours remain prevalent among CSs in Japan despite the implementation of the work-style reforms. Strategic adoption of task-shifting and enhanced staffing is required urgently to ensure the sustainability of cardiovascular surgical care.

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2024年工作方式改革对日本心血管外科医生的影响：一项使用改革前后调查数据的比较横断面研究

目的：传统上，日本的心血管外科医生（CSs）工作时间很长。为了评估2024年工作方式改革对社会保障人员工作环境的影响，我们分析了改革实施以来社会保障人员工作环境的变化。方法：我们在第55届日本心血管外科学会年会上的患者安全会议期间进行了一项匿名网络调查。结果：在1229名受访者中，有1124名获得董事会认证的CSs被纳入分析。其中，64.6%报称每周工作逾60小时，29.5%不知道所属机构的指定工作时数。年龄较小（调整优势比[aOR]: 0.594）和大学医院就业（aOR: 2.071）与延长工作时间独立相关。超过80%的受访者表示，改革后他们的工作时间或工作职责没有明显变化。执业护士（NPs）或在特定医疗行为培训（SNs）中获得认证的护士的可用性对工作量没有显着影响，尽管大多数外科医生认为他们的好处。结论：尽管实施了工作方式改革，但延长工作时间在日本社会主义社会中仍然普遍存在。迫切需要战略性地采取任务转移和加强人员配置，以确保心血管外科护理的可持续性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgery Today 医学-外科

CiteScore

4.90

自引率

4.00%

发文量

208

审稿时长

1 months

期刊介绍： Surgery Today is the official journal of the Japan Surgical Society. The main purpose of the journal is to provide a place for the publication of high-quality papers documenting recent advances and new developments in all fields of surgery, both clinical and experimental. The journal welcomes original papers, review articles, and short communications, as well as short technical reports("How to do it"). The "How to do it" section will includes short articles on methods or techniques recommended for practical surgery. Papers submitted to the journal are reviewed by an international editorial board. Field of interest: All fields of surgery.