将企业福利策略应用于医疗实践:解决医生的职业倦怠和过度工作。

IF 1.9 4区 医学 Q3 HEALTH POLICY & SERVICES
Sakumi Yamakawa, Maaya Ono, Kiyonobu Kusu, Hayase Hakariya
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引用次数: 0

摘要

2023 年 8 月,日本神户市发生了一起悲剧,凸显了住院医师面临的严峻工作条件。一名专攻内科的住院医师在经历了超负荷工作后自杀身亡,死前一个月的加班时间长达 236 小时。这一案例凸显了日本医疗行业工作时间过长这一更广泛的系统性问题,而日本的 "激情薪酬 "文化又加剧了这一问题,因为这种文化利用了年轻医生的奉献精神。调查显示,28% 的住院医师出现职业倦怠,主要压力来自工作时间过长、任务分配效率低下和工作场所沟通不畅。要解决工作量过大的问题,就必须调整医生的职责。研究表明,50 岁以下的全职医生在非医疗任务上花费了大量时间,而这些任务可以委托给其他专业人员。主治医师模式要求医生在轮班之外还要对病人负责,这进一步延长了工作时间。过渡到基于时间的任务分配系统和实施任务转移策略可以减轻这些负担。工作场所的沟通也需要改进。有限的上级支持和等级障碍阻碍了关于幸福感的公开讨论。我们强调,医院可以借鉴丸井集团的任务优化政策和丰田汽车的匿名反馈系统等企业战略,为医生实施结构化的幸福感计划。医生的幸福感与患者满意度和治疗依从性直接相关。通过减少工作量和加强沟通来解决职业倦怠问题,对于维护医生和患者的健康至关重要。医院必须将医生的福利与患者护理放在同等重要的位置,为医疗专业人员营造一个可持续发展的工作环境。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Applying Corporate Well-Being Strategies to Medical Practice: Addressing Physician Burnout and Overwork.

In August 2023, a tragic case in Kobe City, Japan, highlighted the severe working conditions faced by resident physicians. A resident specialising in internal medicine died by suicide after experiencing extraordinary workloads, including 236 h of overtime in the month before his death. This case underscores the broader systemic issue of excessive working hours in Japan's medical profession, exacerbated by the country's 'passion pay' culture, which exploits young physicians' dedication. Surveys indicate that 28% of residents experience burnout, with long hours, inefficient task allocation and poor workplace communication as key stressors. Addressing excessive workloads requires restructuring physician responsibilities. Research shows that full-time physicians under 50 spend significant time on non-medical tasks that could be delegated to other professionals. The primary physician model, which holds doctors responsible for patients beyond their shifts, further extends work hours. Transitioning to a time-based task allocation system and implementing task-shifting strategies could alleviate these burdens. Workplace communication also requires improvement. Limited supervisory support and hierarchical barriers prevent open discussions about well-being. We underscore that drawing insights from corporate strategies, such as Marui Group's task optimisation policies and TOYOTA's anonymous feedback system, hospitals could implement structured well-being initiatives for physicians. Physician well-being directly correlates with patient satisfaction and treatment adherence. Addressing burnout through workload reduction and improved communication is essential for maintaining both doctor and patient health. Hospitals must prioritise physician well-being alongside patient care, fostering a sustainable working environment for medical professionals.

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来源期刊
CiteScore
4.50
自引率
3.70%
发文量
197
期刊介绍: Policy making and implementation, planning and management are widely recognized as central to effective health systems and services and to better health. Globalization, and the economic circumstances facing groups of countries worldwide, meanwhile present a great challenge for health planning and management. The aim of this quarterly journal is to offer a forum for publications which direct attention to major issues in health policy, planning and management. The intention is to maintain a balance between theory and practice, from a variety of disciplines, fields and perspectives. The Journal is explicitly international and multidisciplinary in scope and appeal: articles about policy, planning and management in countries at various stages of political, social, cultural and economic development are welcomed, as are those directed at the different levels (national, regional, local) of the health sector. Manuscripts are invited from a spectrum of different disciplines e.g., (the social sciences, management and medicine) as long as they advance our knowledge and understanding of the health sector. The Journal is therefore global, and eclectic.
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