Issues related to the health status, work pressure and occupational environments of medical staff at level A tertiary public hospitals in Shanghai

Gao, Ying; Liu, Chao; Fan, Xiaodong; Wu, Meng; Yi-feng, Jiang

doi:10.21037/apm-21-1777

Cited by 7 publications

(5 citation statements)

References 4 publications

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“…With the improvement of knowledge level, medical jobs have increasingly higher requirements on the knowledge and technical level of medical staff, and they can cope with the fierce knowledge competition, deal with the complex interpersonal relationship and the tense social environment by enhancing their competitiveness, which aggravates the occupational stress of highly educated medical staff [ 43 ]. Gao et al [ 44 ] showed that doctoral students consider research pressure as their main work pressure, whereas medical personnel with other degrees consider work intensity as their main work pressure.…”

Section: Discussionmentioning

confidence: 99%

The Status of Occupational Stress and Its Influence on the Health of Medical Staff in Lanzhou, China

Zhu

Wang

Zhao

et al. 2022

IJERPH

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This study aimed to understand the status quo of occupational stress and its impact on the health of medical staff and provide a theoretical basis for relieving occupational stress and improving the health status of medical staff. The occupational stress and health status of medical staff in 14 hospitals in Lanzhou were studied using a general questionnaire, Effort–Reward Imbalance questionnaire, and Self-Rated Health Measurement Scale. A total of 2169 participants were included in the analysis, and 59.4% of the medical staff experienced occupational stress. The results of the occupational stress survey showed that the prevalence of occupational stress among medical staff aged 40–50, with a master’s degree or above, senior professional title, working for 10–20 years, and working more than 48 h per week was higher than in the other groups. The health survey results showed that, compared with other groups, the scores of physical, mental, and social health were lower in medical staff with working years of 10–20 years and working hours of more than 48 h per week. The results show that working years and working hours per week affect not only the level of occupational stress but also physiological, psychological, and social health.

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Section: Discussionmentioning

confidence: 99%

The Status of Occupational Stress and Its Influence on the Health of Medical Staff in Lanzhou, China

Zhu

Wang

Zhao

et al. 2022

IJERPH

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“…Moreover, almost 60% of the healthcare workers in Ningbo Grade A hospitals work more than 8 h a day, 12.4% more than 10 h a day, and 4.8% more than 12 h a day (31). Overwork is more likely to cause errors or medical disputes, and thus weaken the sense of job security of healthcare workers (32).…”

Section: Discussionmentioning

confidence: 99%

Job security among healthcare workers in Guangdong, China

Martins²,

Wang³

et al. 2023

Front. Public Health

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ObjectiveThe objective of this study was to explore the sense of job security and its influencing factors among healthcare workers in Guangdong, China.MethodsThis cross-sectional study used stratified random sampling to enroll healthcare workers employed by hospitals across Guangdong province between September 2020 and October 2020.ResultsA total of 4,173 questionnaires were distributed, and 4,076 were returned for an effective recovery rate of 97.68%. The overall score for the sense of security was 64.85 ± 20.09, and the item means score was 2.95 ± 0.91. Multiple-linear regression analysis showed that work experience (years), education level, job position, specialty unit, employment type, marital status, job satisfaction, WPV frequency, daily sleep duration, weekly overtime hours, average monthly earnings (RMB), hospital level, and region were significantly associated with senses of poor security among healthcare workers (all P < 0.05).ConclusionsHospital workers in Guangdong reported relatively low levels of job security. Levels of job security were significantly associated with multiple factors which could be addressed by hospital practices to improve the sense of job security among healthcare workers.

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“…We focused on tertiary public hospitals because they have the highest reputation and demand in the Chinese population for specialty care. 22,23 And these providers are also most incentivized to provide DTC telemedicine, claiming the same quality of care against their offline outpatient services.…”

Section: Settingsmentioning

confidence: 99%

Access, charge and quality of tele-dermatology e-consults in China: A standardized patients study

et al. 2022

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Objective Direct-to-consumer telemedicine is rapidly changing the way that patients seek medical care. This study provided the first report on access, cost and quality of text- and image-based tele-dermatology e-consults, in China. Methods We adopted the Standardized Patients approach to evaluate the services of tele-dermatology e-consults in two metropolitan cities, that is, Beijing and Hangzhou, in China. We measured quality from four dimensions: service process, diagnosis accuracy, prescription and treatment comprehensiveness, based on China's national clinical guidelines. We performed logistic regressions to investigate factors that were associated with high-quality care. Results For 114 physicians eligible for inclusion, we succeeded in 87 (76%) validated visits. The median waiting time was 100 minutes (IQR 19–243 minutes) and the median length of consultation was 636 minutes (about 10 hours, IQR 188–1528 minutes). Per visit costs varied from $0 to $38, with a median of $8 (IQR 4–9). Among all, 15% of visits showed high quality in service process, 84% arrived in the correct diagnosis, 24% provided high-quality prescriptions and 71% provided comprehensive treatment. Providing images was associated with high quality in service process (OR 7.22, 95% CI 1.49–34.88). Visits in metropolitan Beijing and on non-work days had better prescription quality than that in metropolitan Hangzhou (OR 6.05, 95% CI 1.75–20.95) and that on workdays (OR 3.75, 95%CI 1.27–11.04), respectively. Conclusions Tele-dermatology e-consults seem to be easy to access and less expensive in China. However, great efforts are warranted to ensure that service processes and prescriptions adhere to clinical guidelines.

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Issues related to the health status, work pressure and occupational environments of medical staff at level A tertiary public hospitals in Shanghai

Cited by 7 publications

References 4 publications

The Status of Occupational Stress and Its Influence on the Health of Medical Staff in Lanzhou, China

The Status of Occupational Stress and Its Influence on the Health of Medical Staff in Lanzhou, China

Job security among healthcare workers in Guangdong, China

Access, charge and quality of tele-dermatology e-consults in China: A standardized patients study

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