The Day/Night Clinic Complex: A New Kind of Psychiatric Facility

Коцюбинский, А. П.; Sheinina, N. S.

doi:10.2753/imh0020-7411340409

Cited by 1 publication

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“…The primary aim of night clinics is to ensure the confidentiality of patients, especially those with mental health problems or HIV infection [1,2,3]. Night clinics, which serve as an extension to outpatient services, operate after regular outpatient services close and involve a set of specialists working a new shift and who continue to provide services, usually from 16:00/17:00 to 20:00/ 22:00.…”

Section: Introductionmentioning

confidence: 99%

Effect of Night-Clinic Closure on Physicians’ Workload and Satisfaction

Zhang

Liu

2018

JPMC

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Excessive overtime work, which is a serious problem among Chinese physicians, is the primary reason for night clinic closure policies. The aim of this study was to evaluate the effects of such policies on physicians’ workload and satisfaction. Physicians at the hospital, which closed its night clinic in 2017, were selected as the intervention group, and those at another hospital, which still operates a night clinic, were chosen as the control group. In total, 829 participating physicians self-reported their characteristics and responded to questions on three effect indicators: weekly hours worked, work–family balance, and job satisfaction; the index years were for 2016 and 2017. A pre–post-with-control-group study design and the difference-in-difference (DID) methodology were employed to evaluate the effect of night clinic closure. After adjusting for physicians’ characteristics, the effect of all variables, except hours worked per week, on work–family balance and job satisfaction remained significant. Although the adjusted effect on hours worked per week was not significant, our results suggest that minor policy changes that reduce the workload of physicians may nonetheless benefit this group. However, as the satisfaction scores remained low, other policies should be implemented to relieve the workload and improve satisfaction among physicians.

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Section: Introductionmentioning

confidence: 99%