Work stress and workload of full-time anesthesiologists in acute care hospitals in Japan

Kawasaki, Kazuyoshi; Sekimoto, Miho; Ishizaki, Tatsuro; Imanaka, Yuichi

doi:10.1007/s00540-008-0736-x

Cited by 21 publications

(20 citation statements)

References 14 publications

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“…Physicians are more at risk for occupational stress than the general population, as seen from a Japanese study, with a work stress score being 114 in 383 anesthesiologists as compared with 100 in average workers [12], or a study in Taiwan [13]. Moreover, the Taiwanese study reported a higher proportion of persons suffering from depression among physicians than in the general population (13.3% vs. 3.7%).…”

Section: Discussionmentioning

confidence: 82%

Which health professionals are most at risk for cardiovascular disease? Or do not be a manager

Sovová¹,

Nakládalová²,

Kaletová³

et al. 2014

International Journal of Occupational Medicine and Environmental Health

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Objectives: Health care workers constitute a high-risk occupational category owing to the character of their work that includes high-risk environment, shift work and mental as well as physical stress. In occupational medicine, caring for their health condition should be a priority and include measures aimed at preventing cardiovascular diseases. The study aimed at determining the prevalence of cardiovascular disease (CVD) risk factors in employees of a large hospital and assessing their effect on the incidence of cardiovascular events. Materials and Methods: The group comprised 3124 employees with a mean age of 36.1 years (SD = 11.4), out of whom 562 were males (mean age of 37.1 years, range: 18-72; SD = 12.26) and 2562 were females (mean age of 35.9 years, range: 18-68; SD = 11.24). At their initial examination, the employees filled in a questionnaire on basic CVD risk factors (according to valid recommendations). This was supplemented with objective data to determine the risk of CVD using valid charts. From this group, a subset of persons at a high or intermediate risk was selected, comprising 247 individuals with a mean age of 54.1 years (SD = 5.73). After 5-9 years (mean 7.24±1.38 years), they either underwent another examination or their health status was ascertained by phone or in a computer database. The end point was the incidence of cardiovascular events (sudden death, acute myocardial infarction, unstable angina pectoris, percutaneous coronary intervention, cardiac failure, stroke or transient ischemic attack). Results: The end point was noted in a total of 15 males (6.07%) and 6 females (2.42%), being statistically significantly present in managers (males p < 0.00007, females p < 0.00001), male physicians/surgeons (p < 0.025), tertiary-educated males (p < 0.0095), female smokers (p < 0.015), male ex-smokers (p < 0.007), overweight or obese males (p < 0.02) and those with the waist-to-hip ratio above 1.0 (p < 0.005). Conclusions: Cardiovascular events are most likely to occur in obese male physicians/surgeons holding managerial positions and in female managers.

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Section: Discussionmentioning

confidence: 82%

Which health professionals are most at risk for cardiovascular disease? Or do not be a manager

Sovová¹,

Nakládalová²,

Kaletová³

et al. 2014

International Journal of Occupational Medicine and Environmental Health

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“…Shortage and misdistribution of anesthetists is a social problem in many countries leading to workload, job dissatisfaction, and finally burnout [8]. Lack of recognition from management and lack of public and client awareness towards the role of anesthetists and feedback towards anesthesia have been indicated as causes of low job satisfaction [1, 5, 9].…”

Section: Introductionmentioning

confidence: 99%

Job Satisfaction and Associated Factors among Anesthetists Working in Amhara National Regional State, Northwest Ethiopia, May 2017: A Multicenter Cross-Sectional Study

Fentie

Ashagrie

Kasahun

2018

Anesthesiology Research and Practice

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Background Job satisfaction is an important determinant of health staff's motivation, retention, and performance. Difficulties in critical decision-making and problems with lack of respect and recognition lead to lower job satisfaction level among anesthetists. It leads to high turnover intention, dropout from the profession, burnout, impaired health status of anesthetists, and lower work performance. Objective The aim of this multicenter cross-sectional study was to assess the level of job satisfaction and associated factors among anesthetists working in Amhara National Regional State. Methods A multicenter cross-sectional study was conducted from April 1 to June 30, 2017. Ninety-eight anesthetists that were working in Amhara National Regional State Hospitals were involved in this study. The structured questionnaire was scored on five-point Likert scales. Data were analyzed using Statistical Package for Social Sciences version 20. Binary logistic regression was used to measure statistical significance between dependent and each independent variable. Variables with P value of ≤0.2 on crude analysis were taken into multivariate analysis, and P value 0.05 and 95% CI was used as cut off point. Result 98 out of 104 participants were involved in this study with a response rate of 94.3%. The overall level of job satisfaction was 46.9%. Anesthetists in academic working position were satisfied with the odds of about 2.3 (AOR = 2.269; CI = 1.137–6.740) compared to those in clinical working position. Anesthetists were least satisfied with coworker relationships (37.8%), work schedule (43.9%), professional opportunity (46.9%), and recognition (49%) while they were most satisfied from their control of responsibility (59.2%), social interaction (55%), and salary and benefits (51%). Conclusion and Recommendation Job satisfaction of anesthetists was low, and we suggest that facilitation of professional development, creation of smooth relationship in working environment, increasing the number of anesthetists, and recognition of the anesthesia professional are of paramount importance to increase job satisfaction of anesthetists.

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“…The physician shortage is particularly severe in pediatrics, obstetrics and gynecology, and anesthesiology [11,12], which are specialties that generally comprise a large proportion of female physicians.…”

Section: Introductionmentioning

confidence: 99%

Widening disparity in the geographic distribution of pediatricians in Japan

2013

Self Cite

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BackgroundThe shortage of physicians in Japan is a serious concern, particularly in specialties like pediatrics. The purpose of this study was to investigate recent changes in the geographic distribution of pediatricians and the factors underlying this change.MethodsWe investigated the numerical changes in the pediatrician workforce (2002 to 2007) per 100,000 of the population under the age of 15 years in 369 secondary medical areas throughout Japan, using attributive variables such as population size, social and economic status, and pediatric service delivery. We performed principal component analysis and multiple regression analysis.ResultsWe obtained two principal components: one that reflected the degree of urbanization and another that reflected the volume of pediatric service delivery. Only the first component score was positively correlated with an increased pediatrician workforce per 100,000 of the population under the age of 15 years. We classified the secondary medical areas into four groups using component scores. The increase in pediatrician workforce during this period was primarily absorbed into the two groups with higher levels of urbanization, whereas the two rural groups exhibited little increase. Pediatricians aged 50 to 59 years increased in all four groups, whereas pediatricians aged 30 to 39 years decreased in the two rural groups and increased in the two urban groups.ConclusionsThe trends of the pediatrician workforce increase generally kept pace with urbanization, but were not associated with the original pediatrician workforce supply. The geographic distribution of pediatricians showed rapid concentration in urban areas. This trend was particularly pronounced among female pediatricians and those aged 30 to 39 years. Given that aging pediatricians in rural areas are not being replaced by younger doctors, these areas will likely face new crises when senior physicians retire.

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Work stress and workload of full-time anesthesiologists in acute care hospitals in Japan

Abstract: Our results provide a quantitative assessment of the duties of anesthesiologists and show that work stress among anesthesiologists is related to workload and other factors.

Cited by 21 publications

References 14 publications

Which health professionals are most at risk for cardiovascular disease? Or do not be a manager

Which health professionals are most at risk for cardiovascular disease? Or do not be a manager

Job Satisfaction and Associated Factors among Anesthetists Working in Amhara National Regional State, Northwest Ethiopia, May 2017: A Multicenter Cross-Sectional Study

Widening disparity in the geographic distribution of pediatricians in Japan

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