Godlee F
British Medical Journal.
BMJ. 1992 Oct 17;305(6859):937-40. doi: 10.1136/bmj.305.6859.937.
The question of how to reduce junior doctors' hours has taxed the government and hospital managers for nearly two decades. Now regional task forces are being asked to get them down to a maximum of 83 a week by 1 April next year. From a comparison of the way in which two different task forces (Northern and North West Thames) have responded to the challenge it emerges that most units will probably meet the 83 hour deadline by making simple rationalisations. Meeting the next deadline--of a 72 hour maximum by December 1996--will, however, require radical restructuring of working patterns.
如何减少初级医生的工作时长这一问题已经困扰政府和医院管理人员近二十年了。现在,各地区特别工作组被要求在明年4月1日前将初级医生的工作时长最多减至每周83小时。通过比较两个不同的特别工作组(北部和泰晤士河北西部)应对这一挑战的方式可以看出,大多数单位可能通过简单的合理化安排来在83小时的最后期限前达标。然而,要在1996年12月前达到下一个最后期限——最多72小时,则需要对工作模式进行彻底重组。