Mayama Michinori, Sekine Masayuki, Onodera Yohei, Suemitsu Tokumasa, Maeda Yuto, Nakano Kazutoshi, Sugita Yosuke, Ogura Jumpei, Ohsuga Takuma, Kodera Chisato, Murakami Takashi, Kido Michiko, Suzuki Yukio, Shibata Ayako, Nishijima Koji, Umazume Takeshi, Nakagawa Satoshi, Unno Nobuya, Komatsu Hiroaki, Shozu Makio, Enomoto Takayuki, Watari Hidemichi
Department of Obstetrics and Gynecology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Department of Obstetrics and Gynecology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
J Obstet Gynaecol Res. 2021 May;47(5):1666-1674. doi: 10.1111/jog.14735. Epub 2021 Mar 10.
The Ministry of Health, Labour, and Welfare of Japan proposed a regulation of overtime work as a reform in work style. However, the regulation may deteriorate the quality of medical services due to the reduction in training time. Thus, the study aimed to reveal perceptions in terms of generation gaps in views on self-training and overtime work, among members of the Japan Society of Obstetrics and Gynecology (JSOG).
A web-based, self-administered questionnaire survey was conducted among members of the JSOG. In total, 1256 respondents were included in the analysis. Data were collected on age, sex, experience as a medical doctor, location of workplace, work style, the type of main workplace, and number of full-time doctors in the main workplace. The study examined the attitudes of the respondents toward overtime work and self-training. The respondents were categorized based on experience as a medical doctor.
According to years of experience, 112 (8.9%), 226 (18.0%), 383 (30.5%), 535 (42.6%) doctors have been working for ≤5, 6-10, 11-19, and ≥ 20 years, respectively. Although 54.5% of doctors with ≤5 years of experience expected the regulation on working hours to improve the quality of medical services, those with ≥20 years of experience expressed potential deterioration. After adjusting for covariates, more years of experience were significantly related with the expectation of deterioration in the quality of medical services.
The study revealed a generation gap in the views about self-training and overtime work among obstetricians and gynecologists in Japan.
日本厚生劳动省提出对加班工作进行规范，作为工作方式改革的一部分。然而，该规范可能因培训时间减少而导致医疗服务质量下降。因此，本研究旨在揭示日本妇产科学会（JSOG）成员在自我培训和加班工作观念上的代际差异。
对JSOG成员进行了一项基于网络的自填式问卷调查。共有1256名受访者纳入分析。收集了年龄、性别、医生工作经验、工作地点、工作方式、主要工作场所类型以及主要工作场所全职医生数量等数据。本研究考察了受访者对加班工作和自我培训的态度。受访者根据医生工作经验进行分类。
根据工作年限，分别有112名（8.9%）、226名（18.0%）、383名（30.5%）、535名（42.6%）医生工作年限≤5年、6 - 10年、11 - 19年和≥20年。虽然工作年限≤5年的医生中有54.5%期望工时规范能提高医疗服务质量，但工作年限≥20年的医生则表示可能会导致质量下降。在对协变量进行调整后，工作年限越长与对医疗服务质量下降的预期显著相关。
该研究揭示了日本妇产科医生在自我培训和加班工作观念上存在代际差异。
