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女性医生数量的增加以及日本医疗系统必须面对的挑战。

Increase in the number of female doctors and the challenges that Japan's medical system must face.

作者信息

Kinoshita Shotaro, Kishimoto Taishiro

机构信息

Hills Joint Research Laboratory for Future Preventive Medicine and Wellness, Keio University School of Medicine, Tokyo, Japan.

Graduate School of Interdisciplinary Information Studies, The University of Tokyo, Tokyo, Japan.

出版信息

Glob Health Med. 2024 Dec 31;6(6):433-435. doi: 10.35772/ghm.2024.01067.

DOI:10.35772/ghm.2024.01067
PMID:39741994
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11680444/
Abstract

Japan has seen an increase in female physicians recently, yet it still lags behind other Organization for Economic Cooperation and Development (OECD) countries. A major barrier has been the historical discrimination against women in medical school admissions. In recent years, female enrolment in medical schools has risen, surpassing 40% in 2024, reflecting a broader societal shift. However, structural problems persist in the Japanese healthcare system. Although the number of doctors per capita is lower in Japan than in other countries, the number of patients is higher than in other countries, leading to overwork for doctors. As a result, only about one-third of female doctors in Japan are able to return to work after interrupting their careers to give birth or raise children. The maldistribution of physicians, both regionally and by specialty, exacerbates this issue. To sustain the rising number of female physicians, Japan must reform its medical system.

摘要

日本近年来女性医生数量有所增加,但仍落后于其他经济合作与发展组织(OECD)国家。一个主要障碍是医学院招生中历史上对女性的歧视。近年来,医学院的女性入学率有所上升,2024年超过了40%,反映出更广泛的社会转变。然而,日本医疗体系中的结构性问题依然存在。尽管日本人均医生数量低于其他国家,但患者数量却高于其他国家,导致医生工作过度劳累。结果,日本只有约三分之一的女性医生在中断职业生涯生育或抚养孩子后能够重返工作岗位。医生在地区和专业上的分布不均加剧了这一问题。为了维持女性医生数量的增长,日本必须改革其医疗体系。

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本文引用的文献

1
Ageing population in Japan: immediate shake-up in healthcare required.日本的老龄化人口:医疗保健需立即进行重大变革。
QJM. 2024 Dec 1;117(12):829-830. doi: 10.1093/qjmed/hcae097.
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Letter to the Editor: Uneven Distribution of Physicians by Specialty in East Asia.致编辑的信:东亚地区医生专业分布不均
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Characteristics of Medical School Deans and University Hospital Directors in Japan.日本医学院院长和大学医院院长的特征。
JAMA Netw Open. 2024 Jan 2;7(1):e2351526. doi: 10.1001/jamanetworkopen.2023.51526.
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Gender Inequality Improvement in Medical School Admissions in Japan.日本医学院招生中的性别不平等改善。
J Womens Health (Larchmt). 2024 Mar;33(3):339-344. doi: 10.1089/jwh.2023.0291. Epub 2023 Nov 9.
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Decline in Japan's research capabilities: challenges in the medical field.日本科研能力的衰退:医学领域面临的挑战。
Lancet. 2023 Oct 7;402(10409):1239-1240. doi: 10.1016/S0140-6736(23)01465-4.
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[Influence of the Deviation Value of High Schools on the Geographical Distribution of Medical Doctors in Japan: A Cross Sectional Study].[高中偏差值对日本医生地理分布的影响:一项横断面研究]
J UOEH. 2021;43(3):367-376. doi: 10.7888/juoeh.43.367.
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Negative Aspects of the Regional Quota System in Japan.日本地区配额制度的负面因素。
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How is increased selectivity of medical school admissions associated with physicians' career choice? A Japanese experience.医学院招生的选择性增加如何与医生的职业选择相关?日本的经验。
Hum Resour Health. 2020 May 27;18(1):38. doi: 10.1186/s12960-020-00480-0.