Watanabe Hajime, Miyata Satoshi, Kanamori Satoru, Nakata Yoshinori
Graduate School of Public Health, Teikyo University, Tokyo, Japan.
Department of Preventive Medicine and Public Health, Tokyo Medical University, Tokyo, Japan.
Environ Occup Health Pract. 2025 Mar 18;7(1). doi: 10.1539/eohp.2024-0008. eCollection 2025.
To clarify the relationship between the implementation of health and productivity management (H&PM) and staff health-related attributes in Japanese hospitals.
This study selected 2,000 hospitals from the FY2021 Bed Function Report data and conducted a questionnaire survey from November to December 2023. The questionnaire enquired about the H&PM implementation status, which was the explanatory variable; and health-related attributes, which was the objective variable. The implementation status of the four items and the presence or absence of Excellent H&PM Corporation certification were used to divide the hospitals into three groups: certification, implementation, and non-implementation groups. Logistic regression analysis was conducted with H&PM implementation status and health-related attributes as the variables.
Data from 221 hospitals were analyzed. There were 25 hospitals in the certification group, 68 in the implementation group, and 128 in the non-implementation group. Logistic regression used average monthly physician overtime as the outcome, with non-implementation hospitals as the reference. Results showed significant positive associations for the implementation and certification groups. Clear written policies on H&PM promotion and full-time occupational health staff were also significantly associated. However, health issue understanding, plan formulation, and management training were not linked to physician overtime. Other health-related attributes were also unrelated to H&PM implementation status.
Hospitals engaging in H&PM may provide an appropriate working environment for physicians.
阐明日本医院实施健康与生产力管理（H&PM）与员工健康相关属性之间的关系。
本研究从2021财年病床功能报告数据中选取2000家医院，并于2023年11月至12月进行问卷调查。问卷询问了作为解释变量的H&PM实施状况以及作为目标变量的健康相关属性。使用四个项目的实施状况以及是否拥有优秀H&PM企业认证将医院分为三组：认证组、实施组和未实施组。以H&PM实施状况和健康相关属性为变量进行逻辑回归分析。
分析了221家医院的数据。认证组有25家医院，实施组有68家，未实施组有128家。逻辑回归以每月平均医生加班时间为结果，以未实施医院为参照。结果显示，实施组和认证组存在显著正相关。关于H&PM推广的明确书面政策和全职职业健康工作人员也存在显著关联。然而，对健康问题的理解、计划制定和管理培训与医生加班时间无关。其他健康相关属性也与H&PM实施状况无关。
实施H&PM的医院可能为医生提供适宜的工作环境。
