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- Title
Sociodemographic and work-related factors influencing long working hours among cardiovascular surgeons in Japan: a cross-sectional study.
- Authors
Ikuko SHIBASAKI; Akihiko USUI; Shigeki MORITA; Noboru MOTOMURA; Yasuo HARUYAMA; Hitoshi YOKOYAMA
- Abstract
The maximum limit on overtime working hours for physicians will be applied from 2024. To explore sociodemographic and work-related factors influencing overtime work among cardiovascular surgeons (CS) in Japan. This cross-sectional study included 607 CS who responded to an online survey. Working hours were categorized into =60 hours, 60-79 hours, and =80 hours per week according to Japan Ministry of Health, Labour and Welfare. Adjusted odds ratios (aOR) were calculated using a multinomial analysis with stepwise reduction after adjustment for potential confounders. Compared to =60 hours, significant factors related to 60-79 hours and =80 hours per week were age groups of 30s to 50s versus 60s (aOR: 7.48-3.22 and 23.64-4.87), management with cardiovascular drugs (aOR: 1.87 and 5.80), and postoperative wound management (aOR: 0.47 and 0.16), respectively. Significantly related informed consent for surgery (aOR: 3.29) was seen in 60-79 hours. Contrarily, CS who worked for =80 hours took on-duty 5 times or more per month (aOR: 3.89), performed night or holiday calls 20 times or more per month (aOR: 2.26), and attended the intensive care unit (aOR: 3.12). These findings suggest that younger, and some non-surgical work-related factors could influence long working hours among CS.
- Subjects
JAPAN; WORKING hours; SOCIODEMOGRAPHIC factors; CROSS-sectional method; SURGEONS; INTENSIVE care units
- Publication
Industrial Health, 2022, Vol 60, Issue 1, p16
- ISSN
0019-8366
- Publication type
Article
- DOI
10.2486/indhealth.2021-0039