Required Number of Physicians in Hospitals According to Over-time Work Limitations in Yamaguchi Prefecture

  • FUKUDA Yoshiharu
    Department of Community Health and Medicine, Yamaguchi University School of Medicine
  • HARADA Tadanari
    Department of Community Health and Medicine, Yamaguchi University School of Medicine

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Other Title
  • 勤務時間制限に基づく山口県の病院勤務医必要数の推計
  • キンム ジカン セイゲン ニ モトヅク ヤマグチケン ノ ビョウイン キンムイ ヒツヨウスウ ノ スイケイ
  • キンム ジカン セイゲン ニ モトズク ヤマグチケン ノ ビョウイン キンムイ ヒツヨウスウ ノ スイケイ

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Abstract

Objectives: This study aimed to estimate the required number of physicians in accordance with a limitation on over-time work in hospitals in Yamaguchi prefecture. Methods: We analyzed data from a survey of physicians employed in hospitals in Yamaguchi prefecture. The required number of physicians was estimated by dividing the total number of hours of over-time work (more than 48 hours per week) by 48 hours and extrapolating the result to the total number of physicians in the Survey of Physicians, Dentists, and Pharmacists. Results: The numbers of responders and additional necessary physicians were 868 and 164, respectively. The total number of additional necessary physicians in all hospitals in Yamaguchi prefecture was estimated to be 350. Specialties with large shortages were cardiovascular surgery, emergency medicine, gastrointestinal medicine, gastrointestinal surgery, urology, obstetrics and gynecology, circulatory medicine, and neurosurgery. Discussion: This study estimated the required number of physicians by specialty in Yamaguchi prefecture based on the limitation imposed on the amount of over-time work allowed. Although the results must be carefully interpreted, with consideration of factors such as methodological limitations and the findings of other studies, the estimated numbers will facilitate further discussion of policies designed to increase and allocate physicians and to reduce excessive physician work burdens.

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