ArticleBMJ open2020
Work-related stressors among hospital physicians: a qualitative interview study in the Tokyo metropolitan area.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Background characteristics and burnout of Japanese resident physicians who did and did not share voluntary clinical cases.Scientific reports · 2026Article
- Comparison of Workplace Social Capital between the Pre- and Post-Restriction Eras of Physician Working Hours: A Nationwide Repeated Cross-Sectional Study.JMA journal · 2026Article
- The Short-Term Impacts of Japan's 2024 Physician Working-Hour Limits on Labor Conditions, Self-Directed Professional Development, and Happiness Among Obstetrician-Gynecologists.The journal of obstetrics and gynaecology research · 2025Article
- Association between patient care ownership and personal or environmental factors among medical trainees: a multicenter cross-sectional study.BMC medical education · 2022Article
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Authors and funding
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Abstract
objectivesWe explored Japanese physicians' work-related stressors and identified those unique to this population, as well as clarified the influence of cultural and medical system diversity on these stressors to determine the content of future stress-reducing interventions for hospital physicians in Japan.
designWe conducted a semistructured, face-to-face interview-based qualitative study between August and October 2017. The collected data were analysed using the grounded theory approach.
settingHospitals around the Tokyo metropolitan area, Japan.
participantsSixteen hospital physicians (mean age (SD)=33.9 (4.2) years; 11 men, 5 women). Seven worked in internal medicine and nine in surgery.
resultsWe found unique stressors related to the Japanese medical system and culture, such as continuous all-day work after night shifts, and a hierarchical organisational system called
conclusionsOur study clarifies some sources of work-related stressors among hospital physicians in Japan. While the key components of Western interventions might be useful in a Japanese context, the original evidence obtained from this study highlights the necessity of initiating interventions addressing the unique stressors of Japanese physicians. To reduce physicians' stress and enhance their well-being, psychological interventions for hospital physicians must be introduced in Japan.
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