Evidence map›Paper›PMID 39556535›Full record

ArticlePloS one2024

Characteristics of hospital pediatricians and obstetricians/gynecologists working long hours in Tokushima, Japan: A cross-sectional study.

Mai Nakagawa, Kazumi Nakagawa, Koga Nakai, Ayumu Tominaga, Yoshiro Mori, Takeshi Iwasa, Maki Urushihara, Ichiro Hashimoto, Hisayoshi Morioka

Abstract read
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Mai NakagawaDepartment of Public Health, Graduate School of Biomedical Sciences, Tokushima University, Tokushima city, Tokushima, Japan.
Kazumi NakagawaDepartment of Public Health, Graduate School of Biomedical Sciences, Tokushima University, Tokushima city, Tokushima, Japan.
Koga NakaiDepartment of Public Health, Graduate School of Biomedical Sciences, Tokushima University, Tokushima city, Tokushima, Japan.
Ayumu TominagaDepartment of Public Health, Graduate School of Biomedical Sciences, Tokushima University, Tokushima city, Tokushima, Japan.
Yoshiro MoriDepartment of Public Health, Graduate School of Biomedical Sciences, Tokushima University, Tokushima city, Tokushima, Japan.
Takeshi IwasaDepartment of Obstetrics and Gynecology, Graduate School of Biomedical Sciences, Tokushima University, Tokushima city, Tokushima, Japan.
Maki UrushiharaDepartment of Pediatrics, Graduate School of Biomedical Sciences, Tokushima University, Tokushima city, Tokushima, Japan.
Ichiro HashimotoDepartment of Plastic and Reconstructive Surgery, Graduate School of Biomedical Sciences, Tokushima University, Tokushima city, Tokushima, Japan.
Hisayoshi MoriokaDepartment of Public Health, Graduate School of Biomedical Sciences, Tokushima University, Tokushima city, Tokushima, Japan.ORCID 0000-0002-2282-1462

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to determine the actual working conditions, including working hours and desired future working styles of hospital pediatricians and obstetricians/gynecologists (OB/GYNs) in Tokushima Prefecture.

methodThis cross-sectional study used a self-administered questionnaire. Pediatricians and OB/GYNs (n = 96) working at 14 hospitals in Tokushima Prefecture were surveyed. The questionnaire included items related to working hours, working status, number of medical institutions, task-shifting/task-sharing status, and preferred work style. Factors associated with work hours were analyzed.

resultsApproximately 40% and 10% of pediatricians and OB/GYNs worked ≥60 h/week and ≥80 h/week, respectively. Their weekly working hours were significantly positively associated with the number of nights and holidays worked and concurrent medical facilities they worked at. Multiple regression models showed that weekly working hours were significantly associated with working at night and day-off duties and the number of working medical institutions being worked at concurrently. Pediatricians and OB/GYNs who worked ≥60 h/week were not implementing a "multiple attending physician system" or "on-call system," and task-shifting/task-sharing was inadequate. A significantly higher proportion of physicians who worked long hours (≥60 h/week or ≥80 h/week) wanted to reduce the number of night and day-off duties and work hours compared with those who did not.

conclusionsThe results of this study suggest that many pediatricians and OB/GYNs work long hours, and it is essential to improve their work environment, including task-shifting/task-sharing. Further enhanced recruitment and retention of hospital pediatricians and OB/GYNs is required. A detailed and large-scale study of pediatricians and OB/GYNs' working environments is essential in the future.

Indexed as

GynecologyObstetricsPediatriciansAdultCross-Sectional StudiesFemaleGynecologistsHospitalsHumansJapanMaleMiddle AgedObstetriciansSurveys and QuestionnairesWorkloadWork Schedule Tolerance

Identifiers

PMID39556535
PMCPMC11573208

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.