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Work-Related Accumulated Fatigue among Doctors in Tertiary Hospitals: A Cross-Sectional Survey in Six Provinces of China
"Karoshi" (death due to overwork) of doctors occurred frequently and attracted increasing attention in recent years in China. This study aimed to determine the prevalence of work-related accumulated fatigue of doctors and its associated factors in tertiary hospitals of China. A cross-secti...
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| Published in: | International journal of environmental research and public health 2019-08, Vol.16 (17), p.3049 |
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| container_issue | 17 |
| container_start_page | 3049 |
| container_title | International journal of environmental research and public health |
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| creator | Tang, Changmin Liu, Chaojie Fang, Pengqian Xiang, Yuanxi Min, Rui |
| description | "Karoshi" (death due to overwork) of doctors occurred frequently and attracted increasing attention in recent years in China. This study aimed to determine the prevalence of work-related accumulated fatigue of doctors and its associated factors in tertiary hospitals of China.
A cross-sectional questionnaire survey was conducted on 1729 full-time doctors employed by 24 tertiary hospitals across eastern developed, central developing, and western underdeveloped regions of China. Accumulated fatigue was categorized into four levels using the "
" rated on a scale matrix considering both overwork and fatigue symptoms. Ordinal logistic regression analyses were performed to identify factors associated with work-related accumulated fatigue.
About 78.8% of respondents reported a "high level" of work-related accumulated fatigue, including 42.0% at a "very high" level. Male doctors and those aged between 30 and 45 years and who had a professional title were found to have higher levels of accumulative fatigue than others. Low salary and poor working conditions (in the western region) were also significantly associated with high levels of work-related accumulated fatigue (
< 0.05).
High levels of work-related accumulated fatigue are prevalent in doctors working in tertiary hospitals in China. Male doctors establishing their early- and mid-careers are the high-risk group. Poor working conditions are associated with work-related accumulated fatigue. |
| doi_str_mv | 10.3390/ijerph16173049 |
| format | article |
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A cross-sectional questionnaire survey was conducted on 1729 full-time doctors employed by 24 tertiary hospitals across eastern developed, central developing, and western underdeveloped regions of China. Accumulated fatigue was categorized into four levels using the "
" rated on a scale matrix considering both overwork and fatigue symptoms. Ordinal logistic regression analyses were performed to identify factors associated with work-related accumulated fatigue.
About 78.8% of respondents reported a "high level" of work-related accumulated fatigue, including 42.0% at a "very high" level. Male doctors and those aged between 30 and 45 years and who had a professional title were found to have higher levels of accumulative fatigue than others. Low salary and poor working conditions (in the western region) were also significantly associated with high levels of work-related accumulated fatigue (
< 0.05).
High levels of work-related accumulated fatigue are prevalent in doctors working in tertiary hospitals in China. Male doctors establishing their early- and mid-careers are the high-risk group. Poor working conditions are associated with work-related accumulated fatigue.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph16173049</identifier><identifier>PMID: 31443480</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adult ; Aged ; China - epidemiology ; Cross-Sectional Studies ; Family planning ; Fatigue ; Female ; Health care ; Hospitals ; Humans ; Literature reviews ; Male ; Mental Fatigue - epidemiology ; Mental Fatigue - psychology ; Middle Aged ; Occupational health ; Patient safety ; Physicians ; Physicians - psychology ; Physicians - statistics & numerical data ; Polls & surveys ; Prevalence ; Provinces ; Psychological stress ; Questionnaires ; Sleep ; Studies ; Work life balance ; Working hours ; Workloads</subject><ispartof>International journal of environmental research and public health, 2019-08, Vol.16 (17), p.3049</ispartof><rights>2019. This work is licensed under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2019 by the authors. 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c484t-bc6bd29df39df526cd552cc26ea650b256bea44dd2914b0694306fd7514e7f43</citedby><cites>FETCH-LOGICAL-c484t-bc6bd29df39df526cd552cc26ea650b256bea44dd2914b0694306fd7514e7f43</cites><orcidid>0000-0003-0877-0424</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2329501770/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2329501770?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31443480$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tang, Changmin</creatorcontrib><creatorcontrib>Liu, Chaojie</creatorcontrib><creatorcontrib>Fang, Pengqian</creatorcontrib><creatorcontrib>Xiang, Yuanxi</creatorcontrib><creatorcontrib>Min, Rui</creatorcontrib><title>Work-Related Accumulated Fatigue among Doctors in Tertiary Hospitals: A Cross-Sectional Survey in Six Provinces of China</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>"Karoshi" (death due to overwork) of doctors occurred frequently and attracted increasing attention in recent years in China. This study aimed to determine the prevalence of work-related accumulated fatigue of doctors and its associated factors in tertiary hospitals of China.
A cross-sectional questionnaire survey was conducted on 1729 full-time doctors employed by 24 tertiary hospitals across eastern developed, central developing, and western underdeveloped regions of China. Accumulated fatigue was categorized into four levels using the "
" rated on a scale matrix considering both overwork and fatigue symptoms. Ordinal logistic regression analyses were performed to identify factors associated with work-related accumulated fatigue.
About 78.8% of respondents reported a "high level" of work-related accumulated fatigue, including 42.0% at a "very high" level. Male doctors and those aged between 30 and 45 years and who had a professional title were found to have higher levels of accumulative fatigue than others. Low salary and poor working conditions (in the western region) were also significantly associated with high levels of work-related accumulated fatigue (
< 0.05).
High levels of work-related accumulated fatigue are prevalent in doctors working in tertiary hospitals in China. Male doctors establishing their early- and mid-careers are the high-risk group. Poor working conditions are associated with work-related accumulated fatigue.</description><subject>Adult</subject><subject>Aged</subject><subject>China - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Family planning</subject><subject>Fatigue</subject><subject>Female</subject><subject>Health care</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Literature reviews</subject><subject>Male</subject><subject>Mental Fatigue - epidemiology</subject><subject>Mental Fatigue - psychology</subject><subject>Middle Aged</subject><subject>Occupational health</subject><subject>Patient safety</subject><subject>Physicians</subject><subject>Physicians - psychology</subject><subject>Physicians - statistics & numerical data</subject><subject>Polls & surveys</subject><subject>Prevalence</subject><subject>Provinces</subject><subject>Psychological stress</subject><subject>Questionnaires</subject><subject>Sleep</subject><subject>Studies</subject><subject>Work life balance</subject><subject>Working hours</subject><subject>Workloads</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNpdkU1vEzEQhi0EoqVw5YgsceGyxR-z3iwHpCjQFqkSiETiaHm9s4nD7jq1vVH77-sopWo5jGYkP_OOZ15C3nN2LmXNPrstht2GK15JBvULcsqVYgUoxl8-qU_Imxi3jMkZqPo1OZEcQMKMnZLbPz78LX5jbxK2dG7tNEzH-sIkt56QmsGPa_rN2-RDpG6kKwzJmXBHr3zcuWT6-IXO6SL4GIsl2uT8aHq6nMIe7w780t3SX8Hv3WgxUt_RxcaN5i151eVWfPeQz8jq4vtqcVVc_7z8sZhfFxZmkIrGqqYVddvJHKVQti1LYa1QaFTJGlGqBg1AmxkODVM1SKa6tio5YNWBPCNfj7K7qRmwtTimYHq9C27IK2hvnH7-MrqNXvu9VhVUJbAs8OlBIPibCWPSg4sW-96M6KeohajzZAGzOqMf_0O3fgr5GJmSoi4Zr6qD4PmRsoeLBeweP8OZPniqn3uaGz48XeER_2eivAch9J-o</recordid><startdate>20190822</startdate><enddate>20190822</enddate><creator>Tang, Changmin</creator><creator>Liu, Chaojie</creator><creator>Fang, Pengqian</creator><creator>Xiang, Yuanxi</creator><creator>Min, Rui</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0877-0424</orcidid></search><sort><creationdate>20190822</creationdate><title>Work-Related Accumulated Fatigue among Doctors in Tertiary Hospitals: A Cross-Sectional Survey in Six Provinces of China</title><author>Tang, Changmin ; Liu, Chaojie ; Fang, Pengqian ; Xiang, Yuanxi ; Min, Rui</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c484t-bc6bd29df39df526cd552cc26ea650b256bea44dd2914b0694306fd7514e7f43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Aged</topic><topic>China - epidemiology</topic><topic>Cross-Sectional Studies</topic><topic>Family planning</topic><topic>Fatigue</topic><topic>Female</topic><topic>Health care</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Literature reviews</topic><topic>Male</topic><topic>Mental Fatigue - epidemiology</topic><topic>Mental Fatigue - psychology</topic><topic>Middle Aged</topic><topic>Occupational health</topic><topic>Patient safety</topic><topic>Physicians</topic><topic>Physicians - psychology</topic><topic>Physicians - statistics & numerical data</topic><topic>Polls & surveys</topic><topic>Prevalence</topic><topic>Provinces</topic><topic>Psychological stress</topic><topic>Questionnaires</topic><topic>Sleep</topic><topic>Studies</topic><topic>Work life balance</topic><topic>Working hours</topic><topic>Workloads</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tang, Changmin</creatorcontrib><creatorcontrib>Liu, Chaojie</creatorcontrib><creatorcontrib>Fang, Pengqian</creatorcontrib><creatorcontrib>Xiang, Yuanxi</creatorcontrib><creatorcontrib>Min, Rui</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Publicly Available Content Database (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tang, Changmin</au><au>Liu, Chaojie</au><au>Fang, Pengqian</au><au>Xiang, Yuanxi</au><au>Min, Rui</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Work-Related Accumulated Fatigue among Doctors in Tertiary Hospitals: A Cross-Sectional Survey in Six Provinces of China</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2019-08-22</date><risdate>2019</risdate><volume>16</volume><issue>17</issue><spage>3049</spage><pages>3049-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>"Karoshi" (death due to overwork) of doctors occurred frequently and attracted increasing attention in recent years in China. This study aimed to determine the prevalence of work-related accumulated fatigue of doctors and its associated factors in tertiary hospitals of China.
A cross-sectional questionnaire survey was conducted on 1729 full-time doctors employed by 24 tertiary hospitals across eastern developed, central developing, and western underdeveloped regions of China. Accumulated fatigue was categorized into four levels using the "
" rated on a scale matrix considering both overwork and fatigue symptoms. Ordinal logistic regression analyses were performed to identify factors associated with work-related accumulated fatigue.
About 78.8% of respondents reported a "high level" of work-related accumulated fatigue, including 42.0% at a "very high" level. Male doctors and those aged between 30 and 45 years and who had a professional title were found to have higher levels of accumulative fatigue than others. Low salary and poor working conditions (in the western region) were also significantly associated with high levels of work-related accumulated fatigue (
< 0.05).
High levels of work-related accumulated fatigue are prevalent in doctors working in tertiary hospitals in China. Male doctors establishing their early- and mid-careers are the high-risk group. Poor working conditions are associated with work-related accumulated fatigue.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>31443480</pmid><doi>10.3390/ijerph16173049</doi><orcidid>https://orcid.org/0000-0003-0877-0424</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | International journal of environmental research and public health, 2019-08, Vol.16 (17), p.3049 |
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| subjects | Adult Aged China - epidemiology Cross-Sectional Studies Family planning Fatigue Female Health care Hospitals Humans Literature reviews Male Mental Fatigue - epidemiology Mental Fatigue - psychology Middle Aged Occupational health Patient safety Physicians Physicians - psychology Physicians - statistics & numerical data Polls & surveys Prevalence Provinces Psychological stress Questionnaires Sleep Studies Work life balance Working hours Workloads |
| title | Work-Related Accumulated Fatigue among Doctors in Tertiary Hospitals: A Cross-Sectional Survey in Six Provinces of China |
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