Overwork Death of Chinese Physicians under High-Intensity Pressure, 2007-2018
Abstract
Background: To summarize the cases of physicians overwork death between Jan 2007 and Dec 2018, the tragedy merits the attention of the authorities and policy-makers to increase their efforts to reduce death among physicians in China.
Methods: Data were extracted from medical databases, local mass media, official documents and medical Bulletin Board System (BBS), in which only included articles, reports and news listed in the retrieval strategy, and unpublished data were excluded.
Results: Overall, 110 cases (7 females and 103 males) were enrolled in this study. Most incidents have occurred since 2012, especially in 2017. Of these, 86 (78.18%) physicians worked in public tertiary hospitals, four times more than the number of cases taking place in secondary hospitals. Additionally, overwork death was the most common in surgery-related departments that account for up to 65 (59.1%). Notably, these events, taking place in first-tier cities and the southeastern coastal areas of China, included 27 chief physicians, 31 associate of chief physicians, 21 attending physicians, 10 resident physicians and 4 standardized training physicians.
Conclusion: Overwork death among Chinese physicians is not only a contemporary health problem but also a critical social issue. The laws and regulations should be perfected to prevent the events. Meanwhile, the public should be aware of the need for more understanding and trust in physicians in China.
2. Shan HP, Yang XH, Zhan XL, et al (2017). Overwork is a silent killer of Chinese doctors: a review of Karoshi in China 2013-2015. Public Health, 147: 98-100.
3. Shen Y F, Hao X Y, Guo T K (2018). Physi-cian deaths from overwork should arouse greater attention in China. Int J Cardiol, 256:23.
4. Cheng Y, Park J, Kim Y, Kawakami N (2012). The recognition of occupational diseases attributed to heavy workloads: experiences in Japan, Korea, and Taiwan. Int Arch Occup Environ Health, 85:791-9.
5. Fu Y, Schwebel D C, Hu G (2018). Physi-cians' Workloads in China: 1998-2016. Int J Environ Res Public Health, 15:1649.
6. Zhang H F, Li F X, Lei H Y, Xu S Y (2017). Rising sudden death among anaesthesi-ologists in China. Br J Anaesth, 119:167-9.
7. Lien S S, Kosik R O, Fan A P, et al (2016). 10-year trends in the production and at-trition of chinese medical graduates: an analysis of nationwide data. Lancet, 388: S11.
8. Chinese Medical Physician Association, Chinese Physician Practice Situation White Paper, http://www.cmda.net/zlwqtzgg/10578.jhtml (accessed Nov 30, 2018).
9. Chen S, Pan Y, Yao Q, et al (2014). Publica-tion pressure on Chinese doctors--another view. Lancet, 384: 956.
10. Pan Y, Yang X H , He J P, et al (2015). To be or not to be a doctor, that is the question: a review of serious incidents of violence against doctors in china from 2003–2013. J Public Health, 23:111-6.
11. Huang W, Liu J, Yu X (2016). Sudden death: A growing threat to doctors in China. Int J Cardiol, 209: 14.
12. Song X N, Shen J, Ling W, et al (2015). Sud-den Deaths among Chinese Physicians. Chin Med J (Engl), 128:3251-3.
13. Lancet T (2010). Chinese doctors are under threat. Lancet, 376: 657.
14. Gao X J, Xu Y J (2019). Overwork death among doctors a challenging issue in China. Int J Cardiol, 289:152.
| Files | ||
| Issue | Vol 49 No 12 (2020) | |
| Section | Review Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v49i12.4804 | |
| Keywords | ||
| Overwork death Physician death China | ||
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