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Work like a Doc: A comparison of regulations on residents' working hours in 14 high-income countries
R. Maoz Breuer, R. Waitzberg, A. Breuer, P. Cram, L. Bryndova, GA. Williams, K. Kasekamp, I. Keskimaki, LK. Tynkkynen, V. van Ginneken, E. Kovács, S. Burke, D. McGlacken-Byrne, C. Norton, B. Whiston, D. Behmane, I. Grike, R. Batenburg, T. Albreh,...
Jazyk angličtina Země Irsko
Typ dokumentu časopisecké články, přehledy
- MeSH
- kurzy a stáže v nemocnici * MeSH
- kvalita života MeSH
- lidé MeSH
- personální obsazení a rozvrh * MeSH
- pracovní zátěž MeSH
- vyspělé země MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
BACKGROUND: Medical residents work long, continuous hours. Working in conditions of extreme fatigue has adverse effects on the quality and safety of care, and on residents' quality of life. Many countries have attempted to regulate residents' work hours. OBJECTIVES: We aimed to review residents' work hours regulations in different countries with an emphasis on night shifts. METHODS: Standardized qualitative data on residents' working hours were collected with the assistance of experts from 14 high-income countries through a questionnaire. An international comparative analysis was performed. RESULTS: All countries reviewed limit the weekly working hours; North-American countries limit to 60-80 h, European countries limit to 48 h. In most countries, residents work 24 or 26 consecutive hours, but the number of long overnight shifts varies, ranging from two to ten. Many European countries face difficulties in complying with the weekly hour limit and allow opt-out contracts to exceed it. CONCLUSIONS: In the countries analyzed, residents still work long hours. Attempts to limit the shift length or the weekly working hours resulted in modest improvements in residents' quality of life with mixed effects on quality of care and residents' education.
Center for Social and Economic Strategies Faculty of Social Sciences Charles University Czechia
Centre for Health Care at the National Institute of Public Health of Slovenia Slovenia
Centre for Health Care National Institute of Public Health Trubarjeva Slovenia
Centre for Health Policy and Management Trinity College Dublin Ireland
Department of Pediatrics Shaare Zedek Medical Center Jerusalem Israel
Department of Psychiatry Campus Benjamin Franklin Charité Universitätsmedizin Germany
Faculty of Public Health and Social Welfare Riga Stradins University Latvia
Faculty of Residency Manager of Residency study process Riga Stradins University Latvia
Faculty of Social Sciences Tampere University Finland
Health Science Institute in Aragon Spain
Health Service Executive Dublin Ireland
Health Workforce Planning Knowledge Centre Semmelweis University Hungary
Institute for Health Policy Management and Evaluation University of Toronto Canada
Royal College of Physicians in Ireland Dublin Ireland
School of Public Health Hebrew University Jerusalem Israel
The Smokler Center for Health Policy Research Myers JDC Brookdale Institute Israel
Welfare State Research and Reform Finnish Institute for Health and Welfare Finland
Citace poskytuje Crossref.org
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