Work like a Doc: A comparison of regulations on residents' working hours in 14 high-income countries
Identifikátory výsledku
Kód výsledku v IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11230%2F23%3A10456959" target="_blank" >RIV/00216208:11230/23:10456959 - isvavai.cz</a>
Výsledek na webu
<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=Y8vZBmnlfs" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=Y8vZBmnlfs</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1016/j.healthpol.2023.104753" target="_blank" >10.1016/j.healthpol.2023.104753</a>
Alternativní jazyky
Jazyk výsledku
angličtina
Název v původním jazyce
Work like a Doc: A comparison of regulations on residents' working hours in 14 high-income countries
Popis výsledku v původním jazyce
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.
Název v anglickém jazyce
Work like a Doc: A comparison of regulations on residents' working hours in 14 high-income countries
Popis výsledku anglicky
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.
Klasifikace
Druh
J<sub>imp</sub> - Článek v periodiku v databázi Web of Science
CEP obor
—
OECD FORD obor
50602 - Public administration
Návaznosti výsledku
Projekt
—
Návaznosti
S - Specificky vyzkum na vysokych skolach<br>I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Ostatní
Rok uplatnění
2023
Kód důvěrnosti údajů
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Údaje specifické pro druh výsledku
Název periodika
Health Policy
ISSN
0168-8510
e-ISSN
1872-6054
Svazek periodika
130
Číslo periodika v rámci svazku
April 2023
Stát vydavatele periodika
IE - Irsko
Počet stran výsledku
10
Strana od-do
104753
Kód UT WoS článku
000994475200001
EID výsledku v databázi Scopus
2-s2.0-85148541832