Factors on working conditions and prolonged fatigue among physicians in Japan

  • Koji Wada
  • Mayuri Arimatsu
  • Toru Yoshikawa
  • Susumu Oda
  • Hatsumi Taniguchi
  • Toshiaki Higashi
  • Yoshiharu Aizawa
Original Article

Abstract

Objective

Fatigue among physicians could affect patients’ safety and physicians’ health. Fatigue could be caused by unfavorable working conditions. However, there have been no studies on the working conditions and fatigue among physicians in Japan. The objective of this study was to determine the factors on working conditions associated with prolonged fatigue among physicians in Japan.

Methods

A questionnaire was mailed to physicians who graduated from one of the medical schools in Japan and who have had more than 3 years of experience in clinical practice. They were asked to assess 10 different aspects of their working conditions using a 5-point Likert scale. Prolonged fatigue was measured using the checklist of individual strength questionnaire. Multiple regression analysis was used to examine the multivariate relationship between the variables and prolonged fatigue. Data from 377 men and 101 women were analyzed in this study.

Results

For both male and female physicians, a harder workload was positively associated and better career satisfaction was negatively associated with prolonged fatigue. Prolonged fatigue was negatively associated with better relationships with other physicians and staff for male physicians and less personal time for female physicians. The adjusted variance in prolonged fatigue related to exposure variables was 26 and 29% in men and in women, respectively.

Conclusions

The result of this study suggested that it is desirable to take these factors into consideration in the management of prolonged fatigue among physicians in Japan.

Keywords

Prolonged fatigue Physicians Workload Career satisfaction Relationship 

Notes

Acknowledgments

We gratefully acknowledge the respondents to this study. This study was partly funded with a grant from the Health Science Center, Sagamihara, Japan. The authors also thank Robert E Brandt for editing the manuscript.

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Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Koji Wada
    • 1
  • Mayuri Arimatsu
    • 2
  • Toru Yoshikawa
    • 3
  • Susumu Oda
    • 4
  • Hatsumi Taniguchi
    • 5
  • Toshiaki Higashi
    • 2
  • Yoshiharu Aizawa
    • 1
  1. 1.Department of Preventive Medicine and Public HealthKitasato University School of MedicineSagamihara, KanagawaJapan
  2. 2.Department of Work Systems and Health, The Institute of Industrial Ecological SciencesUniversity of Occupational and Environmental HealthKitakyushuJapan
  3. 3.Institute for Science of LabourKawasakiJapan
  4. 4.Fukuoka Occupational Health Promotion CenterFukuokaJapan
  5. 5.Department of MicrobiologyUniversity of Occupational and Environmental HealthKitakyushuJapan

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