Public Health:中国医生过劳死报告:3年46人,北京最多,有逐年增加趋势

2017-07-31 文韬 中国循环杂志

2017年6月,由中国医师协会资助一项研究报告了中国医生2013-2015年因过劳而猝死情况。该报告分析了46位过劳死医生的情况。 报告发现,2013年有6人,2014年16人,2015年则为24人过劳死。30-39岁年龄段的医生最多。 作者认为,医生过劳死是一个社会问题,迫切需要在公立医院改革过程中,需要立法保护医生,以预防过劳死。作者也呼吁,全社会需要理解医生,以减轻医生的压力,营造良好的

2017年6月,由中国医师协会资助一项研究报告了中国医生2013-2015年因过劳而猝死情况。该报告分析了46位过劳死医生的情况。

报告发现,2013年有6人,2014年16人,2015年则为24人过劳死。30-39岁年龄段的医生最多。

作者认为,医生过劳死是一个社会问题,迫切需要在公立医院改革过程中,需要立法保护医生,以预防过劳死。作者也呼吁,全社会需要理解医生,以减轻医生的压力,营造良好的就医氛围。

过劳死的医生中,北京有10人,占了21.7%,其次是江苏(5人)和河南(4人)。上海有三人。

“过劳死”是因为工作时间过长,劳动强度过重,心理压力太大,从而突然引发身体潜在的疾病急性恶化,救治不及时而危及生命。

在猝死发生前,半数医生已经持续工作了8~12小时,11个医生持续工作超过了24小时。

麻醉科医生猝死的比例最高,达到了26%,其次是骨科和心血管科。

作者认为,发达国家的麻醉师每年麻醉500-1000人,中国则达到了1500人。也难怪,麻醉科是过劳死的重灾区。

日本学者等提出过劳死有5个工作模式:(1)极长的工作时间和频繁夜班,打乱了日常生活节奏;(2)持续工作,中间不休息;(3)高压下工作;(4)繁重的体力活动;(5)持续性的高压工作。

作者认为,不幸的是,中国医生全部符合这五个工作模式。曾有一项研究发现,90%医生的医生每日工作超过8小时,26%超过10-12小时,13.5%超过10-12小时。

此外,80%的医生没有周末,53%工作6天,29%每周没有一天休息时间。94%认为每天下班后状态很差,48%感到精疲力竭。

为什么中国医生这么累?作者指出,中国人口占世界的22%,但中国医务人员仅占世界的2%。中国每***有1.2名医生,而发达国家为2.8。

而且,医院有教学和科研压力,使很多医学生因为工资太低而没有选择做医生,这就削弱了医疗人力资源。

医患关系恶化也是中国医生面临的压力问题。2003-2013期间,有101起严重医疗暴力事件,死亡了24名医护人员。

作者引用黑龙江省政协委员吴群红的观点,认为中青年医生过劳死首先是劳动强度大。

第二,不合理的医疗资源配置格局。对基层诊疗水平的不信任造成三甲医院人满为患、供需失衡,中青年医生过劳死现象基本都发生在三甲医院内。

第三,精神压力大。公众对医疗工作的误解,医患关系紧张以及科研学术压力。

第四,“医者不自医”现象严重。

作者还指出,医生不重视自己的健康,也促进了过劳死现象。

原始出处:

Shan HP, et al. Overwork is a silent killer of Chinese doctors: a review of Karoshi in China 2013-2015. Public Health. 2017, 147:98-100.

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    2018-03-20 shizhenshan
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    2017-09-10 qilu_qi
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  5. [GetPortalCommentsPageByObjectIdResponse(id=1861134, encodeId=f7c71861134c8, content=<a href='/topic/show?id=401a23e102' target=_blank style='color:#2F92EE;'>#ALT#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2371, encryptionId=401a23e102, topicName=ALT)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ccbd84, createdName=shizhenshan, createdTime=Tue Mar 20 17:28:00 CST 2018, time=2018-03-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1654162, encodeId=e7fb165416254, content=<a href='/topic/show?id=fb1c93983c3' target=_blank style='color:#2F92EE;'>#过劳#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=93983, encryptionId=fb1c93983c3, topicName=过劳)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=33cb24457942, createdName=qilu_qi, createdTime=Sun Sep 10 05:28:00 CST 2017, time=2017-09-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1526915, encodeId=aad615269155b, content=<a href='/topic/show?id=894221e3566' target=_blank style='color:#2F92EE;'>#中国医生#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=21735, encryptionId=894221e3566, topicName=中国医生)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=45f511780919, createdName=nakerunner, createdTime=Wed Aug 02 04:28:00 CST 2017, time=2017-08-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1621645, encodeId=515a16216456c, content=<a href='/topic/show?id=5f1386329e' target=_blank style='color:#2F92EE;'>#Health#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8632, encryptionId=5f1386329e, topicName=Health)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8d2020283215, createdName=yyanpro@28cn.c, createdTime=Wed Aug 02 04:28:00 CST 2017, time=2017-08-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=228552, encodeId=c6f6228552b6, content=麻醉医师不是麻醉师谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/12/8ecfeada6f1e439e85a721efafe87fd1.jpg, createdBy=247a1679920, createdName=Bridegroom, createdTime=Mon Jul 31 20:27:20 CST 2017, time=2017-07-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=228546, encodeId=cd0322854643, content=好东西学习了!, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Mon Jul 31 19:49:44 CST 2017, time=2017-07-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=228518, encodeId=c27a22851817, content=学习了受益匪浅。, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicHg2ldsSNmib46PmdzpO7CQEmPjuULp1v45zPWwMYhrnXgvl3OtmUCZSQfgITWn96X9moL94nUGA/0, createdBy=28072041016, createdName=131****1460, createdTime=Mon Jul 31 17:58:27 CST 2017, time=2017-07-31, status=1, ipAttribution=)]
    2017-07-31 Bridegroom

    麻醉医师不是麻醉师谢谢

    0

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    2017-07-31 thlabcde

    好东西学习了!

    0

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    2017-07-31 131****1460

    学习了受益匪浅。

    0

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