Overwork Death of Chinese Physicians under High-Intensity Pressure, 2007-2018

Yingjiang Xu1,2, Gang Chen2, Xinqiang Han2

  • 1Department of Interventional Vascular Surgery Binzhou Medical College Hospital, Binzhou, Binzhou, P.R. China.

Insights

Physician overwork deaths in China are a serious issue, particularly since 2012, with most cases in surgery departments of public tertiary hospitals. Policy changes and public understanding are crucial to address this critical health and social problem.

Area of Science:

  • Public Health
  • Medical Sociology
  • Occupational Health

Background:

  • Physician overwork deaths in China between January 2007 and December 2018 highlight a critical issue.
  • This tragedy necessitates urgent attention from authorities and policymakers to mitigate physician mortality.

Purpose of the Study:

  • To summarize and analyze cases of physician overwork death in China over an 11-year period.
  • To identify trends, demographics, and contributing factors associated with physician overwork fatalities.

Main Methods:

  • Data were systematically extracted from medical databases, local mass media, official documents, and medical Bulletin Board Systems (BBS).
  • Inclusion criteria focused on published articles, reports, and news; unpublished data were excluded.

Main Results:

  • A total of 110 cases (103 males, 7 females) were identified, with a notable increase in incidents since 2012, peaking in 2017.
  • The majority of deaths occurred in public tertiary hospitals (78.18%) and surgery-related departments (59.1%).
  • Affected physicians included chief physicians, associate chief physicians, attending physicians, resident physicians, and standardized training physicians, primarily in major cities and coastal regions.

Conclusions:

  • Physician overwork death represents a significant contemporary health and social issue in China.
  • There is a pressing need to refine laws and regulations to prevent such occurrences.
  • Enhancing public understanding and trust in physicians is essential for addressing this problem.
Abstract

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