JHRSS  Vol.2 No.4 , December 2014
A Survey Study on the Causes of Annual Paid Leave Being Left Untaken by Japanese Physicians from the Perspective of Hospital Managers
Author(s) Go Igusa
ABSTRACT
This paper focuses on the issue of annual paid leave that is left untaken by physicians in a difficult working environment from the perspective of hospital managers and clarifies the reasons why physicians cannot (will not) take leave through interviews with these managers and main causes of this through qualitative analysis. The results show that the main causes of annual paid leave being left untaken are “the lack of substitute physicians due to management constraints” and “physician’s ethics and overwork” which are different from the results of conventional research into annual paid leave. While also exposing the issue of supply and demand such as the uneven distribution of physicians, this paper raises the necessity of human resources management for physicians such as reconstructing the supply and demand coordination framework by improving the medical services payment system for physicians in order to make sure that demand for physician labour is met and to build and maintain a system for the provision of safe and secure healthcare in the future.

Cite this paper
Igusa, G. (2014) A Survey Study on the Causes of Annual Paid Leave Being Left Untaken by Japanese Physicians from the Perspective of Hospital Managers. Journal of Human Resource and Sustainability Studies, 2, 182-187. doi: 10.4236/jhrss.2014.24017.
References
[1]   Japan Institute for Labour Policy and Training (2012) Survey on Work Conditions and Awareness of Hospital Physicians.

[2]   Kato, T. (2009) Shortage of Physicians and Democracy. Bulletin of University of East Asia, 10, 1-15.

[3]   Inaba, R., Kurokawa, J. and Inoue, M. (2009) Occupational Stress in the First-Year Interns and the Characteristics of Handling the Stress under the New Clinical Training System for Physicians. Japanese Journal of Occupational Medicine and Traumatology, 57, 161-167.

[4]   Ministry of Ministry of Health, Labour and Welfare (2006) Materials for Commission on Supply-Demand of Physicians.

[5]   Japan Federation of Medical Worker’s Unions (2007) Status Survey on Physicians’ Labor.

[6]   Toyomasu, K., Kato, T., Yoshida, N., Yoshida, I., Ohtsuka, Y., Iwasaki, Y., Nabeshima, S. and Shirasakal, Y. (2006) The Working Situation and Mental Health of a Resident—From Questionnaire Investigation. Kurume Journal of Health and Sports Science, 14, 47-52.

[7]   Japan Institute for Labour Policy and Training (2011) Results of Survey on Paid Holiday Acquisition.

[8]   MedPeer (2010) Survey on the Status of Paid holiday Acquisition by Physicians.

[9]   Boulis, A. and Jacobs, J. (2008) The Changing Face of Medicine: Women Doctors and the Evolution of Health Care in America (The Culture and Politics of Health Care Work). Cornell University Press, New York.

[10]   Nakamura, M. (2010) Factors for Female Physicians to Choose Their Specialization—Results of an Interview Survey. Journal of Labor Sociology, 11, 37-61.

[11]   Nakano, S. (1996) New World of Physicians—A Sociological Analysis. Keiso Shobo, Tokyo.

[12]   Mori, T. and Saito, T. (2007) Positive Analysis of Working Conditions for Physicians. Japanese Journal of Social Security Policy. National Institute of Population and Social Security Research, 43, 159-168.

[13]   Igusa, G. (2013) Factors Affecting Young Doctors to Not Take Annual Paid Leave. Journal of Labor Sociology, 14, 105-132.

[14]   Japan Medical Association Research Institute (2009) Management Issues of Private Medical Institutions in Deficit— FY2007 Financial Closing Data.

[15]   Yoshida, A. (2009) What Are the Problems of Japanese Medical Care? NTT Publishing, Tokyo.

[16]   Farley, P.J. (1986) Theories of the Price and Quantity of Physician Services: A Synthesis and Critique. Journal of Health Economics, 5, 315-333. http://dx.doi.org/10.1016/0167-6296(86)90007-X

[17]   Matsushige, T. (2010) The Discourse of Patient-Centred Medicine’: The Sociology of Patient Expertise. Rikkyo University Press, Tokyo.

 
 
Top