Relationship between health and productivity management and health-related attributes in Japanese medical institutions: an ecological study

Objective: To clarify the relationship between the implementation of health and productivity management (H&PM) and staff health-related attributes in Japanese hospitals. Method: This study selected 2,000 hospitals from the FY2021 Bed Function Report data and conducted a questionnaire survey...

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Main Authors: Hajime Watanabe, Satoshi Miyata, Satoru Kanamori, Yoshinori Nakata
Format: Article
Language:English
Published: Japan Society for Occupational Health 2025-03-01
Series:Environmental and Occupational Health Practice
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/eohp/7/1/7_2024-0008/_html/-char/en
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author Hajime Watanabe
Satoshi Miyata
Satoru Kanamori
Yoshinori Nakata
author_facet Hajime Watanabe
Satoshi Miyata
Satoru Kanamori
Yoshinori Nakata
author_sort Hajime Watanabe
collection DOAJ
description Objective: To clarify the relationship between the implementation of health and productivity management (H&PM) and staff health-related attributes in Japanese hospitals. Method: This study selected 2,000 hospitals from the FY2021 Bed Function Report data and conducted a questionnaire survey from November to December 2023. The questionnaire enquired about the H&PM implementation status, which was the explanatory variable; and health-related attributes, which was the objective variable. The implementation status of the four items and the presence or absence of Excellent H&PM Corporation certification were used to divide the hospitals into three groups: certification, implementation, and non-implementation groups. Logistic regression analysis was conducted with H&PM implementation status and health-related attributes as the variables. Results: Data from 221 hospitals were analyzed. There were 25 hospitals in the certification group, 68 in the implementation group, and 128 in the non-implementation group. Logistic regression used average monthly physician overtime as the outcome, with non-implementation hospitals as the reference. Results showed significant positive associations for the implementation and certification groups. Clear written policies on H&PM promotion and full-time occupational health staff were also significantly associated. However, health issue understanding, plan formulation, and management training were not linked to physician overtime. Other health-related attributes were also unrelated to H&PM implementation status. Conclusion: Hospitals engaging in H&PM may provide an appropriate working environment for physicians.
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spelling doaj-art-e9c79a02c168442ba305958aa1f3d8072025-08-20T03:40:22ZengJapan Society for Occupational HealthEnvironmental and Occupational Health Practice2434-49312025-03-017110.1539/eohp.2024-0008eohpRelationship between health and productivity management and health-related attributes in Japanese medical institutions: an ecological studyHajime Watanabe0https://orcid.org/0009-0001-3292-844XSatoshi Miyata1https://orcid.org/0000-0003-2400-7525Satoru Kanamori2https://orcid.org/0000-0002-8707-471XYoshinori Nakata3https://orcid.org/0000-0003-2252-3358Graduate School of Public Health, Teikyo University, JapanGraduate School of Public Health, Teikyo University, JapanGraduate School of Public Health, Teikyo University, Japan; Department of Preventive Medicine and Public Health, Tokyo Medical University, JapanGraduate School of Public Health, Teikyo University, JapanObjective: To clarify the relationship between the implementation of health and productivity management (H&PM) and staff health-related attributes in Japanese hospitals. Method: This study selected 2,000 hospitals from the FY2021 Bed Function Report data and conducted a questionnaire survey from November to December 2023. The questionnaire enquired about the H&PM implementation status, which was the explanatory variable; and health-related attributes, which was the objective variable. The implementation status of the four items and the presence or absence of Excellent H&PM Corporation certification were used to divide the hospitals into three groups: certification, implementation, and non-implementation groups. Logistic regression analysis was conducted with H&PM implementation status and health-related attributes as the variables. Results: Data from 221 hospitals were analyzed. There were 25 hospitals in the certification group, 68 in the implementation group, and 128 in the non-implementation group. Logistic regression used average monthly physician overtime as the outcome, with non-implementation hospitals as the reference. Results showed significant positive associations for the implementation and certification groups. Clear written policies on H&PM promotion and full-time occupational health staff were also significantly associated. However, health issue understanding, plan formulation, and management training were not linked to physician overtime. Other health-related attributes were also unrelated to H&PM implementation status. Conclusion: Hospitals engaging in H&PM may provide an appropriate working environment for physicians.https://www.jstage.jst.go.jp/article/eohp/7/1/7_2024-0008/_html/-char/enhealth and productivity managementhealth behaviorlong working hoursquality of medical carestaff health
spellingShingle Hajime Watanabe
Satoshi Miyata
Satoru Kanamori
Yoshinori Nakata
Relationship between health and productivity management and health-related attributes in Japanese medical institutions: an ecological study
Environmental and Occupational Health Practice
health and productivity management
health behavior
long working hours
quality of medical care
staff health
title Relationship between health and productivity management and health-related attributes in Japanese medical institutions: an ecological study
title_full Relationship between health and productivity management and health-related attributes in Japanese medical institutions: an ecological study
title_fullStr Relationship between health and productivity management and health-related attributes in Japanese medical institutions: an ecological study
title_full_unstemmed Relationship between health and productivity management and health-related attributes in Japanese medical institutions: an ecological study
title_short Relationship between health and productivity management and health-related attributes in Japanese medical institutions: an ecological study
title_sort relationship between health and productivity management and health related attributes in japanese medical institutions an ecological study
topic health and productivity management
health behavior
long working hours
quality of medical care
staff health
url https://www.jstage.jst.go.jp/article/eohp/7/1/7_2024-0008/_html/-char/en
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AT satorukanamori relationshipbetweenhealthandproductivitymanagementandhealthrelatedattributesinjapanesemedicalinstitutionsanecologicalstudy
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