Abstract
Since FY2013, the Working Group (WG) on Health Operating Systems from Quality and Safety Perspectives and a To-be Operational Environment has been conducting investigations toward a safe work environment in health services. During FY2018, on June 29, 2018, a bill related to the Workstyle Reform Act was passed based on the Workstyle Reform Implementation Plan, which was finalized on March 28, 2017. Given the passing of the bill, we requested 47 prefectures to disclose information related to workstyle reform for health organizations and health professionals (hereinafter referred to as Health Organizations and Others), in accordance with the three-year on-site inspections of prefectural hospitals conducted from FY2014 by the Labour Standards Inspection Office. Through the inspections, the Office issued reform recommendation documents and instruction forms and requested the health organizations to submit reports on reforms. With the aim of exploring methods for making progress on the overall workstyle reform of Health organizations and Others, mainly including the long-term issue of the overwork of doctors, we checked the number of infringements and details found in the provided information against each article and paragraph of the Labour Standards Act and analyzed them. We also checked and analyzed the details of reform reports that had been submitted by health organizations in response to recommendations and instructions, as well as improvement reports submitted by the organizations in response to improvement instructions.
Given the above, for the 13th Academic Conference of the Japanese Society for Quality and Safety in Healthcare, to make progress on workstyle reform for Health Organizations and Others, a group of doctors, pharmacists, nurses, and labor and social security attorneys held a discussion regarding the checked and analyzed details to find methods for smoothly implementing workstyle reform by exploring the issues faced by health organizations. The discussion also looked at measures to be adopted from the perspective of the Labour Standards Act, which had undergone a drastic revision for the first time in the last 70 years.
The present paper reports the details presented at the 13th Academic Conference of the Japanese Society for Quality and Safety in Healthcare Working Group Plan 3.
