The number of physicians is related to the number of nighttime emergency surgeries in Japan: An ecological study.

<h4>Purpose</h4>Increasing the number of physicians per population may improve the quality of medical services, but there are few reports on this aspect in the field of surgery. This study aimed to examine whether the number of physicians is associated with the number of nighttime emerge...

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Main Authors: Yusuke Yamadori, Tomohiro Hirao, Kanae Kanda, Gotaro Shirakami
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0278517
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author Yusuke Yamadori
Tomohiro Hirao
Kanae Kanda
Gotaro Shirakami
author_facet Yusuke Yamadori
Tomohiro Hirao
Kanae Kanda
Gotaro Shirakami
author_sort Yusuke Yamadori
collection DOAJ
description <h4>Purpose</h4>Increasing the number of physicians per population may improve the quality of medical services, but there are few reports on this aspect in the field of surgery. This study aimed to examine whether the number of physicians is associated with the number of nighttime emergency surgeries, which may be one of the indicators of the quality of medical services in the field of surgery.<h4>Methods</h4>This was a prefecture-based ecological study utilizing open data from Japanese government surveys conducted between 2015 and 2019. The relationship between the number of physicians and the number of nighttime emergency surgeries in 47 prefectures of Japan was evaluated by correlation analysis and panel data regression analysis. The correlation analysis was conducted between the number of physicians per 100,000 population and the number of nighttime emergency surgeries per 100,000 population per year in each prefecture in Japan. In the panel data regression analysis, panel data of the prefectures in Japan from 2015 to 2019 were created. We evaluated whether the number of physicians was related to the number of nighttime emergency surgeries, independent of the number of acute care beds per 100,000 population, population density, and the elderly population ratio.<h4>Results</h4>From the correlation analysis, the correlation coefficient between the number of physicians per 100,000 population and the number of nighttime emergency surgeries per 100,000 population was 0.533 (P < 0.001). In the panel data regression analysis, there was a significant association between the number of physicians per 100,000 population and the number of nighttime emergency surgeries per 100,000 population (P < 0.001). The regression coefficient (95% confidence interval) for the number of physicians per 100,000 population was 0.246 (0.113-0.378).<h4>Conclusion</h4>The number of physicians is associated with the number of nighttime emergency surgeries.
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spelling doaj.art-97c6758c09ef4d00aa5baf11503c4ce82023-01-13T05:31:41ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-011712e027851710.1371/journal.pone.0278517The number of physicians is related to the number of nighttime emergency surgeries in Japan: An ecological study.Yusuke YamadoriTomohiro HiraoKanae KandaGotaro Shirakami<h4>Purpose</h4>Increasing the number of physicians per population may improve the quality of medical services, but there are few reports on this aspect in the field of surgery. This study aimed to examine whether the number of physicians is associated with the number of nighttime emergency surgeries, which may be one of the indicators of the quality of medical services in the field of surgery.<h4>Methods</h4>This was a prefecture-based ecological study utilizing open data from Japanese government surveys conducted between 2015 and 2019. The relationship between the number of physicians and the number of nighttime emergency surgeries in 47 prefectures of Japan was evaluated by correlation analysis and panel data regression analysis. The correlation analysis was conducted between the number of physicians per 100,000 population and the number of nighttime emergency surgeries per 100,000 population per year in each prefecture in Japan. In the panel data regression analysis, panel data of the prefectures in Japan from 2015 to 2019 were created. We evaluated whether the number of physicians was related to the number of nighttime emergency surgeries, independent of the number of acute care beds per 100,000 population, population density, and the elderly population ratio.<h4>Results</h4>From the correlation analysis, the correlation coefficient between the number of physicians per 100,000 population and the number of nighttime emergency surgeries per 100,000 population was 0.533 (P < 0.001). In the panel data regression analysis, there was a significant association between the number of physicians per 100,000 population and the number of nighttime emergency surgeries per 100,000 population (P < 0.001). The regression coefficient (95% confidence interval) for the number of physicians per 100,000 population was 0.246 (0.113-0.378).<h4>Conclusion</h4>The number of physicians is associated with the number of nighttime emergency surgeries.https://doi.org/10.1371/journal.pone.0278517
spellingShingle Yusuke Yamadori
Tomohiro Hirao
Kanae Kanda
Gotaro Shirakami
The number of physicians is related to the number of nighttime emergency surgeries in Japan: An ecological study.
PLoS ONE
title The number of physicians is related to the number of nighttime emergency surgeries in Japan: An ecological study.
title_full The number of physicians is related to the number of nighttime emergency surgeries in Japan: An ecological study.
title_fullStr The number of physicians is related to the number of nighttime emergency surgeries in Japan: An ecological study.
title_full_unstemmed The number of physicians is related to the number of nighttime emergency surgeries in Japan: An ecological study.
title_short The number of physicians is related to the number of nighttime emergency surgeries in Japan: An ecological study.
title_sort number of physicians is related to the number of nighttime emergency surgeries in japan an ecological study
url https://doi.org/10.1371/journal.pone.0278517
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