This research was supported by Health Canada, the Canadian Institutes for Health Research, the Alberta Heritage Foundation for Medical Research, and the Nova Scotia Health Research Foundation. Thanks to Christina Holmes, Dr. Jocelyn Downie, William Lahey, Dr. Mavis Jones, Bridget Lewis, the editors and the anonymous reviewers for their helpful comments.
Working to Death: The Regulation of Working Hours in Health Care
Article first published online: 16 JAN 2008
© 2008 The Authors
Law & Policy
Volume 30, Issue 1, pages 108–140, January 2008
How to Cite
McDONALD, F. (2008), Working to Death: The Regulation of Working Hours in Health Care. Law & Policy, 30: 108–140. doi: 10.1111/j.1467-9930.2008.00271.x
- Issue published online: 16 JAN 2008
- Article first published online: 16 JAN 2008
Recent research highlights significant risks associated with health professionals working long hours—risks to their health and safety, to the safety and quality of care provided to patients, and to public safety. This article undertakes a review of the various instruments used to regulate working hours in health systems, using six countries (Australia, Canada, Denmark, New Zealand, the United Kingdom, and the United States) and the European Union as primary comparators. The review demonstrates differences in the instruments used to regulate the issue in these countries and in the economic, social, and cultural factors that limit instrument choice and moderate instrument effectiveness.