Recently, the greatest impact on costs for patients with RA was shown to be reduced performance while working (at-work productivity loss), followed by wage loss from quitting or changing jobs, decreased working hours, and missed work days (sick leave) [ 4].
13 Since then, however, a Canadian study across 383 employed individuals has been reported; productivity loss was measured in dimensions of RA-related absences, reduced performance, decreased working hours, job change, and work disability, and included in a model of the overall cost of production loss.
In turn, they also found significant positive relationships between job satisfaction and intentions to leave direct patient care as well as the intention to decrease work hours.
14 Interestingly, presenteeism was found to account for 41% of total costs, whereas decreased work hours and absenteeism accounted for only 12%and10%0%, respectively.
Even though health worker migration to high-income countries is occurring, countries such as Australia continue to face persistent shortages, particularly in rural and outer-metropolitan areas [ 6]; a situation compounded by trends towards health workers' decreased work-hours, increased demand due to an ageing population [ 7] and an ageing health workforce [ 8].
After controlling for county fixed effects, year fixed effects, county-specific time trend, and four county-level demographic variables, I find 1.4 % decrease in labor force participation rate, 0.32 h decrease in working hours, 1.1%% increase in wages, and 0.49%% increase in SNAP enrollment in poorest counties of 6 expansion states.
4 Interestingly, the authors did not conclude their article by suggesting a decrease in working hours.
The miners demanded that the minimum age to be raised to 14 years for those who worked in the sulfur mines, the decrease of working hours and setting a minimum wage.
It is important to study the consequences of the decrease in working hours for the services provided.
It was also mentioned that the implementation of the new consultant contract led to a decrease in working hours and consequently the quality of patient care that could be offered had fallen.
A longitudinal cohort study undertaken by Sen et al 34 showed that the decrease of working hours under the 2011 ACGME standards have resulted in an "unanticipated increase in self-reported medical errors" and has not shown an improvement in well-being or depressive symptoms, nor has it prompted an increase in hours of sleep.
