Intended for healthcare professionals

Rapid response to:


Allowing more doctors to work less than full time could reduce burnout, says royal college

BMJ 2019; 366 doi: (Published 27 September 2019) Cite this as: BMJ 2019;366:l5778

Rapid Response:

Reply to Dr Shotaro Doki

All Japanese health system problems you describe (exorbitant medical expenses, large number of hospitals, long hospital stay, many hospitalized patients, poor working conditions, high overtime limit, long working hours, etc) seem to be all derived from the established culture of over-screening (KENKO SHINDAN-NINGEN DOCK), over-prescribing, over-medicating insured patients.

All issues might be quickly resolved when both patients and doctors understand the false-positive harms involved in over-screening, and apply strict evidence-based clinical guidelines which comply with international standards.

Competing interests: No competing interests

01 October 2019
Stavros Saripanidis
Consultant in Obstetrics and Gynaecology
Thessaloniki, Greece