Part-time Physicians ... prevalent, connected, and satisfied

被引:62
作者
Mechaber, Hilit F. [1 ]
Levine, Rachel B. [2 ]
Manwell, Linda Baier [3 ]
Mundt, Marlon P. [3 ]
Linzer, Mark [3 ]
机构
[1] Univ Miami, Miller Sch Med, Miami, FL 33101 USA
[2] Johns Hopkins Bayview Med Ctr, Baltimore, MD USA
[3] Univ Wisconsin, Sch Med, Madison, WI USA
关键词
physicians; workplace; part-time; work hours;
D O I
10.1007/s11606-008-0514-3
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
OBJECTIVE: The health care workforce is evolving and part-time practice is increasing. The objective of this work is to determine the relationship between part-time status, workplace conditions, and physician outcomes. DESIGN: Minimizing error, maximizing outcome (MEMO) study surveyed generalist physicians and their patients in the upper Midwest and New York City. MEASUREMENTS AND MAIN RESULTS: Physician survey of stress, burnout, job satisfaction, work control, intent to leave, and organizational climate. Patient survey of satisfaction and trust. Responses compared by part-time and full-time physician status; 2-part regression analyses assessed outcomes associated with part-time status. Of 751 physicians contacted, 422 (56%) participated. Eighteen percent reported part-time status (n=77, 31% of women, 8% of men, p<.001). Part-time physicians reported less burnout (p<.01), higher satisfaction (p<.001), and greater work control (p<.001) than full-time physicians. Intent to leave and assessments of organizational climate were similar between physician groups. A survey of 1,795 patients revealed no significant differences in satisfaction and trust between part-time and full-time physicians. CONCLUSIONS: Part-time is a successful practice style for physicians and their patients. If favorable outcomes influence career choice, an increased demand for part-time practice is likely to occur.
引用
收藏
页码:300 / 303
页数:4
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