TITLE

Part-time and full-time medical specialists, are there differences in allocation of time?

AUTHOR(S)
de Jong, Judith D.; Heiligers, Phil; Groenewegen, Peter P.; Hingstman, Lammert
PUB. DATE
January 2006
SOURCE
BMC Health Services Research;2006, Vol. 6, p1
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: An increasing number of medical specialists prefer to work part-time. This development can be found worldwide. Problems to be faced in the realization of part-time work in medicine include the division of night and weekend shifts, as well as communication between physicians and continuity of care. People tend to think that physicians working part-time are less devoted to their work, implying that full-time physicians complete a greater number of tasks. The central question in this article is whether part-time medical specialists allocate their time differently to their tasks than full-time medical specialists. Methods: A questionnaire was sent by mail to all internists (N = 817), surgeons (N = 693) and radiologists (N = 621) working in general hospitals in the Netherlands. Questions were asked about the actual situation, such as hours worked and night and weekend shifts. The response was 53% (n = 411) for internists, 52% (n = 359) for surgeons, and 36% (n = 213) for radiologists. Due to non-response on specific questions there were 367 internists, 316 surgeons, and 71 radiologists included in the analyses. Multilevel analyses were used to analyze the data. Results: Part-time medical specialists do not spend proportionally more time on direct patientcare. With respect to night and weekend shifts, part-time medical specialists account for proportionally more or an equal share of these shifts. The number of hours worked per FTE is higher for part-time than for full-time medical specialists, although this difference is only significant for surgeons. Conclusion: In general, part-time medical specialists do their share of the job. However, we focussed on input only. Besides input, output like the numbers of services provided deserves attention as well. The trend in medicine towards more part-time work has an important consequence: more medical specialists are needed to get the work done. Therefore, a greater number of medical specialists have to be trained. Part-time work is not only a female concern; there are also (international) trends for male medical specialists that show a decline in the number of hours worked. This indicates an overall change in attitudes towards the number of hours medical specialists should work.
ACCESSION #
29324295

 

Related Articles

  • Out-of-hours shifts are tempting GPs.  // Pulse;10/27/2003, Vol. 63 Issue 43, p7 

    Reports on the percentage of general practitioners (GP) in Great Britain that plan to do shifts for out-of-hours providers. Estimated percentage of GP cooperatives in England, Scotland and Wales that will sell their services back; Takeover of triage by trained personnel.

  • Transition of care: experiences and preferences of patients across the primary/secondary interface -- a qualitative study. Berendsen, Annette J.; de Jong, G. Majella; Meyboom-de Jong, Betty; Dekker, Janny H.; Schuling, Jan // BMC Health Services Research;2009, Vol. 9, Special section p1 

    Background: Coordination between care providers of different disciplines is essential to improve the quality of care, in particular for patients with chronic diseases. The way in which general practitioners (GP's) and medical specialists interact has important implications for any healthcare...

  • WHAT THE FUTURE HAS IN STORE. Praities, Nigel // Pulse;5/21/2008, Vol. 68 Issue 18, p31 

    The article discusses views from general practitioner (GP) experts about the future of continuity of care in Great Britain. According to some experts, the need for continuity of care will only increase as the population ages and GPs manage more patients with multiple and complex conditions....

  • PCT has no GP overnight cover. Davies, Edward // GP: General Practitioner;9/13/2004, p8 

    The article reports that the DoH has condemned a PCT's out-of-hours service for not employing general practitioners (GPs) for the overnight "red eye" shifts. The out-of-hours arrangements at Lincolnshire South West Teaching PCT are thought to be the first in the country to run without GPs...

  • Opinion: Leader - Let GPs take initiative for a win-win situation.  // GP: General Practitioner;7/8/2005, p22 

    This article reports that general practitioners (GPs) in practices in Waltham Forrest, north-east London, have found that working a shift system to enable their practices to open for extended hours has benefits for them and their patients. Although the PCT is paying only two practices to pilot...

  • Patients truly value continuity.  // Pulse;5/14/2005, Vol. 65 Issue 19, p2 

    Reports that Phil Brookes, a general practitioner in Newcastle, England, appreciates the high value placed by patients on continuity of care. Patients' reactions to Brookes' reduction of his work hours; Patients' need for their doctors in times of crisis.

  • Out-of-hours.  // Pulse;10/18/2004, Vol. 64 Issue 41, p43 

    The article presents opinions of general practitioners on the effect of new contract on their out of hours work. Physician John Ashcroft says that he gave out of hour responsibility on July 1 and has done the occasional shift since then. He thinks the contract has delivered on out-of-hours. Now...

  • Leading GP backs Tory plan to hand OOH back to GPs.  // Pulse;10/10/2007, Vol. 67 Issue 36, p8 

    The article reports on the support of professor Roger Jones on the claims of Tory that out-of-hours care responsibility must be put back in the general practitioner (GP) contract. Jones noted that the contract allowing GPs to opt out of 24-hour duty results to a situation wherein the...

  • Safety and the flying doctor. Cappuccio, Francesco P.; Lockley, Steven W. // BMJ: British Medical Journal (International Edition);1/26/2008, Vol. 336 Issue 7637, p218 

    The author reflects on the dangers associated with physicians having to work long hours. He suggests that working continuously for a long time, particularly at night, increases the risk of making errors and causing injury, which is the reason many professions limit the number of hours that can...

Share

Read the Article

Courtesy of

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics