O'Meara A T, Averette H E
Division of Gynecologic Oncology, University of Southern California, 1240 N. Mission Road, 1L4, Los Angeles, California, 90033, USA.
Gynecol Oncol. 2000 Feb;76(2):163-9. doi: 10.1006/gyno.1999.5600.
We sought to determine whether there have been any significant changes in professional satisfaction among gynecologic oncologists over the past 30 years.
We mailed surveys to all U.S. gynecologic oncologists belonging to the Society of Gynecologic Oncologists to compile data on demographics, training, motivating factors, overall professional satisfaction, and the effect of managed care. We compared these factors among oncologists who completed training in different years and among different demographic groups. We used calculated confidence intervals to determine statistical significance.
We surveyed 767 gynecologic oncologists and received 344 evaluable responses, representing 47% of the total eligible. Results show that neither the factor rated most important in looking for a first job nor the factor rated most important in giving job satisfaction once in a job has changed significantly among gynecologic oncologists over time. In addition, the importance placed on salary has not varied across the fellowship graduate classes, although within each class salary increased in importance from the first job to the current job. Our analysis shows that while male and female gynecologic oncologists are similar in their job satisfaction and practice patterns, men report being sued twice as often as women, and men tend to stay in their first jobs significantly longer than women. We also compare the surveyed academic gynecologic oncologists to the private gynecologic oncologists and show that while overall job satisfaction is similar, their ratings of the factors that provide job satisfaction do differ significantly. Our data show that managed care penetration has increased over time among gynecologic oncology practices and that gynecologic oncologists' job satisfaction ratings tend to decrease with the increase in managed care penetration, although not reaching statistical significance.
Our results show that changes in practice styles since the 1960s have not affected overall job satisfaction among gynecologic oncologists. However, several trends in practice styles can be noted, including differences between sexes, academic versus private physicians, and attitudes about managed care. The survey also suggests that there is interest among gynecologic oncologists in continuing to monitor changes in patterns of practice and satisfaction.
我们试图确定在过去30年里，妇科肿瘤学家的职业满意度是否发生了任何显著变化。
我们向美国妇科肿瘤学会的所有妇科肿瘤学家邮寄了调查问卷，以收集有关人口统计学、培训、激励因素、总体职业满意度以及管理式医疗影响的数据。我们比较了在不同年份完成培训的肿瘤学家以及不同人口统计学群体之间的这些因素。我们使用计算出的置信区间来确定统计学显著性。
我们调查了767名妇科肿瘤学家，收到了344份可评估的回复，占符合条件总数的47%。结果显示，随着时间的推移，在寻找第一份工作时被评为最重要的因素以及在工作后被评为给予工作满意度最重要的因素，在妇科肿瘤学家中都没有发生显著变化。此外，尽管在每个班级中，从第一份工作到目前的工作，薪水的重要性都有所增加，但不同年份毕业的研究员对薪水的重视程度并没有变化。我们的分析表明，虽然男性和女性妇科肿瘤学家在工作满意度和执业模式方面相似，但男性被起诉的频率是女性的两倍，而且男性在第一份工作上停留的时间明显比女性长。我们还将接受调查的学术型妇科肿瘤学家与私立妇科肿瘤学家进行了比较，结果显示，虽然总体工作满意度相似，但他们对提供工作满意度的因素的评分确实存在显著差异。我们的数据表明，随着时间的推移，管理式医疗在妇科肿瘤学实践中的渗透率有所增加，并且妇科肿瘤学家的工作满意度评分往往随着管理式医疗渗透率的增加而下降，尽管未达到统计学显著性。
我们的结果表明，自20世纪60年代以来执业方式的变化并未影响妇科肿瘤学家的总体工作满意度。然而，可以注意到执业方式的几个趋势，包括性别差异、学术型与私立医生的差异以及对管理式医疗的态度。该调查还表明，妇科肿瘤学家有兴趣继续监测执业模式和满意度的变化。
