Sandvik Hogne, Hunskår Steinar
Nasjonalt kompetansesenter for legevaktmedisin, Kalfarveien 31, 5018 Bergen.
Tidsskr Nor Laegeforen. 2007 May 17;127(10):1347-50.
Norwegian regular general practitioners (RGPs) are required to participate in out-of-hours duty. The aim of this study was to determine their actual participation rate.
Information was collected from the RGP Database, the Municipality Database and from physicians' bills to the National Insurance in 2004. The material consists of 3,751 RGPs and 2,317 other physicians claiming reimbursement for out-of-hours work.
RGPs received 51.8% of the total reimbursement for out-of-hours work, and 35.6% of them did not have any such income. Male RGPs received almost twice as much reimbursement for out-of-hours duty as their female colleagues, and there was a strong tendency for older RGPs to receive less. Among all physicians, young men were those who generally worked most frequently out-of-hours. RGPs' reimbursement dropped with poorer coverage of doctors, increasing list size, if their list was full or overcrowded, and with increasing size and central localization of the municipality.
A large proportion of RGPs do not work out-of-hours in emergency services.
挪威的普通执业医生(RGPs)被要求参与非工作时间值班。本研究的目的是确定他们的实际参与率。
信息收集自RGP数据库、市政数据库以及医生2004年向国家保险机构提交的账单。材料包括3751名普通执业医生和2317名其他申报非工作时间工作报销的医生。
普通执业医生获得了非工作时间工作报销总额的51.8%,其中35.6%没有此类收入。男性普通执业医生获得的非工作时间值班报销几乎是女性同事的两倍,而且年龄较大的普通执业医生获得的报销有明显减少的趋势。在所有医生中,年轻男性通常是最常参与非工作时间工作的群体。普通执业医生的报销会随着医生覆盖率降低、名单规模增加、名单已满或过于拥挤以及市政规模和中心位置的增加而下降。
很大一部分普通执业医生不参与紧急服务的非工作时间值班。