Ding Alexander, Hann Mark, Sibbald Bonnie
School of Medicine, University of California San Francisco, California, USA.
Br J Gen Pract. 2008 Jan;58(546):20-5. doi: 10.3399/bjgp08X263776.
Recent national policy changes have provided greater flexibility in GPs' contracts. One such policy is salaried employment, which offers reduced hours and freedom from out-of-hours and administrative responsibilities, aimed at improving recruitment and retention in a labour market facing regional shortages.
To profile salaried GPs and assess their mobility within the labour market.
Serial cross-sectional study.
All GPs practising in England during the years 1996/1997, 2000/2001, and 2004/2005.
Descriptive analyses, logistic regression.
Salaried GPs tended to be either younger (<35 years) or older (> or =65 years), female, or overseas-qualified; they favoured part-time working and personal medical services contracts. Salaried GPs were more mobile than GP principals, and have become increasingly so, despite a trend towards reduced overall mobility in the GP workforce. Practices with salaried GPs scored more Quality and Outcomes Framework points and were located in slightly more affluent areas.
Salaried status appears to have reduced limitations in the labour market, leading to better workforce deployment from a GP's perspective. However, there is no evidence to suggest it has relieved inequalities in GP distribution.
近期国家政策变化使全科医生合同更具灵活性。其中一项政策是受薪雇佣制，该制度减少了工作时长，免除了非工作时间及行政职责，旨在改善在面临地区短缺的劳动力市场中的招聘和留用情况。
描述受薪全科医生的概况，并评估他们在劳动力市场中的流动性。
系列横断面研究。
1996/1997年、2000/2001年和2004/2005年在英格兰执业的所有全科医生。
描述性分析、逻辑回归。
受薪全科医生往往更年轻（<35岁）或更年长（≥65岁）、女性或具有海外资质；他们倾向于兼职工作和个人医疗服务合同。受薪全科医生比全科医生负责人流动性更强，且这种趋势愈发明显，尽管全科医生劳动力总体流动性呈下降趋势。有受薪全科医生的诊所获得的质量与结果框架积分更多，且位于略富裕地区。
从全科医生的角度来看，受薪身份似乎减少了劳动力市场的限制，从而实现了更好的劳动力配置。然而，没有证据表明这缓解了全科医生分布的不平等现象。
