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简短通讯:退休医生参与志愿服务的意愿

Brief communication: physician interest in volunteer service during retirement.

作者信息

Sloane Philip D, Cohen Lauren W, Konrad Thomas R, Williams Christianna S, Schumacher John G, Zimmerman Sheryl

机构信息

Cecil G. Sheps Center for Health Services Research, Department of Family Medicine, and School of Social Work, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA.

出版信息

Ann Intern Med. 2008 Sep 2;149(5):317-22. doi: 10.7326/0003-4819-149-5-200809020-00006.

DOI:10.7326/0003-4819-149-5-200809020-00006
PMID:18765701
Abstract

BACKGROUND

Baby boomers approaching retirement will include unprecedented numbers of physicians, many of whom want to remain productive.

OBJECTIVE

To determine interest in health care-related volunteering during retirement among physicians trained to provide general medical care to adults.

DESIGN

Cross-sectional mailed survey conducted May through July 2006.

SETTING

North Carolina.

PARTICIPANTS

910 physicians, 55 years of age or older, whose primary specialty involved direct, nonsurgical care of adults.

MEASUREMENTS

Current volunteerism and future interest in selected activities.

RESULTS

Of the respondents, 89.8% were male and 87.4% were white; 57.4% worked full-time, 21.7% worked part-time, and 21.0% were retired. Of current retirees, 37.1% expressed interest in volunteering. Areas of greatest interest were medical teaching, working in free medical clinics, and international care. Strong incentives included staying mentally active (67.3%) or involved in medicine (61.2%) and contributing to society (60.5%). Substantial barriers included concerns about malpractice (61.5%) and paperwork or bureaucracy (46.0%). The majority of respondents (66.7%) felt that lack of payment would not influence volunteering.

LIMITATIONS

The 59% overall response rate and exclusion of unlicensed retired physicians limit study generalizability. The data were provided by self-response and could not be independently validated.

CONCLUSION

Retired physicians are a potential source of manpower that could contribute to provision of health care, particularly in medical teaching and clinical care of underserved persons.

摘要

背景

即将退休的婴儿潮一代将包含数量空前的医生,其中许多人希望继续保持工作效率。

目的

确定接受过成人普通医疗培训的医生退休后对医疗保健相关志愿服务的兴趣。

设计

2006年5月至7月进行的横断面邮寄调查。

地点

北卡罗来纳州。

参与者

910名年龄在55岁及以上的医生,其主要专业涉及对成人的直接非手术护理。

测量

当前的志愿服务情况以及对选定活动的未来兴趣。

结果

在受访者中,89.8%为男性,87.4%为白人;57.4%全职工作,21.7%兼职工作,21.0%已退休。在目前已退休的人员中,37.1%表示有志愿服务的兴趣。最感兴趣的领域是医学教学、在免费医疗诊所工作和国际医疗服务。强烈的动机包括保持精神活跃(67.3%)或继续从事医学工作(61.2%)以及为社会做贡献(60.5%)。主要障碍包括对医疗事故的担忧(61.5%)和文书工作或官僚作风(46.0%)。大多数受访者(66.7%)认为没有报酬不会影响他们参与志愿服务。

局限性

59%的总体回复率以及未纳入无执照退休医生限制了研究的普遍性。数据由自我回复提供,无法独立验证。

结论

退休医生是一股潜在的人力来源,可为医疗保健的提供做出贡献,特别是在医学教学和为服务不足人群提供临床护理方面。

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引用本文的文献

1
Commentary: physician retirement and physician shortages.述评:医生退休与医生短缺。
J Community Health. 2009 Oct;34(5):353-6. doi: 10.1007/s10900-009-9165-5.
2
Reducing the impact of the health care access crisis through volunteerism: a means, not an end.通过志愿服务减少医疗保健获取危机的影响:这是一种手段,而非目的。
Am J Public Health. 2009 Jul;99(7):1166-9. doi: 10.2105/AJPH.2008.145623. Epub 2009 May 14.