Division of Health Services Research, Department of Research, American Academy of Pediatrics, Elk Grove Village, Illinois 60007, USA.
Pediatrics. 2010 Jan;125(1):152-7. doi: 10.1542/peds.2009-0767. Epub 2009 Dec 14.
The objective of this study was to track trends in part-time employment among pediatricians from 2000 to 2006 and to examine differences within subgroups of pediatricians.
As part of the Periodic Survey of Fellows, national random samples of American Academy of Pediatrics members were surveyed in 2000, 2003, and 2006. These surveys shared questions concerning working part-time and other practice characteristics. Roughly 1600 pediatricians were included in each random sample. Totals of 812 (51%), 1020 (63%), and 1013 (62%) pediatricians completed the surveys in 2000, 2003, and 2006, respectively. Analyses were limited to nonretired, posttrainee pediatricians.
The number of pediatricians who reported that they work part-time increased from 15% in 2000, to 20% in 2003, to 23% in 2006. The pattern of increased part-time work from 2000 to 2006 held for many subgroups, including men, women, pediatricians who were younger than 40 years, pediatricians who were aged >or=50 years, pediatricians who worked in an urban inner city, pediatricians who worked in suburban areas, general pediatricians, and subspecialist pediatricians. Those who were working part-time were more satisfied within their professional and personal activities. Part-time pediatricians worked on average 14.3 fewer hours per week in direct patient care.
Increases in part-time work are apparent throughout pediatrics. The possible continued growth of part-time is an important trend within the field of pediatrics that will need to be monitored.
本研究旨在追踪 2000 年至 2006 年期间儿科医生兼职就业的趋势，并检查儿科医生亚组内的差异。
作为定期研究员调查的一部分，美国儿科学会的国家随机样本在 2000 年、2003 年和 2006 年接受了调查。这些调查共享有关兼职工作和其他实践特征的问题。每个随机样本中大约有 1600 名儿科医生。分别有 812 名（51%）、1020 名（63%）和 1013 名（62%）儿科医生完成了 2000 年、2003 年和 2006 年的调查。分析仅限于未退休的、接受过培训的儿科医生。
报告兼职工作的儿科医生人数从 2000 年的 15%增加到 2003 年的 20%，再增加到 2006 年的 23%。2000 年至 2006 年期间，兼职工作增加的模式适用于许多亚组，包括男性、女性、年龄小于 40 岁的儿科医生、年龄大于等于 50 岁的儿科医生、在城市市区工作的儿科医生、在郊区工作的儿科医生、普通儿科医生和专科儿科医生。那些兼职工作的人在他们的专业和个人活动中更满意。兼职儿科医生每周在直接病人护理方面平均减少 14.3 个小时。
兼职工作的增加在整个儿科学领域都很明显。兼职工作的持续增长是儿科学领域的一个重要趋势，需要加以监测。
