Aasland Olaf G, Rosta Judith
Research Institute of the Norwegian Medical Association, Oslo, Norway.
Tidsskr Nor Laegeforen. 2011 Jun 3;131(11):1076-80. doi: 10.4045/tidsskr.10.0533.
There is little reliable information available on the working hours of general practitioners (GPs). The purpose of our study is to describe the development of weekly working hours of Norwegian general practitioners in the period from 2000 to 2008, as well as the length of their patient lists and their perceived workload.
General practitioners in the reference panel of the Research Institute of the Norwegian Medical Association have reported their weekly working hours for 2000, 2002, 2004, 2006 and 2008, and the length of their patient lists for 2002 and 2008. We used non-overlapping 95 per cent confidence intervals for testing inter-group differences in interval variables and proportions.
From 227 to 316 general practitioners responded to each survey round. Average weekly working hours constituted 45.1 hours (95 per cent CI: 43.6-46.5 hours) in 2000 and 46.4 hours (95 per cent CI: 45.2-47.6 hours) in 2008. The number of hours increased for women GPs, while the number of hours remained basically unchanged for men from 2000 to 2008. Average length of the patient lists in 2002 and 2008 constituted 1,325 and 1,278 for men, and 1,155 and 1,144 for women GPs respectively. The proportion of GPs who responded that they perceived their workload as unacceptable decreased significantly, from 38.1 per cent in 2000 to 25.5 per cent in 2008.
Average weekly working hours for GPs increased by approximately one hour from 2000 to 2008, and this increase is found mainly among women GPs. We believe that the reduction in the proportion reporting to have an unacceptable workload can be explained by the introduction of the list-patient system, which has given the doctors better control of their own workload.
关于全科医生（GP）的工作时长，几乎没有可靠信息。我们研究的目的是描述2000年至2008年期间挪威全科医生每周工作时长的变化情况，以及他们的患者名单长度和所感知到的工作量。
挪威医学协会研究所参考小组中的全科医生报告了他们2000年、2002年、2004年、2006年和2008年的每周工作时长，以及2002年和2008年的患者名单长度。我们使用非重叠的95%置信区间来检验区间变量和比例的组间差异。
每一轮调查有227至316名全科医生做出回应。2000年平均每周工作时长为45.1小时（95%置信区间：43.6 - 46.5小时），2008年为46.4小时（95%置信区间：45.2 - 47.6小时）。从2000年到2008年，女全科医生的工作时长增加，而男全科医生的工作时长基本保持不变。2002年和2008年男性全科医生的患者名单平均长度分别为1325和1278，女性全科医生分别为1155和1144。认为自己工作量不可接受的全科医生比例显著下降，从2000年的38.1%降至2008年的25.5%。
2000年至2008年，全科医生平均每周工作时长增加了约一小时，且这种增加主要发生在女全科医生中。我们认为，报告工作量不可接受的比例下降可以通过引入患者名单系统来解释，该系统使医生能够更好地控制自己的工作量。
